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April 26, 2006
Pregnancy wackiness - part 2
Sorry I never finished this nerve-wracking story... I actually didn't realize people read this blog, but several people mentioned they were still waiting for the conclusion of the post. It seems somewhat anti-climactic now that we all now Linna's A-OK, but I'll continue anyway.
I got an amnio the same day as the follow-up ultrasound, since it seemed so likely the baby would have Down syndrome, and I just wanted to know for sure. The amnio itself was no big deal. They told me that if they got lucky and the cells grew fast enough, they'd push to get results in a week instead of two weeks, since the level of concern was so high.
I actually was OK during that week, just reading the books and waiting for definitive news. The only thing that kept me from being tense was that I figured we already knew the results, so I wasn't really hoping for anything different. However, by the time a week had actually passed, I got increasingly tense... I realized I did still have some hope that maybe, maybe, somehow it wouldn't be true.
Monday was a week, and no word. On Tuesday I called, and spoke to a different genetic counselor (the first one was out on vacation), who said the results should be coming that day, and she'd call me if she could make it before she left at 5. Still no word at 4:45, so I called again, really anxious by now. Finally she called back at about 5:15 with the results.
She said simply, "The chromosomes are normal." I didn't say anything because I hadn't really heard, so she said it again, and I think I said, "WHAT? You're kidding." We chatted for just a few minutes. Jeff was right nearby, obviously able to tell what the results were from my responses. As soon as I hung up I burst into tears in his arms and just cried from relief, I guess.
That was at almost 15 weeks... at 17 weeks I had one more ultrasound, to check out her heart and all anatomy. Absolutely everything was normal, even femur and humerus length. No choroid plexus cysts. It really made me feel that everything would have been better if I had just waited and had only a level II ultrasound, none of these screening tests, and then everything would have come out fine.
And that's the story. I guess I'm a false positive poster girl. Papp-a is a marker for placental function, though they're not sure just what it does. Low papp-a is also associated with miscarriage and stillbirth, which continued to worry me mildly. And indeed, what apparently caused my water to break at 32 weeks was a partial placental abruption, so maybe the papp-a was telling us something. Still, it all turned out OK somehow.
Posted by ktingey at April 26, 2006 11:48 PM
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