We live in England. My wife is 4 months pregnant (age 38) and she is our first child. Her first pregnancy had a very serious miscarriage (a double blood transfusion was needed). We just found out that he has elevated levels of Inhibin A. We were recommended the IONA test. How to proceed?

If I understand correctly, the wife had a triple test (hence inhibin A) which indicated an increased risk of trisomy in the child. The triple test is a screening test, that is, it selects a group of women for whom diagnostic tests should be performed. You were offered the IONA test. It is a non-invasive test characterized by high sensitivity. Invasive examination - genetic examination of material collected during puncture - is much more accurate. It is up to you to decide for yourself whether or not to perform these tests, you need to balance the risk of complications, the cost and the value of information about your child's development.

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

Barbara Grzechocińska

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

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