59 answers

18 Week Ultrasound Scared Me--20 Week Ultrasound Now Indicates Hydrocephalus

My husband and I came from our 18 week ultrasound yesterday and the baby was curled up pretty tight (though we managed to confirm it is a boy!) and the technician could not get a good read on the head. As a result, they want us to have an additional ultrasound to see if the baby has Down Syndrome. They mentioned needing an amnio to confirm that definitely and that we should wait until we are in week 20 to have the 2nd ultrasound. Our doctor was reassuring and said we are borderline with this for now and that the odds are somewhere between 1-100 and 1-10 and that it may be too soon to tell and they want to make sure. We have no history of this in either of our families and are both 29. We left the office scared, confused and full of worry. We are trying to be positive (worse case it means that we have 90% chance of everything being fine) but it is hard. We will not terminate the pregnancy no matter what, but I am worried about having a needless amnio and putting the baby in danger. Please let me know your experiences on this as it would be able to provide some comfort right now. I think my husband and I may be getting ahead of ourselves with worry when the chances are small and the data inconclusive, but any hope would be greatly appreciated right now.

What can I do next?

So What Happened?™

We came from our 20 week ultrasound yesterday and were told that the baby has hydrocephalus (most likely aqueductal stenosis) and we are now considered a high risk pregnancy. The doctors believe it is a random birth defect that caused the blockage and probably not a chromosomal issue. We were encouraged to have the amnio done to rule out other causes so we can work with our prenatal neurosurgeon. The amnio went well and we will findout the results in 10 days. I would really like to hear from anyone who has experience with this since we are scared, but anxious to learn more. We were told that there is great success with shunts put in to alleviate the fluid, but we won't be able to do that until after the birth of our son. We are going to have our son and want to learn all we can before the birth. Thank you so much for your thoughts, prayers and well wishes. We relocated from Chicago and my husband and I appreciate the added support from everyone here.

Featured Answers

A friend of mine who just had a baby was told she had an 80% chance that her child WOULD have Downs Syndrome, even after the amniocen... thingy. Her son is 100% perfect and normal. I know that doesn't help with the amnio question, but I can't help with that part.

you do not have to have an amino if you do not want one just wait for the next ultra sound and look at it as a way to see the baby! Good luck!!!

Hello, I was an "older" mom and had ultrasound and Amnio twice. It is terribly scary and there are risks. But worry is not heathly either. I wish you the best of luck.

More Answers

Take a deep breathe. The chances are very slim that there is something wrong. The doctor and tech are just being cautious, which for us moms isn't very comforting. We went through numerous ultrasounds with our second baby, because he was small, didn't move much, I had bleeding, etc. And of course the doctor was more than ready to give me a list of possible issues that might arise when he was born. We had an ultrasound a few weeks before he was born and the tech just stared at our folder. She looked at us and said you know most of this is normal and the baby could just be petite (I am only 5'1), the bleeding is normal as it wasn't heavy, and the not moving just means he is lazy as all the vitals were good. Have faith that whatever happens you are strong enough to make it work. You are a mom and we all have that knack. If you feel that a test is unnecessary then don't do it, follow your gut feeling.

2 moms found this helpful

I think that it is really important for people to understand about pregnancy screening tests. Things like the quad screen and ultrasound are used for screening, not diagnosis. Having them notice something on an ultrasound means that they raise the chances that there is something wrong, not that there is something wrong.

I think it is important to get some testing so you can find out about problems and deal with them. But there is a definite draw back in that these tests can cause needless worry, because human beings don't emotionally react to statistical increases with any kind of proportionality.

At any rate, i'm surprised your doctor gave you those numbers. I'd suggest a second ultrasound, but also requesting a consultation with a genetic counselor. You likely have more information about your baby's health (like the quad screen) that needs to be folded into the ultrasound information. A geneticist is going to do all this for you, and the results Can be quite different from those resulting from an ultrasound return alone.

Like other folks, i'd say an amnio is only worth it if a) you are going to respond to the results, which you say you won't, or b) you are really going to feel much better knowing for sure one way or the other. Your emotional state is important, too, and if knowing for sure will allow you to move on with your pregnancy peacefully then it is worth it.

Good luck!

1 mom found this helpful

I know it's hard to not worry but don't! They should wait until after the 20 week u/s to do the amnio, they might not need to after the 2nd u/s.

Our technician couldn't see our baby's spine and we had to wait two weeks to come back (there's a reason to wait 2 weeks, can't remember why) and I was worried for nothing, they just needed a better view to see what they needed.

