Trisomy 21 Prenatal Screening?! PLEASE HELP?

Can someone please explain the pros and cons of getting these tests done? I'm so confused. What are the risks? What do they do? Is miscarriage a risk? Have anyone of you had it done? I'm keeping my baby, Down syndrome or not but my doctor seemed to be pushing me more towards doing it, and saying that at one point they do an ultrasound which can also show if there's anything abnormal with the bladder and stuff like that too? I'm really lost but I don't want to have any of these exams done if there's a chance it'll hurt my baby.