to test or not to test

I just found out today that my friend in England, who is about the same age as I am, went with the NT-scan (which is standard for all British moms at 12-weeks) and blood test, and then had CVS. Her blood test had indicated a 1 in 6 chance of Down’s Syndrome. The CVS was uncomfortable, and the results showed that everything was fine.

The tone of her email led me to think that perhaps doctors are more comfortable with CVS in England. My impression, garnered mainly from what I’ve read, is that CVS is still more dangerous than amniocentesis in terms of miscarriage risk, and also that amnio gives a more complete picture, tests more things, than CVS.

Of course, CVS is done earlier, which makes it the better choice if there’s a problem that might lead to a decision to terminate the pregnancy.

I hate that phrase. Terminate the pregnancy.

I hated it the whole time we were worried about whether or not I, and the baby, had a current toxoplasmosis infection. I hate the idea of it now, as I face my own big prenatal test, and whatever results that might bring.

My hairdresser, who gave birth last year, and had the same OB-Gyn, went for the amnio, on the same logic as me — that it was more comprehensive and safer than CVS. She says to not worry. The people at the lab are very skilled. The recovery is not that bad.

Our friends who are Catholic skipped the test entirely; as they knew their decision to have the baby would not change, no matter what the results.

Of course, there is also the argument that says knowing the results can help you better prepare, if there is something that needs preparing for.

My friend Susan, who is a doula, spoke with some venom about the stress of the two-week period between taking the test, and getting the results, because she says it hampers the mother from bonding with the baby.

That’s a whole other can of worms, the bonding. But I do feel like just this period of waiting to TAKE the test, there’s a part of me that can’t quite relax and love this pregnancy. Not until I get past this hurdle.

The fact is, at 37 (almost 38) I’m officially a woman of “Advanced Maternal Age,” meaning 35-or-older at the time of giving birth. (I don’t know how I would be dealing with these testing questions if I were doing this ten years ago.)

And ultimately, I’m a worrier. So it’s better if I just know. And my husband wants to know as much as can be known. And I don’t blame him — even as I fantasize about that other pregnancy I’m having; the one where I run off into the woods with a bag of trail mix and a soft blanket and come back nine months later with a healthy happy baby.

2 comments for “to test or not to test

  1. June 17, 2007 at 8:48 am

    I skipped the test.

    Yes, I worried, but, I was going to do that anyway. :-)

    I would tell you not to worry… but, I see from your last paragraph that that would probably do no good.
    😀 Rest assured, one the little bundle of joy is about a year old, your memories of pregnancy will be that feeling of holding life under your skin and how you felt when the first kick came… the rest somehow fades… in accordance with it’s importance.

  2. June 17, 2007 at 10:08 pm

    I skipped the test, too, because I was scared of it (hated needles) and because I couldn’t imagine choosing to terminate.

    Both my children were born with issues that would not have been caught by amnio anyway! Although #2’s club feet could have been caught by ultrasound, which I did have at 41 and 42 weeks (he was late, they do ultrasound). Maybe they saw it and figured not to tell me? I dunno, it doesn’t matter.

    I totally understand wanting to know in any case. I guess I understand all the choices, even choices I would not have made at the time.

    Oh I just snipped a Leila-esque rant about doulas and bonding, for fear of coming on too strong. Suffice to say, I have opinions about the subject of doulas, lactation consultants, attachment parenting and the whole Berkeley culture of maternal “shoulds”.

    I’m just sure that whatever you’re doing, you’re bonding just fine with the baby. You are more tuned in to your body than anybody I know, and your instincts will lead you to do what’s best for you and baby. Nature is more powerful than your doula’s ideas.

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