One of my favorite dumb movie quotes is "worrying is like a rocking chair, it gives you something to do but doesn't get you anywhere". Relax mama!

1 mom found this helpful

Hi Brooke,

I know exactly how you feel. I was 28 when I had my first son. We did the test to see about downs and spina bifida. The tests came back positive for downs. We went to Emanuel Hospital in Portland for 'genetic counseling" and we were scheduled for a more thorough ultra sound and amnio. During the interview process regarding genetics, I was asked about the date of my last period and when she was able to compare those dates to the dates the clinic had (my uterus measured larger than normal for both my pregnancies so the Dr.s thought I was having twins until the ultra sound) our risk factor went down to almost nothing. We had the second ultra sound anyway and did not do the amnio test. Everything looked good on the ultra sound, and we were fine. I did not even think about it until I was in labor. We chose not to have the downs/spina bifida test with our next baby.

I would do the ultra sound and make sure your dates match with what the Dr is using. Hormone levels change throughout your pregnancy and on of the criteria they use to determine those diseases on your hormone levels.

Try not to worry too much and schedule the ultra sound and genetic counseling if thats an option.

Good luck

1 mom found this helpful

B.,

I'm with TJ on this one. Neither of my two children have any major medical problems, but I did have a scare with my daughter.

She is 17 months old and had been born with VSD (hole in the lower part of her heart). By around 4 months old the murmur had gone away. We thought we were free and clear. At her 15 month check up there was another heart murmur heard. Terrified me no end, I though the VSD was back. We had to wait 6 or 7 weeks to get into the Cardio at Children's hospital to have an Echo done to see what was going on. Needless to say in that time I fretted myself away only to find out that she does not have VSD, but she does have a totally non-life threatening abnormal connection between two blood vessels leaving her heart called PDA. It's Latin and I'm not getting up to get the little half sheet they gave me. She'll go back next year to see if it's still there or not. If it is there would be a small, minor surgery to fix the abnormality.

Take a deep breath, let it out and relax. Repeat as often as needed until you are relaxed.

M.

1 mom found this helpful

Put the worry aside as much as you can, B.. All the worry in the world won't change the outcome for worse or for better, except that YOU will have a lot tougher time while you're worrying.

In my experience, nothing ever goes as you worry or hope that it will, anyway. It will be harder, easier, harder, funnier, harder, more perplexing, harder, more rewarding, (and did I mention harder?), and, well, it will just be LIFE! It will be what it will be, and somewhere in our hearts we have already agreed to that when we chose to become pregnant. You've decided you'll have this child no matter what, so smile, pray, trust, and move forward.

Friends of ours have a daughter who is a dwarf. There was initial shock and despair (it wasn't apparent until after birth), and the adorable child encountered her own set of medical and physical problems as she grew into toddlerhood. The parents coped with each challenge as it arose, and there were always solutions of one sort or another. I'm happy (and blessed!) to see how equally delighted and loving the parents are with both their daughters, how much they have learned and grown, how they have become enthusiastic participants in a whole new "world" of little people that they didn't know existed.

Blessings! You WILL handle this, even in the unlikely event you have a Down child.

1 mom found this helpful

I had a similar situation...Around 18 weeks (I think) my bloodwork came back a little wonky, so my doctor sent me for a 4-D ultrasound and talked about the possibility of an amnio. Fortunately, the ultrasound showed that the chance of DS was super slim. We decided against the ultra amnio because of the risk (although very slight) of miscarriage and because we had already decided that we wouldn't terminate the pregnancy if the baby did have DS. We went back at 30 weeks (maybe 32), where they had a better view. The doctor said that we could still have the amnio at that point, as not only was their little risk to the baby, but if it did induce labor, he would probably be okay. We still decided no. I think this is a very tough choice and my advice would be to "go with your gut" and do what feels right. All turned out well with our little guy...he is happy and healthy. All the best...

1 mom found this helpful

With my last pregnancy I had a nuchal translucency test done. I was 39 years old so the risk of Down's was greater for me. The ytest consisted of a blood test done at 11 weeks and an ultrasound to look at the the back of the baby's neck. I don't know if you can have the bloodtest later than 11 weeks and have it be accurate or not. Anyway that test is completely non-invasive and I would recommend it if you're worried. They wanted me to follow up with and amnio too but I refused. I didin't feel it was worth the risk to my baby. She was born healthy by the way. Hope this helps you. It seems you have every reason to expect a healthy baby so try not to stress.

1 mom found this helpful

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