Newsletter - week 15

 

1st Trimester
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Week 10
Week 11
Week 12
Week 13
Week 14

2nd Trimester
Week 15
Week 16
Week 17
Week 18
Week 19
Week 20
Week 21
Week 22
Week 23
Week 24
Week 25
Week 26
Week 27

3rd Trimester
Week 28
Week 29
Week 30
Week 31
Week 32
Week 33
Week 34
Week 35
Week 36
Week 37
Week 38
Week 39
Week 40

Welcome To Week 15

Your Baby: The Start Of Thumb Sucking

At this stage, your fetus weighs approximately 1.75 ounces (50 g) and measures just over 4 inches (10.2 cm). Hair is sprouting everywhere. The fetus gets fine hair all over (called lanugo) to protect it from the constant exposure to the amniotic fluid. Skin formation is progressing, but is very thin (you can even see small blood vessels forming underneath). At this point, the baby might even be sucking its thumb!

Your Body: The ABCs Of MMS

  • What is an MMS? The MMS, or multiple marker screen, is a blood test that measures the levels of several different biochemicals in the mother's blood or serum. The test is often called the quadruple screen. They usually include four biochemicals: maternal serum alpha-fetoprotein, human chorionic gonadotropin (hCG), a hormone produced in the placenta; inhibin A, another hormone; and unconjugated estriol-an estrogen produced by both the fetus and the placenta. Among these individual biochemicals, a test for maternal serum alpha-fetoprotein (MSAFP), can sometimes be done separately or alone to screen for neural tube defects.
  • When is the test taken? To get the most accurate results of the triple screen, the test should be done between 15 and 20 weeks after the first day of your last menstrual period.
  • What is the purpose of the test? The quadruple screen, or MMS, is performed to assess whether your fetus is at a greater risk for having chromosomal defect such as Down syndrome or a greater risk of having a a neural tube defect. Abnormal levels of AFP, both high and low, may indicate some sort of birth defect. A level that is high may indicate a neural tube defect (such as spina bifida), and a low level could indicate Down syndrome.
  • How safe is it? The blood test is like any other maternal blood test and poses no harm to the mother or the fetus. The real risk is that a false-positive result may require further testing -- such as amniocentesis -- a more invasive procedure.
  • How reliable are the results? The MMS is a screening tool used to identify women at increased risk for fetal problems. Therefore, it is a very sensitive test. Importantly, a positive result doesn’t mean you baby is abnormal – it just means that your baby’s risk of Down syndrome is greater than 1 in 270, or more than 0.4 percent. When you get your result, your health care provider should tell you your estimated risk of Down syndrome. If it’s 1 in 200, there’s a 99.5 percent chance you baby is normal. Even if it’s 1 in 10, there’s a 90 percent chance your baby is normal. The only way to know for sure if your baby is affected is to have an amniocentesis, a procedure that collects fluid from around the baby and checks for chromosome problems.

Sometimes, an abnormal result has nothing to do with a chromosome problem. Instead, it can be attributed to an incorrect estimation of the age of the fetus; twins (both babies produce the substance); or not taking into account your weight, race, or the presence of diabetes. Be sure to review your results with your health care provider.

On a Different Note: Seeing For Yourself

Depending on your circumstances -- and on your health insurance -- you might not get to see your little one on an ultrasound until midway through your pregnancy (around week 18 to 20), when you will have a detailed ultrasound of your baby to check all of the anatomy.

Weekly Tip

Take the Multiple marker screen (MMS) or Maternal Serum Alpha-fetoprotein (MSAFP) test on the early side of the window in case you get a false-positive or false-negative result, and there is need for further testing. That way, you'll have plenty of time to get genetic counseling, do a more in-depth ultrasound, and get an amniocentesis, if you choose to do so. Click here to learn more about the MMS and MSAFP tests.


Review Date: 12/1/2010
Reviewed By: Peter J. Chen, MD, Department of Obstetrics & Gynecology, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

A.D.A.M.'s health encyclopedia is accredited by URAC, also known as the American Accreditation Healthcare Commission (www.urac.org). URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial reviewers. A.D.A.M. is also a founding member of Hi-Ethics (www.hiethics.com) and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any

 

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Encouragement + An Assist = Success

Nine days past her due date, Sara Howe was awakened at 3:00AM when her water broke. Thrilled that the long wait was finally over, Sara and her husband David packed up and headed to PeaceHealth Southwest Medical Center. By 5:00AM they were comfortably settled into one of PeaceHealth Southwest’s Labor Delivery Recovery and Postpartum rooms, ready for action. But four hours later, Sara contractions had still not progressed so her midwife started her on Pitocin. Soon the contractions kicked in and Sara was well on her way.

At around eight o’clock the next morning, it was time for Sara to start pushing. So she pushed. And she pushed, and she pushed, and she pushed. "The first few hours of pushing went by without me realizing the time," remarked Sara. "But around the fourth hour I started to wonder if I was still making progress. That is when the encouragement of my midwife, husband and the PeaceHealth Southwest nursing staff kept me going. It was like I had my own cheering section."

Unfortunately, even with all the support and encouragement, Sara’s labor was not progressing because her baby’s head was tilted in the birth canal. Neither Sara or her midwife wanted her to have a Cesarean section after all that work, so her midwife suggested an assisted delivery. Read more >

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