In the world of pregnant women, there is so much information and knowledge to quickly absorb that we hope this blogs sheds some light.
Are you pregnant - get to a doctor. If you have already done an Over the Counter Pregnancy tests and the results are positive - congratulations and call your OB/GYN. If you do not have a regular OB/GYN who is familiar with your medical history, get a referral from your Primary Care Physician and find one because if you are old enough to get pregnant, you are old enough to be seen by an OB/GYN. Regular OB/GYN visits should be a part of your own health care agenda as soon as you are sexually active. There are Planned Parenthood clinics, women's wellness clinics and other healthcare agencies and hospital related clinics throughout the state and country able to educate you about the responsibilities and risks of being a sexually active woman. God knows there are enough TV shows willing to delve into the subject of teen pregnancy, out of wedlock pregnancy, planned pregnancy, surrogate pregnancy etc., There is simply no excuse today, not to be seen by an OB/GYN, once you become sexually active.
In this day and age, many young women have the benefit of planning pregnancies around their professional lives or that of there husbands/significant other. If you happen to be one of these lucky women, you still need to know that there is a host of testing available in your first and second trimester that will offer you information about risks for chromosome abnormalities. The risk for a fetal chromosome abnormality increases as women get older. Pregnant women age 35 and older are often offered diagnostic testing through either a chorionic villus sampling (CVS) or an amniocentesis (Amnio) to determie if their baby has a chromosome problem. Women younger than 35 are routinely offered a blood test in the second trimester (Quad screen) to determine if their baby is at an icnreased risk for a chromosome abnormality. In the last five years (this writing is as of 2010) there have been better developments in first trimester screening which offers detection rates for trisomy 18 and Down syndrome at least equivalent to the Quad screen. First Trimester screening is also an accepted standard in over 50 countries.
It is at this same time, when you are doing the above chromosomal diagnostic testing that you can participate in a PreNatal Paternity Test. If your doctor is planning on performing either the CVS or Amnio, you can call and schedule your local DNA collector to meet you at your doctor's office on the same day. The usual process is both mom and alleged father meet the DNA collector either on the day of the amnio or CVS or at a previously agreed upon date. The first meeting is to exchange identification, collect mom's and alleged father's DNA, accept payment and sign consent forms. The second meeting is then in the doctor's office (genetic counselor, OB/GYN, Perinatologists) where the procedure (Amnio or CVS) is performed by your doctor. The DNA collector supplies the doctor with an additional sample tube so that the doctor can provide either amniotic fluid or tissue from the CVS. It is very important that you understand the risks to yourself and your baby before having any of these tests performed. ASK YOUR DOCTOR ANY QUESTIONS ABOUT THE RISKS INVOLVED AND YOUR CONCERNS - WRITE YOUR QUESTIONS DOWN ON PAPER BEFORE YOU MEET WITH THE DOCTOR. You can combine the appointments with the DNA Collection into one day at the doctor's office; however, your DNA collector willll need to speak to your doctor or his staff prior to the meeting. Prenatal Paternity Test results are generally returned within 5 - 7 business days after receipt at laboratory. Prenatal Paternity Tests are COLLECTED on Monday, Tuesday or Wednesday only due to sensitivity and viability of the Prenatal Samples.
First trimester screening is a combination of a blood test with a special certified ultrasound exam performed when you are between 11 weeks and 13 weeks plus 6 days of pregnancy. Downs Syndrome babies have an extra number 21 chromosome which occurs in about 1 in 800 live-born babies. Trisomy 18, an extra number 18 chromosome, causes severe mental retardation and multiple birth defects. Your blood is analyzed for two proteins called the free-Beta-hcG and PAPP-A (pregnancy associated plasma Protein-A). The ultra sound test determines the gestational age (how many weeks are you pregnant) of the fetus and measures the amount of fluid between the baby's spine and the skin on the back of the neck, which is called the nuchal translucency. The blood tests and the results from the NT ultrasound are combined to estimate risks of either Downs Syndrome or Trisomy 18. It is important to understand that these are "screenings" and not "diagnostic" tests. First trimester screening only provides you with a risk estimate - it does not confirm the presence of Downs syndrome or Trisomy 18. Diagnostic testing such as the amnio or CVS will be offered to those individuals whose risk estimate is higher than the norm. Genetic Counselors can provide possible reasons why a pregnancy was found to have an increased risk of chromosomal abnormality and will review your options about further diagnostic testing. A trained genetic counselor will review your family history, medical history, pregnancy history and help you to interpret your own unique situation and offer choices that are right for your family.
The most important responsibility you have as a pregnant women is to find an OB/GYN you can work with, can communicate with and feel comfortable asking questions. Irrespective of your relationship with the father of the child - as a women you carry the responsibility of taking care of yourself and your unborn child during these nine months. If you need to confirm paternity, prior to the birth of your child, prenatal paternity tests are available and can help you to remove any lingering doubts and stress. Most hospitals in New Jersey offer Maternal Fetal classes to educate you on what to expect during pregnancy. These classes allow you to view the maternity unit where you will give birth to your baby, offer classes to "big" sisters and brothers to give them an idea on how to welcome their new baby and instructions on how to breast feed. Most of the classes are either free of charge or request a nominal fee but it is a good idea for new moms and dads to participate as the nurses, midwives, doublas and staff who offer these courses have lots of practice with new babies and new families and can help ease your questions.