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Can genetic issues during pregnancy be treated?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am in the ninth week of pregnancy and have not got any vitamins or Folic acid because I was planning to abort. But now I am having second thoughts. Is it too late to change my plan? Can we safely check if I can keep the baby? I do not want to abort but I do not want to bring to life a baby with genetic issues. Kindly suggest what can be done.

Thank you.

Hello,

Welcome to icliniq.com.

I understand your concern.

It is not too late to change your decision and take steps toward a healthy pregnancy. Let us work together to ensure the best possible care for you and your baby. Here are a few ways that can help:

1. Begin prenatal care without delay- The first step is scheduling an appointment right away. During this visit, doctors will conduct an ultrasound to confirm the pregnancy and monitor your baby’s development. Review your medical history to identify any potential risks. Start you on prenatal vitamins containing Folic acid (400 to 800 mcg daily). While Folic acid is most effective earlier in pregnancy, it can still benefit your baby’s development even if started now.

2. Address genetic concerns - Around 10 to 12 weeks, we can perform a non-invasive prenatal test (NIPT) to screen for chromosomal conditions like Down syndrome. At 11 to 14 weeks, an ultrasound (nuchal translucency scan) can provide additional insights into your baby’s health.

3. Focus on lifestyle and health choices- Avoid alcohol, smoking, and any harmful substances. Prioritize a balanced diet that includes:

Folic acid: Found in leafy greens, citrus fruits, and fortified cereals.

Iron and calcium: Essential for both you and your baby.

Protein and omega-3 fatty acids: Important for growth and brain development.

Stay well-hydrated and limit caffeine intake.

4. Emotional and psychological well-being- feeling uncertain is completely normal. If needed, we can arrange counseling or provide resources to help you feel more confident and supported during this journey. With prompt prenatal care and the right lifestyle adjustments, we can address potential concerns early and maximize the chances of a healthy pregnancy and baby.

If you have any questions or would like additional guidance, I am here to help every step of the way. Let us make this journey a positive and empowering one. I hope you find this helpful.

Thank you.

Patient's Query

Hello doctor,

Thanks for your answer. Will everything be shown in the ultrasound and NITP you suggest in step 2? And if something goes wrong there, is there still time for abortion, or is it too late? Kindly suggest.

Thank you.

Hello,

Welcome back to icliniq.com.

I understand your concern.

You are welcome, and I am glad you are asking these important questions. Let me explain both in detail:

What will the ultrasound and NIPT reveal?

  1. Ultrasound (11 to 14 weeks): Assess your baby’s growth, heartbeat, and physical development. Includes the nuchal translucency (NT) scan, which measures fluid at the back of the baby’s neck. Higher fluid levels may indicate a greater risk of chromosomal conditions like Down syndrome. Identifies any structural abnormalities.

  2. NIPT (non-invasive prenatal testing): This blood test screens for chromosomal conditions such as Down syndrome (Trisomy 21), Edwards syndrome (Trisomy 18), and Patau syndrome (Trisomy 13). NIPT is highly accurate—around 99 % for detecting chromosomal risks.

Is abortion still an option or do complications arise?

Yes, there are still options if complications are detected, depending on the timing and circumstances:

  1. Medical Abortion: Typically offered up to nine weeks. It involves taking medication to safely end the pregnancy.

  2. Surgical Abortion: Available later in pregnancy, usually up to 20 to 24 weeks, depending on the country’s laws.

After nine weeks, procedures like dilation and curettage (D and C) or dilation and evacuation (D and E) are used. In many cases, abortions after 12 weeks may require additional approvals, especially for medical or genetic concerns.

Key suggestion: If the ultrasound or NIPT shows any concerns, your doctor may recommend further testing, like amniocentesis or chorionic villus sampling (CVS), for a more conclusive diagnosis.

I hope you find this helpful.

Thank you.

Medically reviewed byiCliniq medical review team

Published At December 22, 2024
Reviewed AtJanuary 7, 2025

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