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AFP test - done too early?
"Abadia" wrote in message m... I just heard from my midwife that my AFP test (took at 15 weeks before leaving for the holidays) came back with an increased risk of Down Syndrome. I am a healthy 28 year old woman and have not yet had an ultrasound. Next week I hope to schedule an appointment with a perinatologist, but my question is: Could I have done the test too early such that the levels of AFP seemed low? If my birth date was off by a few days, meaning say I took the test at 14 weeks, could the numbers be low simply because there hadn't been enough time for the fetus to produce enough AFP? Very worried over this weekend, and thanks for any thoughts, Robin Both of my AFP tests came back ok, but I know that there is a HUGE rate of false positives for both Downs Syndrome and spina bifida. Try not to worry too much, the ultrasound will tell you more and if there is ANY doubt left, you can opt for the amnio. I'm sure everything's just fine. Good luck! - Jen |
#12
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AFP test - done too early?
"New York Jen" wrote in message
... "Abadia" wrote in message m... I just heard from my midwife that my AFP test (took at 15 weeks before leaving for the holidays) came back with an increased risk of Down Syndrome. I am a healthy 28 year old woman and have not yet had an ultrasound. Next week I hope to schedule an appointment with a perinatologist, but my question is: Could I have done the test too early such that the levels of AFP seemed low? If my birth date was off by a few days, meaning say I took the test at 14 weeks, could the numbers be low simply because there hadn't been enough time for the fetus to produce enough AFP? Very worried over this weekend, and thanks for any thoughts, Robin Both of my AFP tests came back ok, but I know that there is a HUGE rate of false positives for both Downs Syndrome and spina bifida. Try not to worry too much, the ultrasound will tell you more and if there is ANY doubt left, you can opt for the amnio. I'm sure everything's just fine. Good luck! - Jen Just one comment regarding the AFP. It's not really a test, it's called the AFP Triple Screen. It screens people to find out who might need to have further testing which is why it comes out with so many false positives (and negatives in my case). I'm not sure if it's the doctors that aren't explaining it correctly or using the right wording or if it's lab techs and nurses who refer to it as a test, but there needs to be more education for doctors and patients alike so that they understand the implications of the tests that are being done during the pregnancy. Leigh in raLeigh |
#13
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AFP test - done too early?
Without looking it up, I'm pretty sure that the AFP has to be done after 16 weeks. I had mine done at 12 weeks... came back as a chance in two thousand and something... they tend to only worry when the number is under 300 AFAIK Leanne |
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AFP test - done too early? --- update
Hi everyone,
Many, many thanks for your thoughtful, informative, and kind posts. This was extremely helpful to my husband and I. An encouraging update: Last week I saw a specialist (perinatologist-spelling?) who did an US and saw that everything looked okay. Of course, that doesn't rule out DS, but he said it reduces the liklihood by about 50%. I decided to take the AFP again (this time, at the very end of week 17) to see if the results would be different BEFORE making a decision about an amnio. You see, I had been given the choice to take it either at 15 weeks (before my vacation-which is what I had done) or at end of 17 (after my vacation). I decided to "pretend" that I hadn't taken the first screen and see what the second one said, as if we were re-writing history if you will. If all came back "normal", I wouldn't have done an amnio, thus avoiding MC risk. I just got my results back yesterday and everything looks normal. Of course, I can't really ignore that other result in my history, but since everything is about odds, I've decided to go ahead and trust that my baby is fine, and avoid the amnio. Thanks again to everyone out there who offered support. I wish you all healthy babies and happy births! All the best, Robin |
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