Is it necessary to have an abortion if the risk of Down syndrome is high?

Patient's question:

I went for prenatal screening for the Tdap test. The detailed test results showed a risk level. Is it possible that I cannot have the child? Will I need to have a miscarriage?

Doctor's answer:

Different hospitals use different standards. The critical value for Down syndrome is 1/27, which is considered high risk if above it and low risk if below it. If the test results indicate a probability higher than the normal reference value, the result is positive, meaning the fetus has a higher chance of being affected. A high-risk screening result suggests undergoing amniocentesis, as even a high risk does not necessarily mean the baby has Down syndrome. The probability of Down syndrome in the general population is 1/75, so there is no need to be overly anxious. However, for safety, it is still recommended to undergo further detailed tests such as non-invasive DNA testing or amniocentesis to obtain a clear result. It is advised to maintain a positive mood, enhance nutrition, exercise appropriately, and have regular prenatal check-ups. I hope this helps you.

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