Harmony Test combined with 1st trimester labs/ultrasound
Hey ladies! Sorry for the long post, but I need reassurance. My first trimester screen bloodwork resulted in a 1:33 risk for Down Syndrome. The ultrasound came back normal with his neck measuring within normal limits..it was just the blood that gave me the high risk. I had also taken the Harmony test, which came back negative (1/10,000 risk for trisomies 13, 18, and 21). Then, in my second trimester bloodwork, my AFP level was elevated (3.12 MoM). At 20 weeks, I had a level 2 anatomy scan to rule out Spina bifida. His spine was perfect and he showed no markers for Down Syndrome at all. I have over 7 large uterine fibroids so the doctor said this could have caused the elevated AFP level. I had a Genetics consult and even though the Harmony came back negative, they wanted to perform an amnio to rule out Down syndrome, Spina bifida, and other genetic issues completely; however, I am currently 25 weeks and did not want to risk miscarriage, esp. after my last pregnancy resulted in a blighted ovum. One doctor said I didn't need the amnio if I was just concerned with ruling out Down Syndrome, but my high-risk doctor made it seem like there was still a possibility, although low, that even with a negative harmony result and no markers on ultrasound, something can still be wrong. I want to hear your opinions on whether I should just be content with my negative Harmony test results and my perfectly normal level 2 anatomy scan at 20 weeks. Also, I read that low AFP, not high, in the 2nd trimester can indicate Downs. I am just so confused and worried. Thanks, ladies!!!
Add Comment
Let’s Glow
Glow is here for you on your path to pregnancy
Glow helps you navigate your fertility journey with smart tools, personalized insights, and guidance from medical experts who understand what matters most.
25+ million
Users
4.8 stars
200k+ app ratings
20+
Medical advisors