In comparison, this second pregnancy is easier..so far. I don’t have to wake up at 4am to puke bile. These days, it seems like my cough causes me to puke more than the pregnancy! There was fatigue but it’s all in the first trimester when the body needs to build up the infrastructure to accommodate a new tenant. That was manageable and all I had to do was to sleep whenever I had to. Other than that, I have not experienced much uncomfortable symptoms and hope it stays that way. *crosses fingers*
But there were more serious issues to worry about for #2. I haven’t been updating much about the second pregnancy because we had some not-so-good news from my OSCAR results done around 12th or 13th week. My risk of Trisomy 21 (aka Down Syndrome) was at 1:318. The risk cut-off was at 1:300. That is to say, I barely passed. It’s gotta be a concern when my gynae called me up personally to inform me of the results, right? The last time, his assistant just called to tell me all was fine. So I made an appointment to find out more.
The risks of the chromosomal abnormalities (Trisomy 21, Trisomy 18 and Trisomy 13) are calculated based on the mother’s age and background (29, non-smoker), ultrasound scans of the baby and blood test. I was considered low-risk in terms of my background and the ultrasound scan results. In fact, I had similar “scores” for both areas when I was carrying Thaddeus. The problem was with my blood test. My risk was 1: 226 with Thaddeus and now, it was 1: 72 with #2! It was apparently due to a lack of some hormones. Maybe that’s why I am not vomiting as much as I did for the first pregnancy! So all you moms-to-be, hurl away..it’s a good sign.
We asked about the options available to us. Amniocentesis would be an option but there’s a small risk of miscarriage and I didn’t like that it’s invasive. My gynae wasn’t too keen for us to take the risk because after all, I did “pass” the test. He gave us some brochure to read up on and told us to consider.
A second option would be to have a doctor do a detailed scan for me at week 20. Usually, a radiographer will do the detailed scan at 20 weeks – taking the stats, measurements of the baby and of course, finding out the gender. So on top of having the radiographer doing the scan, a senior doctor would scan and check for the markers of Down Syndrome based on the measurements.
The husb and I checked out websites, talked to family and some friends. But ultimately, it was our (tough) decision to make with the many what-ifs we thought of. I was quite sure I didn’t want to do the amniocentesis because of the risk. In the end, we decided to take the second option and hope for the best. This is very heavy stuff to have weighing at the back of your mind for about two months.
Thaddeus kept us busy and distracted from this most of the time but there’s always the nagging feeling of worry. We finally did the scan two days ago. According to the doctor, he found no markers of Down Syndrome and adjusted the risk to 1:636. It’s not stellar results but hearing him say, “you can enjoy your pregnancy now” was such a huge relief. The gender results didn’t even matter much because all we really want is a healthy baby.