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母胎医学
除了遗传咨询, our maternal-fetal medicine specialists provide ultrasound and other prenatal diagnostic and fetal surgical procedures to monitor and manage low- to high-risk pregnancies.
产前测试
Perinatologists in the Maternal-Fetal Medicine Clinic at 十大正规网赌软件 have 2-3 years additional, specialized obstetrics/gynecology training focused on the assessment and management of high-risk pregnancies.
怀孕是一段令人兴奋和困惑的时期. 在选择任何产前检查之前, you should discuss this information with your provider and/or genetic counselor. 通过这样做, you will obtain the information you need to make the best decisions for you and your baby.
为什么要考虑产前检查?
大多数婴儿出生时都很健康, but all pregnant people have a 3 to 5 percent chance of having a baby with a birth defect or developmental delay. Some parents choose prenatal testing for reassurance or to help detect some health problems. 你的测试结果可以让你确信你的宝宝是健康的, help you prepare for a baby with special needs or alert you if a serious problem is detected.
| 产前基因检测: 做出明智的决定  观看这个信息丰富的系列视频 (由卫生署提供) 你应该考虑基因携带者筛查吗? Current medical guidelines recommend offering genetic carrier screening to all couples who are pregnant or those considering pregnancy. 了解更多. 网址:detección网址:http://www.portador.org.cn/cn/y2014xbx.com. 你应该考虑遗传咨询吗? If you're concerned about inherited health risks or don't know your family health history, 遗传咨询可能会有帮助. |
诊断测试
CVS: Chorionic villus sampling involves removing a small amount of tissue from the placenta between weeks 11 and 13. The doctor removes this tissue either by going through the pregnant person's abdomen with a thin needle, 或者用一根细管穿过阴道. 超声用于在手术过程中帮助指导医生. 虽然十大正规网赌软件不提供这种手术, 您的提供者可以将您推荐到正确的资源.
羊膜穿刺术: 羊膜穿刺术 involves removing a small amount of amniotic fluid (water that surrounds the baby). The doctor uses ultrasound to help guide a thin needle through the pregnant person's abdomen to get this fluid. This test is done any time after 16 weeks and can be performed in our MFM clinic.
胎儿超声心动图, also known as cardiac ultrasound, is used to look at the baby's heart as it works. This test is read by cardiologists who specialize in diagnosing fetal heart defects. 这很简单, painless procedure done in the same way that ultrasound pictures are taken of a baby in a pregnant person's uterus. 按此浏览 胎儿超声转诊表.
During your pregnancy, you can choose a prenatal screening and/ or diagnostic test. A screening test shows if a pregnancy may be at risk for certain conditions (like Down syndrome), 但不能真正诊断它们. 大多数筛检都需要抽血. Some also use a nuchal translucency (NT) ultrasound to measure the fluid at the back of the baby’s neck. 筛查试验不会增加流产的风险. Information from screening tests can be used to decide whether to have a diagnostic test such as chorionic villus sampling (CVS) or amniocentesis. A prenatal diagnostic test is used to diagnose certain conditions such as Down syndrome during pregnancy. Diagnostic tests are offered to all pregnant people for detection of fetal chromosome conditions and/or genetic conditions for which the baby is at risk. 产前诊断检查有流产的小风险.
- *optional, select list of microdeletion disorders and sex chromosome abnormalities
- A separate blood test can be ordered by your doctor or midwife in order to screen for spina bifida with 80% accuracy.
如果我的产前检查呈阳性怎么办?
还记得: A screening test only estimates the chance for certain conditions, 它不能给出或排除诊断. A positive screen does not mean t在这里 is definitely a problem with the baby. A genetic counselor can help you understand the results and work with you to decide if you should have a prenatal diagnostic test.
这些程序安全吗??
Maternal fetal medicine doctors are specialists who have many years of experience with high-risk pregnancies and special procedures. The most recent studies suggest that the risk for complications and miscarriage after CVS or amniocentesis is very low with experienced providers such as ours. 这些程序是可用的，但不是必需的.
手术后我的活动会受到限制吗?
After your procedure, you can do most normal activities, including walking and driving. 接下来的24小时, 你不应该举起超过10磅重的东西, 参加剧烈活动或锻炼, 或者进行性交.
我什么时候能收到结果?
结果通常在两周内准备好. A genetic counselor will call you to discuss the results as soon as they are available. 你的医生/助产士也会收到你检查结果的通知.
正常的测试就能保证正常的宝宝吗?
No. Both CVS and amniocentesis will identify chromosome conditions such as Down syndrome and are sometimes used to test for other genetic conditions. However, these tests do not detect every genetic condition or birth defect.
我怎样才能更多地了解我的选择?
You can learn more about your options by talking to your doctor/midwife or by calling our schedulers at our 母胎医学 Clinic to set up an appointment with a genetic counselor. They are available Monday through Friday, and can see patients via telehealth.
我的保险会包括我的产前检查吗?
Insurers typically take standard medical guidelines into consideration when determining coverage for testing. American College of Medical Genetics and the American College of Obstetrics and Gynecology both recommend that these tests are routinely offered. 如果你对自己的计划有疑问, 保险范围和自付费用, 我们建议你和你的保险公司谈谈.
我该如何准备我的遗传咨询访问?
请携带所有可用的基因检测记录, 以及你家族健康史的相关信息. This is a routine screening tool to make sure we are providing the most appropriate care to patients, and you may share as much or as little as you are comfortable with.
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