Has she had any ultrasounds done? The only reason i can think of is something has shown up on the ultrasound which could indicate a higher incidence of down syndrome. This could be the nuchal fold (a piece of fatty tissue behind the neck) that is apparently larger in most but not all fetuses with down syndrome. It could also be some anomaly of the nasal bone which is also more common with down syndrome. Because some normal fetuses can also have these anamolies they would want to check the karyotype before making a diagnosis. Before agreeing to an amnio with its associated risk of miscarriage (often quoted as 1%, but many clinics say their clinic risk is much lower, if this is so others are much higher) ask your friend  to find out why the amnio is indicated and also what she plans to do with the information. If she is is adamant about aborting a fetus with down syndrome then maybe the miscarriage risk is worth it to her, but if it is just to confirm/disprove a diagnosis, then why run the risk??
 
marilyn
----- Original Message -----
From: Rhonda
Sent: Tuesday, January 21, 2003 4:20 AM
Subject: Re: [ozmidwifery] Had a win today

 
I have a friend who is about 4 months pregnant - due in about June I think.  She was telling me today that they want her to have an amniosentisis to check for Downs syndrome etc...   She is 27 yrs old and this is her first shild with no history in the family of disability.
Why would they want her to have a test like that done?  She is not high risk as far as i can tell.  the only other factor which I can think of and can not believe is that she is very dark skinned African and her husband a white Australian.
 
Anyone got any idea why the hospital would request she do this?
I told her of the risks that they had not mentioned.
 
Rhonda.
-------Original Message-------
 
Date: Tuesday, January 21, 2003 22:09:50
Subject: Re: [ozmidwifery] Had a win today
 
Duck Aviva!!
 
A pinards is the 'ear trumpet' that was used to listen to the baby's heart beat before the invention of sonicaids and monitors. I have a beautiful hand turned pinards made from ash. Sadly many 'modern' midwives don't have the comfidence to use one.
 
Sally
----- Original Message -----
Sent: Tuesday, January 21, 2003 11:09 AM
Subject: Re: [ozmidwifery] Had a win today

OK, wot's pinards? (Is it so obvious I need to duck?)
Aviva
----- Original Message -----
Sent: Tuesday, January 21, 2003 9:06 AM
Subject: RE: [ozmidwifery] Had a win today

That is fantastic!

I use my pinards for all my antenatal visits too, as I don't like to put
electronic gadgets near a developing and sensitive baby

Sally Westbury

Homebirth Midwife
 

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