Patient's question:
I am 35 years old and a second-time mother. My first child is a son, who is in good health and very intelligent. I am currently 15 weeks pregnant. At 13 weeks, I had a prenatal screening test at the Fujian Provincial Maternal and Child Health Hospital. The specific results are as follows:PAPP-A: 17.18 (MOM) 0.381
Free-hCGB: 20.69 (MOM) 0.458
Trisomy 21 risk: 1/1400 (low risk)
Trisomy 18 risk: 1/2400 (low risk)
Special reminder: According to your age, your fetus is already considered high-risk for Trisomy 21. I visited a genetic counseling doctor, and she said that although the test results show low risk, because I am advanced in age, she recommended that I undergo
Doctor's answer:
Analysis of the condition: Hello, your age group falls under the high-risk category for Down syndrome screening. The risk of having a fetus with Down syndrome is higher for you compared to younger individuals. Based on your Down screen results, although the value is not greater than or equal to 1/270, so it is considered a low-risk group, but generally, the value can be as low as one in tens of thousands, so it can also be said that yours is borderline high risk. The doctor's recommendation for amniocentesis is also a form of responsibility towards you. Sulfadiazine and Methotrexate can be taken together, but it is best to take them separately. Both drugs can be taken during pregnancy and lactation, but it is recommended to stop taking Sulfadiazine after 1-2 months of supplementation and have a blood hemoglobin recheck.Suggestions: Amniocentesis is not necessarily required. The ultrasound test is used to check for physical defects in the body, and it cannot detect Down syndrome in children.