Recently Answered Questions
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Query: Hi doctor, I am 20 weeks pregnant and discovered our baby has a hole in his heart. I had two NIPT tests that came back with not enough fetal DNA. I thought my 12-week scan was okay, but they are possibly sending me for an amniocentesis. I am wondering how accurate an amniocentesis is. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Here the main issue is to exclude all kinds of anomalies, as heart issues could be associated with many syndromes. Nuchal translucency at 12+ weeks needed to check and could give some clues regarding anomalies. Now it is better to have a deta... Read Full »
Is it safe to conceive at 40 years of age?
Query: Hello doctor, I am 40 years old woman. My husband is 53 years old. Since I married late, is it safe to conceive now or will I face any health issues? If safe, then when should I have sex to conceive at the earliest? Read Full »
Answer: Hi, Welcome to icliniq.com. There is risk involved for conceiving at this age. Age-related screening is needed before conception even if you both are healthy and do not have any problem. As long waited oocytes (eggs) will be involved in conception, there are a few tests for conception at this age ... Read Full »
Other than ultrasound, how can Down's syndrome be diagnosed?
Query: Hi doctor, I am 26 weeks pregnant. Yesterday, I went for an ultrasound scan named targeted imaging for fetal anomalies. Other than hypoplasia of nasal bone, everything is normal. I need an expert opinion regarding advanced tests of ultrasound or amniocentesis, karyotyping or any ultrasound scan to ... Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity) in toto. At 26 weeks period of gestation, the overall growth of the fetus is fine. But the concern here is hypoplastic nasal bone seen in the second trimester TIFFA (targeted imaging for ... Read Full »
What is the risk of trisomy 21 from my NT scan and double marker test?
Query: Hi doctor, I had an NT scan and a double marker test at 12 weeks and five days of pregnancy. The report is as follows. Maternal serum screen 2: Dual test. (CLIA) HCG, Free Beta 69.00 ng/mL equivalent to 1.81 Corr.MOM's PAPP-A 1.40 mIU/mL equivalent to 0.36 Corr.MOM's Disorder screen positive cut ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your question and understand the concerns. I have reviewed the report (attachment removed to protect the patient's identity). It shows an increased risk in the first-trimester screening. You should go for amniocentesis at 16 weeks gestation to rul... Read Full »
My wife is pregnant with second baby with an echogenic focus in heart. Kindly help
Query: Hi doctor, My wife has a blood pressure of 100/80 mm of Hg and weighs 61.9 kg. She is 16 weeks and four days pregnant with a second baby. Our first child is 8 years old girl and had a normal delivery. During the ultrasound, the echogenic focus was seen in the left ventricle. Is there any risk of dow... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. In approximately one out of every 20 to 30 pregnancies, an echogenic focus is seen in a second-trimester ultrasound. These are bright spots in the heart and could be one or multiple. However, it is primarily due to calcium deposits in the pap... Read Full »
What is the risk of baby being born with Down's syndrome?
Query: Hello doctor, My wife underwent double marker test. Results are as follows. Please tell me if there is any risk factor regarding the pregnancy. Her age is 31 years. PAPP-A : 0.35 MoM, fb-hCG 2.14 MoM, age risk 1:743, biochemical T21 risk 1:54, combined trisomy 21 risk 1:226, trisomy 13/18 + NT. Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, there is a risk of the baby being born with Down's syndrome. To confirm it, there is a test called chorionic villus sampling, where the sample of the placenta is taken, and chromosomal analysis is done to rule out trisomy 21, 18, and 13, which are abnormal chrom... Read Full »
I am 22 weeks pregnant and had my double marker test done. Can you please review my reports?
Query: Hi doctor, I am 22 weeks pregnant, starting today, and I am 37 years old. In week 13, I had my double marker test done, and I have attached the test report. Afterward, I did the Natera Panorama NIPT test, and the results were low for all trisomies: 1:10000. Last week I had an ultrasound at week 21, ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. I have reviewed your reports (attachment removed to protect the patient's identity). As your chances of congenital abnormalities are very low, I think there is no need for amniocentesis as it is an invasive procedure. In addition, the single foc... Read Full »
Is breech position a big concern?
Query: Hi doctor, My wife is 29 weeks pregnant. Today we had one ultrasound scan and the report is as follows. Single live fetus in breech presentation and 2v umbilical cord. Is this a big problem? Will it cause any problem to my baby during or after birth? Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. The breech position is not a concern at the moment as it might change till 34 weeks in all and can become cephalic. Your wife's ultrasound report does not show any good sign for the baby's development and a single umbilical artery (2 vessel umbilical cord) is an... Read Full »
Query: Hello doctor,I am a 23-year-old female and 19 weeks pregnant. The ultrasonography reports are - a bilateral 5 mm choroid plexus cyst and a small echogenic intracardiac focus in the left ventricle. What does this mean? Please help. I take vitamin C tablets daily and had a double marker test during my... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I reviewed the report (attachment removed to protect patient's identity). In this situation, I suggest you go for an amniocentesis to confirm the fetal karyotype and rule out trisomy of 21 or Down's syndrome. The echogenic... Read Full »
How can I find out the risk of Down's syndrome in my second baby?
Query: Hello doctor, My first baby is a Down's syndrome kid. I am currently on Fol G2 (folic acid). Kindly guide me whether my second baby is at risk. Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your report is near normal or in the actual term that there is a very low risk according to your age, blood parameters, and sonography. There is a low risk of having this baby positive for Down's syndrome. But, if you have the first baby with po... Read Full »