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 blood test for down syndrome & detail scan, blood test for down syndrome

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andrekua2
post Mar 29 2012, 09:11 PM

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You can visit FMGC in TTDI PJ for this scan. Quite pricey. It cost us 600++ two years ago.

From what I was told, the most accurate test would be First Trimester Test with NT, nasal bone and blood test (sorry if I messed up the data, you can visit the website for exact details). It can be done before your pregnancy exceed 14 weeks.

I also having second thought. My wife gynae suddenly asked if we wanna do double test. We did ask about the First test but he was like it doesn't matter. I rather do the First because its 95% accuracy compared to Double or Triple Test. But I can tell you, the specialist at FMGC very pro. Instead of scaring you, he was quick to calm you down and look at the positive side. Like one of his patient with 1/20 DS but he said his patient got a healthy baby. We tend to look at the negative side too much until overlook the chance for a healthy baby is 19/20.
andrekua2
post Mar 30 2012, 11:22 PM

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QUOTE(kaneshi @ Mar 30 2012, 10:09 AM)
Do you actually mean the Nuchal scan in FMGC costed you RM600? My wife who is now pregnant also follow up with Dr. Yap in FMGC. She is scheduled to do the Nuchal scan early next month.

Can you elaborate what kind of tests will be performed? e.g. blood test?
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I think the one we did was First Trimester Test which is inclusive of this scan. Its been 2 years++ so I cant really remember which is which, but we did blood testing, plus some ultrasound test which includes measuring some of parts of the fetus which can only be done before 14 weeks. All of it cost us RM600++ but that was two years ago. Now surely dont know what magical number.
andrekua2
post Apr 3 2012, 01:02 PM

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COPIED FROM FMGC

QUOTE
What biochemical tests are available?
The biochemical tests involve taking a blood sample from the mother to measure certain proteins or chemicals in the blood. The "triple test" measures the levels of αFP and two pregnancy hormones called unconjugated estriol (uE3) and free ß-human chorionic gonadotropin (ß-HCG). It is called the "double test" if two of the substances are measured and "quadruple test" if four substances are measured. These tests can detect between 65 to 77% Down syndrome if it is done between 15-18 weeks of pregnancy. In other words, they will detect two of three Down syndrome but will miss one out of three.

More recently, the first trimester screening tests have become increasing available for mothers in Malaysia. This involves taking a small amount of blood to measure the levels of two substances, free ß-HCG and pregnancy associated plasma protein-A (PAPP-A), which is normally found in all pregnant women. This blood test detects 68% of Down's syndrome. This test is usually done in combination with an early ultrasound examination, which measures the nuchal translucency (thin layer of fluid usually found at the back of the fetal neck) and the presence of the nasal bone between 11-13+6 weeks of pregnancy. The combination increases the detection to over 90% of Down's syndrome.
What about ultrasound scan?
Recent studies showed that ultrasound measurement of the nuchal translucency (an area of fluid beneath the skin of the fetal neck) and presence of the nasal bone will detect almost 90% of Down's syndrome. Since it is "non-invasive", there is no risk of miscarriage. Eleven to 13+6 weeks gestation is an ideal time to measure the nuchal translucency (NT) and look for the presence of the nasal bone. An increased nuchal measurement and absence of the nasal bone increase the risk of Down's syndrome. If this is the case, a cvs or amniocentesis is advised to check the baby's chromosome.

More recent studies have combined ultrasound with first trimester biochemical markers to give up to 95% sensitivity or detection rate of Down's syndrome.

andrekua2
post Aug 27 2018, 11:56 AM

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QUOTE(weshare88 @ Aug 27 2018, 09:56 AM)
Hello, may i know who is your gynae? I think FMGC has a few gynae... Thank you
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We only went one time to check DS, and I can't really remember his name. I can only remember he's a Chinese guy, very friendly.

 

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