Pregnancy drama with a happy ending
Let me start this by emphasizing that everything is fine. I am fine. The baby is healthy and fine. It’s just that the last two weeks were spent thinking otherwise.
At my 16 week check up, I opted to have the Triple Screen blood test done. This checks protein and hormone levels in your blood for indicators of neural tube defects, Down Syndrome, and spina bifida, among other problems. In my case, it was recommended because I am 34 years old and will be 35 when the baby is born. The tests are not conclusive and are for preliminary screening. If a positive is returned for any issue, then further testing is recommended to confirm the diagnosis.
Friday morning before Mother’s Day, I received a call from my doctor’s office. Remember, “no news is good news,” so I knew this wasn’t good. My triple screen had come back positive for Down Syndrome. They were referring me to a maternal fetal specialist at the hospital for genetic counseling and an amniocentesis, if we chose to do that. We did. I was told that my doc’s office would send over the info and a nurse from the hospital would call me shortly to schedule the appointment. When the work day was nearly over and I hadn’t heard from anyone, I called my doctor’s office again and was told that the nurse who handled the scheduling was out of the office Friday and I wouldn’t hear from her until Monday.
Despite these sudden new fears and worries and my abrupt declaration that I didn’t want anything to do with Mother’s Day, we spent Sunday with all the rest of the Houston family at my mother-in-law’s house and it was a nice evening.
By mid-day Monday I still hadn’t heard from anyone, so I called my doctor’s office again and was told that the person there who was handling this was out for an emergency. The nurse I spoke with, “Ms. No News Is Good News” herself, told me she had no idea what to do, couldn’t give me the number for the hospital herself, and just told me to wait until Tuesday when the appropriate person would be back in the office. I’m really starting to hate Nurse NNIGN.
Tuesday I finally got a call and an appointment was set up for the following Tuesday, May 20, a week and a half after we originally got the news. Having an appointment scheduled didn’t help us feel any better though. In the mean time, Dale and I spent time researching Down Syndrome and amniocentesis and related subjects. My guilt was relieved in part when I learned that there was absolutely nothing I could have done that would cause this, aside from my age. In fact, I learned that Down Syndrome occurs at conception or even before. That intrigued me a bit because that meant my current age shouldn’t be a factor at all because this pregnancy was from a frozen embryo transfer. The embryo itself was conceived nearly four years ago, at the same time that Olivia was.
Still, nothing that we read was really reassuring, and I quit reading the “Your Pregnancy Week by Week” book when Weeks 16 and 17 turned out to be prenatal screening for birth defects. I think Dale got that same slap in the face from the book.
Last weekend was the best we’d felt since we got the test results. We spent the weekend in Galveston distracting ourselves at Moody Gardens and the beach. It helped a lot. On the way home, Dale made arrangements with his mother to have her babysit Olivia on Tuesday.
Tuesday afternoon, we arrived at the hospital 15 minutes early. I was given a couple of sheets of paper to fill out with Dale and my and our families’ medical histories. This was completed quickly, but we still spent more than 45 minutes waiting to be seen. We were stuck in a waiting area outside the neonatal intensive care unit. During that time, a father brought his newborn son down to see the family members waiting there too. It was a sweet scene. Though I tried not to, I cried.
When we finally got in to see the genetic counselor, one of the first things I questioned was whether my age at the time of conception or my current age was used in the testing, and if that would make a difference. I don’t think I explained myself clearly, because at first she said no, because the proteins they checked for change levels during the pregnancy. When she pulled out the paper with my lab results, we were told that the lab had been given my current age and a last menstrual period of January 1, which would have put me at 18 weeks at the time of the blood draw. The G.C. said the lab was supposed to have been told it was a fetal embryo transfer and my due date was based on that, putting me at 16 weeks at the time of the test, and my age at the time of conception was supposed to be used. This was a three year difference in my age and a two week difference in fetal age, which could definitely alter the results.
What was suggested and we decided to do was have a comprehensive ultrasound performed to date the current age of the baby. Once she had that info, the G.C. was going to call the lab back and give them the correct info to see if they could provide updated results before we left the hospital. Dale and I also decided to wait until we got these results to decide about having the amniocentesis.
The ultrasonographer teasingly referred to the baby as a “pain in the neck” because it wouldn’t hold still for the ultrasound and made getting measurements hard. Still, the ultrasonographer was great about pointing out and explaining to us everything she was looking for and seeing. The baby’s skull circumference, abdomen, forearm, and thigh bone were measured, along with heart rate, and all measured right on target for a gestational age of 18 weeks. Blood flow through the umbilical cord and to the kidneys was fine. It was still a little early to get a good look at the heart an spine, so she recommended another comprehensive ultrasound in four weeks, but overall, everything looked good. There were no physical indicators of Down Syndrome (or other problems) visible on the scan, but those are only noticeable in about half the cases. Still, it was minutely reassuring.
We were given two lovely ultrasound images of the baby, which I still need to scan in and post.
The genetic counselor called in the correct info to the lab but they weren’t able to give her the results right away. She told us it would probably be tomorrow morning but she’d call as soon as she knew anything.
Dale and I left the hospital feeling more hopeful, but also that much more scared. We decided to stop by our house before going to get Olivia, and the phone range minutes after we walked through the door. It was the genetic counselor calling to tell us the lab had just sent her the corrected results, and they were negative for Down Syndrome along with everything else. I thanked her profusely when my crying slowed down enough to let me, and we told her that of course, we didn’t want the amniocentesis.
Needless to say, that phone call was an enormous relief to me and Dale. At the very least, I didn’t have to have a giant needle stabbed into my abdomen. We spent a few minutes together, just feeling the relief, then we went to my mother-in-law’s house to see Olivia and show off the new ulrasound images.







