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Old 14.08.2012, 13:37
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Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I am an older mom (pregnant for the first time) and I am considering a CVS or amnio, but given the risks, I want to go to the best clinic around. Anyone have experience with this here? Anywhere in Switzerland could work but we are in the Zürich area.
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Old 14.08.2012, 13:46
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

It's quite difficult to say which clinic is "the best". I think that any major hospital (esp. in the big cities) should be fine. We only went for the ultrasound and blood tests. We thought that if the initial tests show a high risk, we'd do the CVS. Luckily, our little bean is aok.
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Old 15.08.2012, 21:33
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I highly recommend Spital Wetzikon. The doctors in the Frauenklinik are highly experienced with these procedures and excellent ultrasound scanners (which is essential in more complex cases).
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Old 15.08.2012, 22:14
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I had an amnio done in Zollikerberg Spital with my second child last year. The amnio was done by a doctor who specialised in that area and does the procedure on a regular basis and I had no complications whatsoever. I have to admit it was not very pleasant but that was more to do with the position of my placenta which meant the doctor had to go through it to get the sample so it took longer than I expected. I had an amnio with my first child in Germany and it was over before I knew it.

As for CVS, I was told that if I wanted to have it I would have to go to the Uni Spital because they are specialised in that procedure. I have 2 friends who have had CVS done there and they also had no complications.

Good luck.
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Old 16.08.2012, 09:26
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

My Obgyn had a partner in her office who did mine at their office. Same kind of situation - older mom, first baby, wanted to make sure things were ok with the little one so my mind could relax so had the CVS test done at 11 weeks. His name is Dr. Jörg Obwegeser and the office is near Zurich HB. The website for his practice is http://www.obsi.ch/ and he speaks very good english, and actually was a funny guy so it helped make me relax! Not sure if there really is a "best" clinic for the test as it is something that is fairly common so a lot of places can do it, but I would definitely recommend anyone to him. It was nice to know too that if my doctor wasn't around for any reason and I had to see him, I felt completely comfortable which was a very nice bonus for me!
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Old 16.08.2012, 10:15
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I can understand your concern for such a procedure and why, rightly in my opnion for what it's worth, you have decided to do it. As you say yopu arer older and the risks are thus higher and so it would be good to do.

I think however the real question is wha tare you going to do if the reuslts are not as we all hope, are you able, or do you want to do something about it or cope with the consequences ?

This is a question only you and your partener can answer and it really concerns nobody else.
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Old 16.08.2012, 11:00
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

The clinic of Dr Salvodelli was known as "the place to be for CVS"

Latest rumours I hear is that he retired, but gave praxis to a very good doc.

Cheers,

K
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Old 16.08.2012, 22:47
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I also had a CVS procedure done by Dr. Jörg Obwegeser and there were no complications. He was very professional and had done the procedure many times.
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Old 16.08.2012, 23:00
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I don't know what CVS is, but there' s a new test available for finding out about trisomy 21 (3 chromosomes 21), with just a blood test on the mother.

Here's the link to the french-speaking news report. I'm sure you can dig out something in english, and ask if it's available somewhere, if it's of any interest to you.
Here's another text link which you can always google-translate.
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Old 20.08.2012, 15:29
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

Thanks all! We are doing the new (New in Switzerland, has been available in other countries for years) blood test that identifies Down's Syndrome. It is not cheap, but we think it is worth it. Holding off on Amnio and CVS for now.
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Old 04.03.2015, 19:48
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

Just an update on this thread in case anyone is looking for information about it, I have just done a CVS test in ZH. My ob/gyn is based in Thalwil and she sent me to have the test at UniSpital. The people there were very nice and the doctor was very helpful explaining the procedure as well as the post-test measures that I needed to take. The doctor is also experienced (and that's probably why my ob/gyn sent me there directly), which plays an important role in minimising the risk of miscarriage.

Just in case anyone is wondering about the insurance, the costs for CVS and amnio tests are covered in the basic insurance if you are over 35, unless your screening test results show you have a higher risk than that of the average women in your age. The new test, which involves blood test (and thus no risk of miscarriage), is not covered in the insurance. It costs around 1000-1500 CHF.
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Old 08.08.2015, 09:30
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NonInvasive Prenatal Tests

Does anyone have experience with any of the non-invasive prenatal tests (fetal DNA test) that are available here in Switzerland? Such as the Panorama, Harmony and others?

I read that the cost for these tests is only covered since the 15th of July, 2015, if the nuchal translucency scan results in bad %. Otherwise, they are quite expensive (approximately 1500CHF).

Information in German here: http://www.babywelten.ch/schwangersc...dna-tests-1308

Last edited by MarKanLu; 08.08.2015 at 09:30. Reason: link added
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Old 08.08.2015, 13:40
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Re: NonInvasive Prenatal Tests

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Does anyone have experience with any of the non-invasive prenatal tests (fetal DNA test) that are available here in Switzerland? Such as the Panorama, Harmony and others?

I read that the cost for these tests is only covered since the 15th of July, 2015, if the nuchal translucency scan results in bad %. Otherwise, they are quite expensive (approximately 1500CHF).

Information in German here: http://www.babywelten.ch/schwangersc...dna-tests-1308
Keep in mind that amniocentesis carries a 1% risk of miscarriage.
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Old 08.10.2015, 10:59
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

Hello,

I recently talked with my doctor about changes in what is covered by insurance.

Indeed the new genetic tests for trisomy is covered as of July 15th, but the risk must be greater than 1/1000 (which I assume is determined during the triple test around week 12?).

I have had (paid for privately) the fetal DNA test done here in Switzerland (I was before July 15th). My doctors office contacted the company and received the information/sample package. I went to my doctors office, they withdrew blood (venous puncture), sent off the sample and I was called some time later with the results (should have been within 2 weeks but they didn't do a good job of contacting me).

With the fetal DNA test you can test for a few trisomies including 21 (down), and each one costs more. I'm not sure if only 21 is included with insurance

And just FYI, also established July 15 (2015) insurance now covers 16 midwife visits for first time mothers instead of 10.

Finally, if you are interested - the fetal DNA test works by collecting circulating free DNA in the mothers blood, which comes from both the mother and the fetus. They mass sequence this circulating DNA and through the magic of statistics determine if there is over representation of some DNA sequences which would indicate a fetal trisomy. They can also tell you the gender if you ask for it. They report the results as a risk for having that specific trisomy.
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Old 08.10.2015, 12:20
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

The technique used for NIPT in fact is called 'Massive(ly) Parallel' - or Next Generation Sequencing (NGS)
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Old 08.10.2015, 18:30
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Re: Has anyone done prenatal genetic testing (CVS,AMN) in the Zürich area?

I took the non-invasive test earlier this year at week 12 of my pregnancy.

The basic test will look for risks of trisomy 13, 18 and 21. You have the option to extend the test to additional chromosomal anomalies if you wish (at a higher fee of course).

As PP have mentioned, it is not reimbursed by your insurance unless you are specifically at risk. Some insurance companies will cover costs if you are over 35.

Information on the company and the procedure if you are interested:

http://www.prendia.ch/en/accueil.html

One of the perks of the test (and a freebie) is you get to know the sex of the baby at 14 weeks (test results take 2 weeks to come back) so there is absolutely no doubt and you can start prepping for baby!
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