quad screen test…yes or no?

posted 3 years ago in Pregnancy
Post # 3
Hostess
11469 posts
Sugar Beekeeper

@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
Member
1721 posts
Bumble bee
  • Wedding: August 2010

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
Member
1835 posts
Buzzing bee
  • Wedding: March 2013

@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
Member
629 posts
Busy bee
  • Wedding: August 2013

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
Member
1147 posts
Bumble bee
  • Wedding: October 2012

@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
Member
545 posts
Busy bee
  • Wedding: June 2013

@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
Member
7261 posts
Busy Beekeeper
  • Wedding: February 2013

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
Member
9137 posts
Buzzing Beekeeper
  • 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
Member
2174 posts
Buzzing bee
  • Wedding: November 2012

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 # 13
Member
3032 posts
Sugar bee
  • Wedding: June 2013

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
Member
419 posts
Helper bee

@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
cherrypieBee
1059 posts
Bumble bee
  • 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). 

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