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I was referred for amniocentesis, after the results of prenatal examinations (age-25, 1st child, examination at 12 weeks and 1 day of pregnancy, CRL 55.5 mm; HCGb 171.16 ng / mL; NT 3.8 mm; Pappa 918.15 mU / L; risk of Down syndrome 1:25, risk of Edwards syndrome 1:95). Therefore, I have a few questions as I am very concerned about the results. Should I worry that the child will be born sick? What is the best time frame for amniocentesis? Do you need to do any tests (blood, urine, ultrasound) before this test? Is the procedure performed under anesthesia? How long do you stay in the hospital?

The PAPPA test is a screening test. It indicates the risk of having a baby with Down-Edwards syndrome, and not whether the baby will be born he althy or sick, it is simply not known at the moment. Amniocentesis is performed around the 14th week of pregnancy. It is the doctor who performs the puncture who assesses the size of the child by ultrasound and selects the optimal date. Except for the routine blood and urine tests, no exercise is required if the woman is he althy. The procedure is performed only under local anesthesia, on an outpatient basis, but in hospital conditions and without the need for hospitalization.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Barbara GrzechociƄska

Assistant professor at the Department of Obstetrics and Gynecology at the Medical University of Warsaw. I accept privately in Warsaw at ul. KrasiƄskiego 16 m 50 (registration is available every day from 8 a.m. to 8 p.m.).

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