I had the most reassuring visit with the OB today. Dr. Wonderful was as lovely as I remembered. We had the usual chit chat on my history but he had all my files on the previous pregnancy and from the hospital so it was quick. Then I showed him our NT results, he thought they were actually quite good. He said the major factor in the risk calculation is still given by my age (more than the NT measurements and the bloods), so it would have been impossible to have stats as good as with Oliver. He thinks that for my age our numbers are good but still wrote down the risk and made a note for the 20 weeks scan. I mentioned before he is a experienced ultrasound operator, he scanned a cyber friend of mine from a local board to rule out her foetus for retinoblastoma, this is something so difficult to do in utero, actually people travel from afar to have his opinion. He said T13 can definitely be diagnosed by ultrasound, T18 is very likely to have markers also (even though not always) and T21 occasionally can be diagnosed in utero but not so often. I asked him if he would recommend an amnio. He said he personally wouldn't but it's our decision. In his opinion our numbers are good and much better than the chance of miscarriage the amnio has. Is it worth it? So I trust him and we'll wait and see. I mentioned my concerns about the low PAPP-A, once again he was so knowledgeable I felt really reassured. Again he made a note of it for closer monitoring on baby's growth, but said the association between low PAPP-A and issues is quite minimal, maybe a 5% of pregnancy with low PAPP-A has then some problems but most of the pregnancies are absolutely fine. Then he gave me a quick scan and Phoenix looked bigger and we listen briefly to the HB which sounded strong and regular. Dr. W commented also on how thin the nuchal fold looked and how everything looked perfectly normal and healthy. I also got my bloods done already, so the results will be there for the next time.
My next apt is in 5 weeks, I have re-read my blog posts on how poorly I coped with the waiting the last time, somehow I hope this time I'll be better! I also already have the doppler at home so in a week or so I'll give it a go to reassure myself!
I have not said anything in work yet, may just wait another couple of weeks to be out of the first trimester before sharing. Also, I have not taken one single belly shot yet...not good! Poor Phoenix, already been treated differently!