Post # 1
I’m just curious as to how other pregnant women are deciding whether or not to have the quad screen done. I’m sure there are other names for it as a few different types of tests are offered, but it’s supposed to show the likelihood or defects with the baby, like down syndrome for one. I’ve had a couple of pregnant friends advise me against it, as there seem to be positives that end up being nothing with further testing. I’m worried that I’ll have it done and then just be worrying myself to death.
What are your thoughts ladies? Any reasons why you decided for or against it?
Post # 3
@roweboat: We are actually doing the sequential integrated testing which measures for six markers (quad only tests for four). There are two blood tests and a Nuchal Translucency U/S. The results from all three are combined and your overall risk factors are calculated.
I don’t see any reason not to get the quad marker testing or any other blood testing done. It poses zero risk to you and your baby.
Post # 4
I did the testing because my insurance covered it. It was a chance for us to see the baby and to be prepared in case of issues.
Post # 5
@roweboat: I had the 12 week blood work done and the 16 week blood work done. The testing isn’t 100%, but DH and I wanted to be prepared if there was any abnormalities. We had decided that if anything were to come back with high risks, we wouldn’t do any invasive testing though. My sister hasn’t done any testing, so it’s really personal preference.
Post # 6
Like pp said, Quad screen is old news. Most insurance companies are covering sequential screening, which is a little finer-tuned to just a couple things.
The biggest factor for determining any medical testing you might do is:
what are you going to do with the information when you get it? If you’re someone who would pursue further testing in order to either know exactly what you’re getting yourself into (medically/mentally prepared) or out of (termination) then do it. If you’re someone who would accept anything, come what may, then why test and worry yourself unnecessarily?
Post # 7
@roweboat: i did the same exact tests as @Treejewel19: . Depending on how you and DH feel about birth defects etc it may or may not make a difference to you two. I don’t know the stats on false positives but when I did the research I was okay with the information I came across and felt it was worth getting the sequental integrated testing done.
Post # 8
@Treejewel19: Yep same here.
Not doing the quad screening. But I’m pretty sure that if the first trimester screening (blood test + nuchal translucency during ultrasound) comes up with a heightened risk, we’d seek the cell-free DNA test next. I’m meeting with the genetic counselor tomorrow to get more info on testing.
Post # 9
I didn’t do any genetic testing during my pregnancy. Our anatomy scan looked good, so we opted not to do the quad screen.
Post # 10
- Wedding: November 2013 - St. Augustine Beach, FL
We plan to do it so we can be prepared should there be any issues. Some diseases require a specialist pediatrician to be present at birth for the best outcome. It also gives you time to join a support group that can help you prepare emotionally and financially because children with special needs get expensive and there are capitalists for many social programmes.
Post # 11
As someone who has lived through the worst outcome of these tests, I recommend them.
We did the sequential testing, which led to our baby’s diagnosis with severe NT defects at 17w. Our 13w work came back perfect; the 17w returned with a 1:10 chance for an NT defect. The probability was fulfilled the next day with a level II ultrasound.
Knowledge is power– just have a talk in advance about what you’ll do with any potentially life-changing information you receive, if you do decide to test. Good luck.
Post # 12
The quad screen is the test my doctors office offers, so that’s what they would do. I know a couple of people that have gotten false positives with it, though. My sister didn’t do it with either of her pregnancies so I’m just really on the fence about it.
Post # 13
I had the quad screen on accident and long story short was told my child had DS. After genetic counseling, a 19 week u/s and a DNA test we found out he didn’t.- he’s 3 weeks and doesn’t. It was nerve wracking, but I would probably do it again on purpose for the same reasons @OldMrsMcDonald: mentioned. Also nothing but the u/s was covered by insurance and I think I am looking at $850 in bills soon.
The key is what would you do with the results. If the answer is keep no matter what then there’s no point.
Post # 14
@roweboat: I did the sequential and having really low odds as results made me feel better. I mean yes, some people get a ‘false postitives’ (they aren’t really ever postive or neg, they are just odds) which might make them worry for no reason, but I would have worried SO MUCH MORE without the test. That’s pretty much it.
Post # 15
- Wedding: September 2008 - A tiny town just outside of Glacier National Park
My mom had a flag for her fourth pregnancy with the quad screen and my sister turned out to be fine. But as others have said, quad screen is now kinda considered “old and busted” in the medical community. Our default 12-week test was the NT/combi screen, which combined the ultrasound nuchal translucency scan (and nasal bone and other measurements) with a blood test for certain fetal proteins and hormones to assess risk of trisomies.
We also opted for Counsyl genetic carrier testing screening as we are northern European and at increased risk for being CF carriers. Insurance covered a portion and our out-of-pocket was $99 per person (their max OOP with insurance).