The Things of Pregnancy and Birth: The Tangle of Down’s Screening

Pregnancy is a happy event, But the joy will not last long, After receiving a circle of blessings, Next, we have to face a lot of entanglements. Which hospital to build a card for regular prenatal examination, which doctor to see, whether to give birth to oneself or cesarean section, whether to give birth to a boy or a girl, whether to be episiotomy. However, these entanglements are dwarfed by the entanglements of Down’s screening and amniocentesis.

Don’t do Down’s screening struggle: what if the child is born with a Down’s syndrome baby (Tang Baobao)?

After Down’s screening, it is also tangled: high-risk amniocentesis is very tangled, and low-risk is not without risk.

Amniocentesis is tangled: if you don’t do it, you will be afraid of giving birth to a [Tang Baobao], and if you do it, you will be afraid of abortion caused by surgery.

In fact, doing Down’s screening is a kind of gambling, The bet is on the probability of Down’s syndrome, The probability of fetal Down’s syndrome in normal pregnant women under 35 years old is about 1/800. Do Down’s screening will get a number, this number is theoretically the probability that the fetus is [Tang Baobao], of course, the lower the probability, the better. However, the same risk probability is completely different in different people’s eyes. In some people’s eyes, the risk of 1/1000 is also very high, while in some people’s eyes, the risk of 1/100 is also very low.

At the clinic, Both extreme patients will meet. Some people are not entangled at all. Some people are very tangled, I once had a patient with a Down screening risk of 1/250, He started talking to me at 8 o’clock in the morning. During this period, in order to discuss with her husband and mother-in-law whether to make sheep to wear three in and three out, Until more than 12 noon, all the patients had finished watching, and she had not made up her mind. I estimate that this kind of person will not only struggle with Down’s screening, but also struggle with other things. Which constellation expert can point out which constellations are very struggle at ordinary times, so that I can be prepared when looking at the clinic.

Seeing here, some people may say impatiently, you have said for half a day is meaningless, can you give some real advice that can help us make a decision? Well, the following is my suggestion, since Down’s screening is essentially gambling, is gambling probability, then we must follow the rules of gambling.

The main principle of gambling is [willing to accept defeat]

If you can afford to lose, you can gamble. For example, facing a 1/250 Down risk, Don’t take chances, Said I don’t make sheep clothes, Because I won’t be so unlucky, once I lose the bet, the child is really a [Tang Baobao], you have to face it calmly. When gambling, it is not how big the winning face is, but whether you can afford to lose, if you can’t afford to lose, don’t gamble, even if it is a relatively low probability. If you can afford to lose, even if it is 1/50 probability, you can face it calmly.

The lesser of the two evils

If you choose not to wear sheep, the result of losing the bet is to give birth to a [Tang Baobao]; If you choose to wear sheep, Lose the bet, The worst outcome is miscarriage, Then come again next time. The theoretical probability of sheep wearing miscarriage is about 1/300. The actual probability of miscarriage varies from prenatal diagnosis center to prenatal diagnosis center, In our medical center for women, infants and fetuses, the probability of abortion after sheep wearing is about 0.5/1000, which is basically the same as the spontaneous abortion rate of patients who do not wear sheep in the corresponding gestational weeks. Knowing the consequences and probability of losing the bet, whether to do it or not, is it not so difficult to make a decision after phase right?

The simpler the happier

In fact, pregnancy is a trial and error process, The whole pregnancy will have a lot of unfavorable probability to the mother and fetus, as long as the formal prenatal examination, most risks are controllable. These problems or let the doctor help you worry about it, you worry about it is useless. Don’t search on the Internet, increase your troubles for no reason, the simpler the happier, enjoy the whole pregnancy!

The article was reprinted by Clove Garden authorized by the author.