I am 35. Is pregnancy with multiple fibroids risky?

Question

Hello doctor,

I am 35 years and in my 13th week of pregnancy. This is my first pregnancy and acheived through ICSI. I had my NT scan and dual marker test was done a week back. The results for the same are NT: 1.10 mm, CRL: 68.2 mm, PAPP-A: 0.18 MOM/0.66 mIU/ml, free beta-hCG: 46.5 ng/ml.

I have been given a trisomy 21+ NT risk of 1:72 and I have just given my blood sample today for NIPT. I have multiple fibroids which are mostly located posteriorly. I am also under medication like tablet Ecosprin, Estrabet, Duphaston, utreva gel and Pro -9 (weekly).

I am really worried and want to know about the level of risk my pregnancy has.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

Your previous obstetric, gynecology, medical, and drug history matters. Have you been on folic acid daily? If you had any medical issue, was it treated and checked properly? Your nuchal translucency is normal. PAPPA (pregnancy associated plasma protein) more than 0.5 MOM is normal but you have 0.18. It is less. Free beta hCG (human chorionic gonadotrophin) is fine. It would be better if you would send me your report.

As per your description, your risk for Down syndrome is 1:72. Then you have an estimated chance of having a baby with Down's syndrome as 1 in 72 babies. Your age limit has the risk of anomaly moderately. Check NIPT (non invasive prenatal testing) report and have detailed anomalies scan at 20 weeks with expertise hands.

Multiple fibroids can give you painful antenatal period as in pregnancy degeneration occurs at a more higher pace. Have a strict check on the scan, NIPT report and discuss here or with a local treating gynecologist. If you do not have a family history of a congenital anomaly then the risk would be less as this also count to calculate risk.

If the above two investigations come normal, then in future, the baby will need strict monitoring of fetal heart sound, movement, and growth.

Have regular antenatal visits and in case of any bleeding or pain report immediately to tertiary care gynecology emergency.

I hope this has helped you.

Please feel free to reach out to me again if you have further queries.

Thank you.