48 answers

Positive AFP

I am 33 yrs old and expecting my second child. I recently took the AFP quad screen provided by my OB/GYN's office which tests for spins bifida, neural tube defects, Down's syndrome, and Edward's syndrome. I was informed by my MD that by risk for Down's was elevated for someone my age. Statistically it is 1 in 250. After being told this last week, I have an appt with a perintalogist on Monday to do a level 2 ultrasound looking for markers for down's or any other concerns. I have done alot of internet searches on this issue indicating the alarmingly high rate of false positives of these afp tests. Has anyone had any personla experience with this issue or known anyone who has? I have had the most miserable past few days awaiting this fu appt as I was told the afp is not a diagnostic test, but rather can identify individuals who are at elevated risk. I had no problems with my first pregnancy and have a beautful, healthy 4 yo old.

What can I do next?

So What Happened?™

I went for my level II u/s and everything looked wonderful. They found no markers for Down's and were able to tell us we are having another girl. Statistically speaking, after a normal ultrasound, that puts my risk back down within normal range for my age. After all the results were explained, the doctor asked/ stated "so I am guessing you want to decline the amnio?". An amnio at this point would be of much greater risk than my new figure (.2%). For me, I think the hardest part was the wait in between the results and the f/u appt. The unknown creates alot of unnecessary worry and stress. Thank you to everyone for their kind words and support through this difficult time. As mothers we want nothing more then knowing our children are OK. When I asked if I would be brought back for the 20 week ultrasound, originally it was no, but due to the heart not being fully developed until 20 weeks (I am 17)the doctor said it would not hurt. I am actually looking forward to this ultrasound and can feel comfortable bringing my daughter (she is so anxious to see the baby and kisses my stomach every day).

Featured Answers

Actually a friend of mine had this "problem." She now has a healthy 14 month old boy and is pregnant again.

1 mom found this helpful

My personal opinion, but at 33 I wouldn't worry about a thing. Those tests have been wrong quite often and I would never rely on them. I'd kick back, enjoy the miracle inside and remember...you are very young still!

1 mom found this helpful

I decidd not to take the test because of the high level of false positives, and because of the fact that had I found out something, it would not have changed my decision to have the baby. You have to decide if it is necessary for you to have that kind of information. Good luck.
A

1 mom found this helpful

More Answers

I know it is easier said than done, but relax!! It is better for you and the baby.

I was 31 when pregnant with my daughter and got a False Positive on the AFP. Other than being a whiny 10 year old, she was perfectly normal. Yes it was an agonizing wait to see the perinatalogist - but thanfully for other reasons I was considered 'high risk' so already was a patient with the office and got in only 3 days... and that even seemed like an eternity

L.

1 mom found this helpful

Lots of great responses... my own experiences have led me to wish i didn't take the AFP with DD1 and did NOT take ANY tests with DS (#2.) Our healthcare workers have a lot of great tools, and I'm sure there are good applications for them, but being told there's a "risk" (which turns out to be nonexistent) and then only having one option (which isn't an option at all) isn't helpful to me. Baby blessings to you!

1 mom found this helpful

I decidd not to take the test because of the high level of false positives, and because of the fact that had I found out something, it would not have changed my decision to have the baby. You have to decide if it is necessary for you to have that kind of information. Good luck.
A

1 mom found this helpful

I really don't want you to worry about your pregnancy although I'm sure it's hard not to. I had the AFP screening done with all of my pregnancies and it always came back fine although my first child had Downs Syndrome. I don't believe in the statistics either for I was only 22 years old. I don't think the test is even worth the money or the the prick of the needle. LOL. It doesn't really show anything and sometimes gives mothers false hope or makes them worry for no reason at all. I know plenty of women who have had children late in life and they were fine. Try not to worry too much and enjoy your pregnancy. Good luck with everything. Lots of love!

1 mom found this helpful

S.
I am 36 and currently pregnant with my first child. A few weeks ago I went to the Perinatalogist for a Level 2 with the possibility of an amnio due to my numbers on a quad screen coming back with a higher risk for DOwn's Syndrome (it was a mistake on the lab's part since i had the early screen at 12 weeks with extremely low risk for Down's; they were only supposed to screen for spina bifida, not the whole wuad screen). We were a nervous reck waiting for our appt. as well! I work with children with special needs so i know the day to day activities, concerns etc with this population. I felt VERY comfortable with the Peri I saw. After all was said and done we did not go ahead wiht the amnio since all of the physical markers looked good. The big ones to look for that have a higher chance of indicating Down's are the absence of a nasal bone, and the Nuchal fold. TO sum it up, all of my tests were screenings....the early screen at 12 weeks, the nuchal fold test at 12 weeks, the quad screen at 16 weeks and the level 2 at 19 weeks. All but one showed a low risk. THe peri felt that the quad was probably a false positive. GOod luck! I hope this helped some!

L.

1 mom found this helpful

Hi S.,
I have an 11 yr old daughter and a 10 month old son and I was told I was at high risk for Downs with my 11 year old and she was fine.
I have an uncle with Downs but not the type that is hereditary so all there info came from my false positives.
My cousin also went through this with her three year old and she is fine also. I have heard this same story sooooo many times.
Try to stay positive and know that it will all work out.

Good Luck!!!!
N.

1 mom found this helpful

I had a positive AFP and my son was fine. I also think that my due date was a week earlier than what they had me down for and that would have made a difference. I did spend a lot of my pregnancy worried about it. Ironically, these were the least of my worries. My son was born early at 32 (31 I think) weeks. And because I was so worried, the first thing I asked my dr was if he had Downs. He only weighed 3 lbs and that AFP test made that my biggest worry, needlessly.

My dr told me his wife had a 1 in 7 risk from that test and their child was fine. I had the ultrasound and felt so much better about it, mostly. There are many false positives, many. So, try and relax and have the ultrasound, you will feel better, mostly ;-)

1 mom found this helpful

Hi There,

It is true that the test results are not accurate. My sister also had that for her first son, and then she was so scared that she went for amniotic fluid testing (which came out OK .. so false alarm by the first test). Her son was absolutely normal. She chose not to do the tests for the second one (Thank God Again Normal Son ) because the first time she had such a traumatic couple weeks. I had AFP test done also and my results were off because of twins .. so I tried not to worry and did not go for amniotic fluid testing (Though last month of my preg. I was very scared and afraid.. ) but everything was fine (Thank God). SO I know the anxiety you are having.. ..but many times, it is a false alarm. So try not to worry .
Take Care.

1 mom found this helpful

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