Wednesday, April 2, 2014

Test results, answers, and lots of decisions.

Yesterday we had an appointment with a high-risk obstetrician from the University of Utah. He gave us the results of our genetic testing--I'm a carrier for Robertsonian Translocation Down Syndrome. We discussed what this means for future pregnancies. Basically, we have a 50/50 chance of RT Downs in each pregnancy. Out of the 50% chance of not having it, the baby has an equal chance of being a carrier, like me, or being perfectly healthy and chromosomally normal. We don't know which category Brynleigh falls into, she'll have to be tested sometime in the future. Hopefully she isn't a carrier so she never has to go through this and face these hard choices.

Out of the 50% chance that a future baby would have Down Syndrome, there's a 15% chance the baby would just be born with it and  a 35% chance that we'd lose the baby sometime during the pregnancy (or I'd go into labor very early and lose the baby after birth, like Brooklyn). With that being said, this doctor thinks the RT Downs is why Brooklyn didn't make it, so we are thankful to have that answer now.

So essentially, there's only a 25% chance of us having a perfectly healthy baby with no negative consequences. Not the best odds.

Getting pregnant naturally just doesn't seem to be something that is in the cards for us at this point in our lives. We can't handle losing another sweet baby, and 35% is far too high. Even if we fell into that 15% of having a baby with RT Down Syndrome, the baby would be at a high risk for heart defects, leukemia, and other disorders/diseases that I don't want to see my child go through.

We'll be meeting with both a genetics counselor and an infertility specialist down in Salt Lake City soon. The infertility specialist will talk to us about our options of using IVF PGD (invitro fertilization preimplantation genetic diagnosis) to conceive. This is where we'd do IVF and they'd be able to look through our fertilized embryos and choose ones that are chromosomally normal to implant. We don't know exact details and rates of success yet, but the doctor said he believes the U of U fertility center has about a 65% success rate. IVF is not a fun process, and it is pretty dang expensive.

Our other option is adoption. We plan on meeting with LDS Family Services soon to discuss the ins and outs of adoption through them. Adoption is, of course, a difficult, emotional process to go through and it really intimidates me. But none of our options are easy in the least, and we know our family isn't complete yet. For now, we're learning all we can about our options and putting a lot of thought and prayer into determining what the best route is for us.

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