Post # 1
i had my 12 week 3 day ultrasound yesterday and all went well except for one thing. i opted out of the nuchal translucency test (the one where they screen for Downs Syndrome risk…i just decided that i didn’t want the extra worry and it wouldn’t change whether i carried out the pregnancy) but during the ultrasound the sonographer still took the measurements just to let me know that that part of things was looking okay. she measured the nuchal thickness at 2.6mm, which she said was in the normal range of under 3mm for this time, and saw a nice sized nasal bone, a strong heartbeat, and the baby is measuring exactly to size. she seemed totally not concerned and the whole ultrasound was wonderful.
later when i met with the doctor, she told me she wanted to refer me to a perinatologist for my 20 week ultrasound so they could do a more extensive ultrasound to check for any structural problems, like heart defects. despite my slew of questions, she didn’t do a great job of totally explaining why that one factor warranted a specialist visit (i’m 28 years old with no chronic diseases, no history of miscarriages or family history of genetic disorders) and my husband and i got home feeling confused and upset. i have to wait until she is back in the office tomorrow to speak directly to her, but in the meantime this has put a slight damper on my finally-the-first-trimester-is-over celebrations =/
i know my visit could have been much worse, and in general was actually really amazing and added to my growing excitement, but just wondering if anyone else has been referred to a perinatologist for a higher-than-average-but-still-“normal” NT? i have a feeling it’s more of a precaution, but just curious.
Post # 3
I go to a perinatologist frequently just so my doctors can get a second opinion on how to best treat us. There’s nothing wrong with me and there’s nothing wrong with our baby, it’s just in case**. Honestly, many women are refered to a perinatologist just in case. Don’t stress about it too much. Sometimes it’s just good to have extra members on your team.
**My doctor is sending me just in case, however our first baby was an Angel Baby (lost in week 34). My old doctor would not send me to a perinatologist because I am not considered high risk, so we switched doctors in hopes of being refered. My current doctor is sending me for our piece of mind.
Post # 4
The 20 week anatomy scan is pretty detailed and I can see why you might be sent to a specialist. I was referred to a maternal-fetal medicine specialist for all of my ultrasounds and scans after 12 weeks. Usually a specialist’s equipment is higher resolution/sensitivity and the techs are probably trained a bit more intensively. I wouldn’t get too worried at this point. I stopped going to my specialist at 30 weeks. Everything my specialist measured and tested for was transferred the same day to my OB so she had the same info.
ETA: I’m currently in my 37th week and considered low risk.
Post # 5
My OB often refers people to the perinatologist next door, since their sonographers have more training and their equipment is better. Maybe since you technically didn’t do the nuchal scan, they think that they just have a little less data on you to date than for other couples who did it, so they want to be super thorough.
My first pregnancy ended early, but for a reason that shouldn’t affect any future pregnancies (i.e. I’m not considered high-risk now or anything, and I’m right about your age), but my OB still sent me to the perinatologist this time for all my scans and stuff just for my peace of mind.
If they haven’t given you any other reason to worry, I wouldn’t at all see the referral as worrisome- it’s just a way of getting better data and I think it’s quite common. So hang in there, ask you OB about it next time you see him/her to ease your mind, and try to enjoy the ride 🙂
Post # 6
thanks so much ladies! it really helps to hear that it’s pretty common 🙂