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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
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