- I am 39 years old. I am pregnant in 18 weeks, this being the second pregnancy after 13 years of rest. Recently, we performed a triple pregnancy test at the Diagnostic and Treatment Center "Dr. Victor Babes". I would like to ask what is the risk of malformations for the girl, given the test results, presented below: HCG-58451 mUl / mL Free estriol-0.87 ng / mL AFP-14.4 Ul / mL Trisomy risk 21-> 1/50 Risk of Trisomy 18- 1/86 Risk of Neural Tube Defect- <1/10000 Cytomegalovirus (CMV) -Ig G-Axsym -441.7 AU / ML Chlamydia Trachomatis-IgG Antibodies (EIA Method) -0.53Answer:
If the result of CMV and Chlamydia is not necessarily a pathological fact (usually these values mean a previous immunization of you against these germs, immunization that protects you in the event of a new contact - in the case of CMV it would have been useful to determine the avidity index for to specify the age of this known immunization being the recommendation of a free period between such infection and pregnancy of about 6 months).
In the case of the results offered by the triple test, although with indicative value, there are some question marks. The results obtained must be corroborated with a series of other data regarding the health status of the mother and her age, the data obtained ultrasound, the associated affections of the mother as well as the possible affections of the partner etc., in order for a possible conclusion to have the value of an advice. genetic.).
In this situation, we discuss the opportunity of performing an amniocentesis (the analysis that is performed from the level of the amniotic fluid) and its results and a morphological ultrasound can assess the degree of risk regarding trisomy 18 and 21 more precisely.
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology - Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu