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roxy7

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201

Saturday, October 24th 2009, 7:17pm

Thanks for that advice. I may well be in touch if the test results aren't straightforward.

R x







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Ros

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202

Sunday, October 25th 2009, 2:10pm

Hello, I am 34 and one of my twins has a relatively high risk for Downs compared to the other twin due to one soft marker (a short hypoplastic nose) being found at the 20 week scan last week. I am not going to risk these babies with an amnio so we just have to wait and see, they will be loved whatever. I agree with the others that finding out something isn't quite right in a scan can lead to more worry for the rest of the pregnancy but personally my DH and I have been able to talk through our concerns and plan for the fact that one of these babies could have Downs, and I'm one of those kind of people who likes to be prepared. It just depends which way you view it I guess. Good luck x

After 5 years of endo surgery, clomid, 2 x MM/C, 2 x ICSI cycles and 1 PGD cycle,
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203

Tuesday, April 20th 2010, 5:36pm

Nuchal Scan

Just a silly question really - I've had a letter through for my Nuchal scan today (finally) and it says I DON'T need a full bladder - I am confused as I thought this was a requirement of ultra sounds. Hey ho, I guess I shouldn't complain, at least it will be comfortable. Was just wondering if anyone else has been advised the same??

xxx






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204

Tuesday, April 20th 2010, 5:38pm

Just a silly question really - I've had a letter through for my Nuchal scan today (finally) and it says I DON'T need a full bladder - I am confused as I thought this was a requirement of ultra sounds. Hey ho, I guess I shouldn't complain, at least it will be comfortable. Was just wondering if anyone else has been advised the same??

xxx


No - I was told it should be full, and had the scan done with a full bladder.
Good luck with it. Hope all goes well :smile:
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205

Tuesday, April 20th 2010, 6:09pm

Hmmm......see this is what I am thinking, oh well, I guess I can drink some water and then go for a wee if they decree it really needs to be empty. Or maybe they've got some super duper machine?!?! (I doubt it though)

Thanks Elaine.






Me - 40 AMH 1.79, DH - 45
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6 x TX to date, inc 2 DIVF in Barcelona

One early loss, 04/09
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Bry

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206

Tuesday, April 20th 2010, 6:15pm

Gracie I had a scan at 9 weeks with an empty bladder and it was fine. I was expecting to have dildocam so made sure I had a completely empty bladder and was then told it doesn't matter when I had an abdominal scan. I think they must have a good machine!!!

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207

Tuesday, April 20th 2010, 6:29pm

Hiya



When I had DD I had a private nuchal scan (wasn't offered on NHS then),I was told I could have an empty bladder.This PG the scan was on the NHS and I was told a full bladder was required, so who know's ?????!!!



xxxx

landi

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208

Tuesday, April 20th 2010, 8:36pm

For all my scan i was told to have an empty bladder too. x

LAURA
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209

Tuesday, April 20th 2010, 8:47pm

Gracie I never got my letter about the Nuchal Fold scan so I didn't know I was meant to dirnk 6 - 8 glasses of water. I ended up just having a mug of tea prior (trying to kill time) and it was absolutely fine. I would say for you to drink however much or little you feel like.

Pushoz

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210

Wednesday, April 21st 2010, 3:30pm

I had a full bladder for mine then got told to wee about 1/4 of it out, then told to wee some more and ended up having it completely empty, it made no difference to how well they could see. As it turned out Nancy was to busy kicking her legs in the air at the scanner to get in the right position, so I ended up having the triple test at 15 weeks as well.

xxx


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Gracie

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211

Wednesday, April 21st 2010, 5:51pm

Thank you ladies for all your responses. I think I'll just have a bit to drink beforehand and then I can have a wee when I get there if needs be. Scarlett was telling me today that she had two separate letters from the hospital, one saying empty and one saying full - honestly!

xxx






Me - 40 AMH 1.79, DH - 45
TTC since 04/06
6 x TX to date, inc 2 DIVF in Barcelona

One early loss, 04/09
Freya Grace arrived on 6/11/10 - Perfect at 6lb and 1/2 oz

Amazing natural :BFP: on 12/02/12
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212

Wednesday, September 22nd 2010, 11:50am

What's normal for nuchal folds?

Hi everyone, can you tell me what is normal for nuchal folds at 12 weeks? Thanks! Cathy xxx
Cathy

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213

Wednesday, September 22nd 2010, 12:17pm

Hi Cathy

I was told that the fold measurement on it's own doesn't give a definitive answer and that they need the blood test result as well to give you a far more accurate result.

Sorry I can't give you more of an answer than that.

xxx


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214

Wednesday, September 22nd 2010, 2:23pm

At my hospital the normal range is considered to be between 1.0 - 2.5, anything over 2.5 they would recommend further investigations.

As I am having twins they will only do the scan as blood tests often result in false positives so they don't do them anymore.
Vivvy
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215

Wednesday, September 22nd 2010, 4:01pm

Many thanks, ladies! Vivvy, by a false positive, do you mean an all-clear or indication of a problem? I've had my results for our twins. The nuchal fold results were 1.3mm and 1.5mm, but the bloods weren't so good. Waiting to hear back from the clinic. Cathy xxx xfingers
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216

Wednesday, September 22nd 2010, 4:41pm

Hi Cathy

The blood tests were often found to give readings that suggested the probability of a problem was higher than it should be because of having twins in there rather than just the one which is nuch more accurate, so my hospital quickly stopped offering the blood tests.

Your scan results are very good, as far as they are concerned the thinner the better and yours fit in with the normal ranges which I mentioned earlier - mine were 1.74 and 1.65. I've had one baby and his scan measurement was 1.45.

The only definitive way of knowing is of course via CVS or amnio but risky with two in there....
Vivvy
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217

Wednesday, September 22nd 2010, 5:14pm

Thanks, Vivvy. So a false positive is when you get a higher risk factor than you should? (Sorry, my brain is a bit fried today since the hospital called!) I'm seeing my consultant next week to discuss options. Thanks again. You've reassured me! Cathy xxxx
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218

Wednesday, September 22nd 2010, 5:27pm

Yes that's correct!

The lead consultant at the private clinic who put the two embies in is also the head consultant of midwifery at my nhs hospital (which has a good reputation for delivering babies) and I have a meeting with him next week so I'll quiz him more on the subject and come back to you with any further info.
Vivvy
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219

Wednesday, September 22nd 2010, 7:01pm

That would be great, many thanks Vivvy! I'm meeting my consultant next week too and will have about 3 weeks from then to decide whether to take any tests. Thanks again, Cathy xxx
Cathy

BraveGirl

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220

Wednesday, September 22nd 2010, 7:03pm

I had my nuchal scan today and it was 1.2mm which she said was fine.
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221

Wednesday, September 22nd 2010, 7:05pm

Thanks, Bravegirl! And big congrats on your scan! That's wonderful news :cuddle . My blood tests have indicated possible high risk for one twin, so I'm in a bit of a quandry what to do. Cathy xxxx
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222

Wednesday, September 22nd 2010, 7:14pm

Can I butt in? :whistling: Can I ask what a nuchal fold is? I think I know but just want to check and I never got told anything at my scan last week, will it say on my report from the scan in my maternity record.
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223

Wednesday, September 22nd 2010, 8:11pm

Nuchal fold is the neck measurement in simple terms. A thick neck fold can be an indication of possible chromosome problems.

Realistically if you weren't told anything at your scan everything probably looked OK.

The blood tests taken in conjunction with the scan give a better indication of the risk factor which is your 1 in 200 chance of having a child with a chromosome issue.

This is sadly a bit of a specialist subject and until our pregnancy issues were discovered I hadn't realised that there are other soft markers in conjunction with the nuchal fold measurement that give an indication of possible problems. So in our case we had a high nuchal measurement, a heart problem and an issue with the bowel and intestines growing outside the body, any one of which is deemed a soft marker indicating a possible chromosome abnormality.

Downs is the main one that everyone realises that they are testing for but this is the best bad result you can get as it is compatible with life and the others aren't.

Sorry that all sounds a bit scary but what I am trying to say is that if you saw no other indicators at the scan I wouldn't stress too much as more than likely everything is fine.

Hope that makes sense
x

BraveGirl

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224

Wednesday, September 22nd 2010, 8:29pm

hi there

the nuchal fold scan is the main test for Downs, It is NOT a matter of course test. You have to ask to have it, or rather your midwife should have asked you if you want to have the Downs nuchal test or not. Many people dont have the downs test/nuchal scan as they would continue with the pregnancy whether or not the baby was at a high risk of Downs.

The testing protocol is different from PCT to PCT. For example, Leeds do the nuchal test scan with the blood test but they charge extra for it.

My PCT (Wakefield) do give the nuchal scan with the bloods free IF you opt to have it.

So they scan the baby and measure the nuchal fold size at the back of the baby's neck. They take blood from you and then put the two results together to see what your risk of Downs is then going to be. They give you a 1:x figure (anything at 1:150 or lower is seen as high risk and you would be offered a CVS or amniocentis).

It is VERY important though that the nuchal scan is carried out between 11 weeks and 13 weeks 3 days to get an accurate reading. I think you might be past that now Emma.

I dont agree with Helterskelter that this is an unknown area, nuchal scans have been around for years. What I am surprised about is that you were not offered it by your midwife at your booking in appointment,. even if you had to pay for it. I am having another scan on saturday (private) where they also measure the nasal bone and one other marker which I forget and the nuchal fold and the bloods and so its more reliable. If that comes up high risk, they repeat the bloods at week 16 for a more accurate reading.

This is of course all academic if you would continue the pregancy whatever the results. BUT I do agree with helterskelter that if there had been any other problems such as she mentions, then they would have been flagged with you. Also we will all have a 20 week anomoly scan which will pick anything up too.
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Wednesday, September 22nd 2010, 8:54pm

Thanks for your replies, I'm confused though, sorry - All I have been told about is the downs syndrome screening and I'm having that on the 12th October (I'll be 15 weeks then) this is a blood test right? is the nuchal test done on your 12 week scan? If so then I've had the 12 week scan, wouldn't they of done it then, or did it have to be requested? Well, couldn't request if didn't know about it.

Sorry to bang on I actually haven't been told about any nuchal test :wacko:

Thanks

:)
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Wednesday, September 22nd 2010, 9:07pm

Anyway, was just curious as to why I hadn't heard of it thats all. My friend who is pregnant and a day behind me I've asked her and she hasn't either so must be a Wales thing! I'm not going to sit stressing like I said was just curious.

Thanks anyway

:)
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Wednesday, September 22nd 2010, 9:17pm

Hi Emma

You should have been given a booklet in with all your pregnancy notes that is all about the various test you get offered during pregnancy, if not ask your MW for it, I'm sure they'll be able to give you a copy.

If you've been called in when you'll be 15 weeks you will having the quadruple test which is a blood test. They also weigh you and take into consideration your age and I think whether or not you smoke, using all this information along with the blood test result they work out your possible risk.

I had the quadruple test when I had my DD, I had a scan too but she wouldn't get in the right position to be measured for it.

I hope this helps.

xxx


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228

Thursday, September 23rd 2010, 10:08am

Thanks, everyone, for your replies. The only thing that came up negative for me was the blood test. I am really worried as with twins it's difficult to tell whether a low risk baby is masking the results for a high risk baby - so one could have more likelihood of a problem than the results are showing. But I've heard if you have an amnio for twins the risk of miscarriage doubles. Is that right? I understand from all your replies and from phoning the Wolfsen Centre (who can advise on this) that nuchal folds of 1.3 and 1.5 are very good, so I'm confused as to why the bloods give such a higher risk factor. We used donor eggs and the donor is very much younger than me.

I'm meeting a specialist next week and may do what Helterskelter suggests and see if there are any other soft markers. I may also ask for another blood test before considering an amnio. Thanks BG for that bit of advice.

Helterskelter, I'm sorry you had such a difficult time with your results. I hope your baby is OK.

Thanks everyone, Cathy xxx
Cathy

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229

Thursday, September 23rd 2010, 10:29am

Hi Cathy

Sorry you've got this worry.

My cousins best friend had a little girl with downs at the beginning of September, her risk was 1:150 after having a nuchal fold scan and the bloods, however she has also sadly been born with quite a serious heart defect where 2 of her chambers are not the right size and the arteries are crossed. This did not show up on any scan and she had had extra scans as she had gestational diabetes. She chose not to have the amnio due to risk of miscarriage and that it wouldn't alter the outcome of the pregnancy, she just wanted her baby.

Anyway, the point that I'm trying to make is that looking for the soft markers isn't always infallible either.

Hope it all works out x
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Thursday, September 23rd 2010, 11:21am

Many thanks, Philipa. Do you know what the nuchal fold result was for your cousin's friend's baby? Was it the nuchal fold that gave the high risk or the blood test? I have a friend who lost a baby after a year who had multiple difficulties. It's so sad.
Thanks again, Cathy xxx
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Thursday, September 23rd 2010, 11:44am


the nuchal fold scan is the main test for Downs, It is NOT a matter of course test. You have to ask to have it, or rather your midwife should have asked you if you want to have the Downs nuchal test or not.


I think it is a matter of course test for women over 40, but not otherwise. And I've heard that the quad (used to be triple!) test is far less accurate than the nuchal fold test.
Your approach to these tests will vary depending on any decision you would wish to make given a certain result - if you know you'd continue with the pregnancy regardless (if the risk level came back as 'high'), then I wouldn't get too uptight about having missed out on the Nuchal Test. And if you really want to know one way or the other, you still have time to opt for an Amnio - this is the only way to get a definitive answer anyway.
January 2010 - Natural FET cycle
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232

Thursday, September 23rd 2010, 11:54am

Hi Elaine, I think you must be replying to Emma who was asking about the nuchal fold test as I've had this test. The results were great for both twins with this, but not good re. the blood test. I wonder in Emma's case whether the scan she's going for will include the nuchal fold test anyway? It does seem to be a bit of a postcode lottery. Where I live it's routine for everyone. Cathy xxx
Cathy

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233

Thursday, September 23rd 2010, 12:06pm

at 15 weeks emma will be too late for the nucal fold test. It has to be done between 11 weeks and 13 weeks 3 days to give an accurate reading.
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Thursday, September 23rd 2010, 12:24pm

On the 12th of oct its the blood test I'm having. I'm happy with that as thats all I've know about anyway :)
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Thursday, September 23rd 2010, 12:52pm

I've read it's offered routinely to over 35, I'm 24 so maybe that's why. Like I said I'm happy with the blood test and that's all I know all my friends have had which are around same age as me. Was just curious what it was and how you get it.


Thanks anyway people :)
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236

Sunday, December 5th 2010, 6:31pm

Nuchal results – normal PAPP A, high beta HCG

I've been getting myself in a bit of lather with the results of the nuchal test I had carried out at 12w6d after ICSI and a fresh transfer.

The scan results were fine, NT was 0.94mm and there was a nasal bone present. Although, baby only got into a position where the nose was clearly visible for about 10 seconds. I've got it into my head that this wasn't long enough to have a proper look, but the sonographer said she saw it straight away. I know, I know - I should trust her experience! I think its because I could see the NT measurements myself, but the nasal bone wasn't pointed out to me because baby had a big fidget and moved.

Anyhow, scan and bloods combined give my risk to be 1 in 525, which is less than my maternal risk (which, at 35yrs old, is 1 in 270). I'm trying hard to concentrate on the overall result but the blood results have worried me. PAPP-A was 1.01 MoM (I know this is OK) but beta HCG was 2.86 MoM. What could a result this high point to?
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Monday, December 6th 2010, 12:12am

Hello Chillimint,
I know its hard not to worry, but I don't think you have any need to worry.
First of all, if you spent all day and every day looking at scans of babies, I bet you would need only a fraction of a second to be able to tell if the nasal bone was there or not. Your baby has a nasal bone! I think you do know this but you are finding reasons to make yourself worry. (I'd save that worry for the next 18 years and beyond!).
And secondly, when it comes to calculating the overall risk, the scan findings are giving a heavier weighting than the blood test results. So it is obviously really good that you had a perfect scan. The bloods are less accurate, and only really of any use in combination with the other findings. So please, be reassured.
I hope that helps a little, and congratulations! :smile:
Blue
xxx

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Monday, December 6th 2010, 12:05pm

Thanks Blue. I do, as you say, find things to worry about. I'm OK now...but give me until tomorrow and I'll have something else on my mind x
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239

Monday, December 6th 2010, 8:57pm

Hi Chillimint, sorry you've been worried. I've just been through all this but my risk factor is a lot higher. I rang lots of specialist screening centres and learned that you should take only notice of the combined risk factor - so you're well within the low risk:) The guidelines are for high risk vary from clinic to clinic but tend to be anything below 1:150 or 1:200. Your results look excellent! :cuddle Cathy xxx
Cathy

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Wednesday, December 8th 2010, 12:43pm

Hiya, ditto what Blue has said.

My risk factor came back as 1 in 400, my maternal risk factor should have been 1 in 1367 as I'm 27.

You are well within the low risk area chick.

xxx






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Monday, April 4th 2011, 1:19pm

Gosh this is scary, scary stuff. I have mine booked for tomorrow & not only am I petrified Bub has stopped growing or they will find no HB I have to look at my age factor for Downs. I was 39 at time of ICSI and 40 now. I ummmed and oooooed about this but as I had abnormalities with last bub (not detected until 20 weeks) I felt I had to atleast have the Nuchal Scan.
I believe they have booked me for the blood test too. I dont want that if the fold is in the normal range.
I have never been so scared in my life.
I can accept a downs baby however we all pray for a healthy bub. I just know that is only one factor that can show up. Others could be worse.
I really couldnt cope with another late loss or risk a misscarriage. My last late loss never offered this Nuchal scan as it was 14 years ago. All i know is it was so harrowing & I am still not over it.
It has taken me 14 years to get PG & I am petrified it will all be taken away.
It is so hard isnt it.

[zx071]
2 x man boys -MC,Ectopic IVF x 4 Natural BFP/Born sleeping 22/WksRIP LO
Jan/11:ICSI:BFP: bab21 [zx115] Our dream has finally come true
MY DIARY

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Children: Beautiful Jessica Mae x Holly and Elliot!

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Monday, April 4th 2011, 5:19pm

Hi Taxihome,

I can imagine just how you are feeling - however, I am sure all will be fine. Try and stay positive - there is no reason to believe something is going wrong and I am sure they will prove this wonderful fact to you at your scan. I think I will be terrified if I ever get to that stage again so I do understand.

Cannot wait to see your pictures!

hx
3 X ICSI
Jessica Mae Duffety born sleeping on 9 January 2011 (21+2) - TS and HLHS
Holly and Elliot Duffety born on 16 October 2011 (25+6)
Natural Surprise - Matthew Evan Duffety born sleeping on 11 October 2013 (15+5)

taxihome

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243

Monday, April 4th 2011, 6:25pm

Thank you Hayley Honey.

I think we will both forever be scared of scans Hon. Well until they tell us all is well anyway.

xxxxx

[zx071]
2 x man boys -MC,Ectopic IVF x 4 Natural BFP/Born sleeping 22/WksRIP LO
Jan/11:ICSI:BFP: bab21 [zx115] Our dream has finally come true
MY DIARY

taxihome

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244

Monday, April 11th 2011, 2:02pm

Hi Ladies

My Scan went really well & they saw a nasal bone & the fluid on the neck was 1.6, well within the normal range.
Today my Midwife calls to say the bloods have given me a 1 in 75 chance of Downs & offered me an amnio or CVS.

We have declined both. The way we see it is we have a 98.7% chance of NOT having downs.

I am scared though but what will be will be.
My results were as follows if anyone can help at all I would be grateful.

HCG - 2.55 (I believe the normal range is 1)
PAPP-A .53 - (I think it should be around 2
Nuchal - 1.07 well within range.

Thanks all.

[zx071]
2 x man boys -MC,Ectopic IVF x 4 Natural BFP/Born sleeping 22/WksRIP LO
Jan/11:ICSI:BFP: bab21 [zx115] Our dream has finally come true
MY DIARY

    United Kingdom

Posts: 3,648

Reg: Jul 2nd 2009

Location: Suffolk

Children: Beautiful Jessica Mae x Holly and Elliot!

Thanks: 142 / 5

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245

Monday, April 11th 2011, 2:52pm

Hi there,

So glad that things have gone well for you - must have been terrifying! I know it will be if we get there next time?!

Love, as always!

hx
3 X ICSI
Jessica Mae Duffety born sleeping on 9 January 2011 (21+2) - TS and HLHS
Holly and Elliot Duffety born on 16 October 2011 (25+6)
Natural Surprise - Matthew Evan Duffety born sleeping on 11 October 2013 (15+5)

taxihome

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246

Monday, April 11th 2011, 3:31pm

Hi Hayley

Thanks hon.

Results are not that great though sadly with a 1 in 75 risk.
Could be worse though so I am holding on to that.

xx

[zx071]
2 x man boys -MC,Ectopic IVF x 4 Natural BFP/Born sleeping 22/WksRIP LO
Jan/11:ICSI:BFP: bab21 [zx115] Our dream has finally come true
MY DIARY

    United Kingdom

Posts: 3,648

Reg: Jul 2nd 2009

Location: Suffolk

Children: Beautiful Jessica Mae x Holly and Elliot!

Thanks: 142 / 5

  • Send private message

247

Monday, April 11th 2011, 3:44pm

:hugs:

I think 1 in 75 are really good odds - the chance is so slim that anything will be wrong! Please try and remember that and enjoy your pregnancy!
3 X ICSI
Jessica Mae Duffety born sleeping on 9 January 2011 (21+2) - TS and HLHS
Holly and Elliot Duffety born on 16 October 2011 (25+6)
Natural Surprise - Matthew Evan Duffety born sleeping on 11 October 2013 (15+5)




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