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  #21  
Old 27.02.2014, 09:20
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Re: Thinking of being Pregnant!

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Legally you need to have worked at least 5 months during your pregnancy to be allowed to get maternity leave money.
However, you're supposed to have work the 9 months before birth to be entitled to full maternity pay (the 80%). If you work only 5 months for example, you're still paid some maternity leave but it's prorata: 5/9th of the 80%.
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  #22  
Old 27.02.2014, 10:47
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Re: Thinking of being Pregnant!

I'd stayed away from this thread as a lot of the discussions here are hardly going to encourage a first-time want to be a mother like the OP!

A kindly mod might want to split the thread into the different components being discussed.

My initial comment was about "health checks" relating to the state of the mother prior to trying to get pregnant. Not the screening that goes on during pregnancy, which is different IMO and certainly from a healthcare and healthtechnology assessment (HTA) point of view.

Mathnut, as always posts full of info and clearly you've thought about it a lot, but there are some points you raise that are not part of any HTA/health economic calculations. If we go in a different thread, I'll come back, but don't particularly want to get into it in a thread that is about the joys (!) of getting pregnant with your first.

That said, for the whole screening thing, the problem with any screening is that whatever the risks, whether 1:2 or 1:10,000 it doesn't help if you are the 1. I think many people don't understand this important point and simply assume that low risk means no risk. But fully agree with the point(s) made above that it comes down, in many cases, to personal tolerance levels.

As for my (our) experience, of 4 completed pregnancies and 1 miscarriage, the NT-calculated risks increased each time, with the only change being the mother's age... which is the biggest risk factor. We never felt the need to go beyond simple NT reading and mother's blood test.
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  #23  
Old 27.02.2014, 11:59
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Re: Thinking of being Pregnant!

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I'd stayed away from this thread as a lot of the discussions here are hardly going to encourage a first-time want to be a mother like the OP!

A kindly mod might want to split the thread into the different components being discussed.

My initial comment was about "health checks" relating to the state of the mother prior to trying to get pregnant. Not the screening that goes on during pregnancy, which is different IMO and certainly from a healthcare and healthtechnology assessment (HTA) point of view.

Mathnut, as always posts full of info and clearly you've thought about it a lot, but there are some points you raise that are not part of any HTA/health economic calculations. If we go in a different thread, I'll come back, but don't particularly want to get into it in a thread that is about the joys (!) of getting pregnant with your first.

That said, for the whole screening thing, the problem with any screening is that whatever the risks, whether 1:2 or 1:10,000 it doesn't help if you are the 1. I think many people don't understand this important point and simply assume that low risk means no risk. But fully agree with the point(s) made above that it comes down, in many cases, to personal tolerance levels.

As for my (our) experience, of 4 completed pregnancies and 1 miscarriage, the NT-calculated risks increased each time, with the only change being the mother's age... which is the biggest risk factor. We never felt the need to go beyond simple NT reading and mother's blood test.
Apologies if I sounded discouraging! I'm a huge fan of kids (obviously). I'll admit, though, to being less than thrilled with actually being pregnant .

I agree that a separate thread would be useful, because there's a lot that gets checked, and the rules have changed quite a bit over the last 5 years. Still, it's good to know what you're getting into before the stick turns blue-there's a lot of poking and prodding and it's weird, especially for those of us who otherwise avoid doctors.

I also think it's important to look at the finances, because the sticker shock for some aspects of parenthood (like day care) is pretty severe and it's better to plan it out beforehand and make whatever changes might be necessary. For example, the sticker shock meant we needed to find a cheaper apartment-something that was far easier to tackle before the baby arrived.

As for the risk, it's funny, because this is the one case during pregnancy in which the risks are actually spelled out for patients and the mother-to-be actually gets to choose what level of risk she's comfortable with, which is something parents absolutely must learn to do after the birth.

Anyway, my take is this: pregnancy is a pain (and occasionally, it's a real hassle), but it's also only 9 months-what comes afterwards is far more exciting and fun, and totally worth it.
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Old 27.02.2014, 14:21
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Re: [Thread Split] Testing/Screening During Pregnancy

Threads split as best I could. It was a bit tricky, as several posts still had some on-topic points for the original OP. So feel free to provide feedback on any threads that should be moved to here, or back over there. Thanks.
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  #25  
Old 05.03.2014, 16:56
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Re: Thinking of being Pregnant!

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A colleague of my OH had this test done as the blood test came back as 1:100 risk. It cost 1350 CHF in Neuchatel ( as you said not reimbursed) and came back as negative so it gave them some peace if mind. She was 39 at the time and recently gave birth to a beautiful, healthy. Much longed for baby girl.

They considered it money well spent.
I had this test done too. And it came back negative. It was such a relief and gave me piece of mind for the rest of the pregnancy. I think the money was very well spent. As DS was on my mind all the time due to my age, but I didn't want to risk loosing a pregnancy doing Amnio or CVS.

If anyone want to know more information about the test - feel free to PM me.
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Old 22.06.2016, 16:06
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Re: [Thread Split] Testing/Screening During Pregnancy

Hi folks
Bumping up this old thread here, maybe some of you can help me. 2 days ago, I had my first trimester screening. All ok with nuchal translucency and the blood test gave 1:7400, 1:40000 and 1:40000 odds for Down, Trisomy 13 and Trisomy 18 respectively.
I am pondering over going for further non-invasive blood-test just to be sure (the one that costs about 1200 CHF).

So, my question is does anyone know whats the difference between these two tests ? The one that I got done and the further non-invasive one ? I know these are questions for a doctor but she has left for vacation

Thanks much !

Last edited by tintin26; 22.06.2016 at 16:28.
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Old 22.06.2016, 16:31
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Re: [Thread Split] Testing/Screening During Pregnancy

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Hi folks
Bumping up this old thread here, maybe some of you can help me. 2 days ago, I had my first trimester screening. All ok with nuchal translucency and the blood test gave 1:7400, 1:40000 and 1:40000 odds for Down, Trisomy 13 and Trisomy 18 respectively.
I am pondering over going for further non-invasive blood-test just to be sure.

So, my question is does anyone know whats the difference between these two tests ? The one that I got done and the further non-invasive one ? I know these are questions for a doctor but she has left for vacation

Thanks much !
The blood test you had done is a probability test. It takes maternal age, fetal nuchal translucency thickness(ultrasound), maternal serum free β-human chorionic gonadotropin, and pregnancy-associated plasma protein A results(blood tests) and calculates probability of Trisomy 21, Trisomy 13 and Trisomy 18.


The other test actually tests fetal cell-free DNA (i'e. your unborn baby's DNA circulating in your blood). And it gives the actual results. So its as accurate as CVS or Amnio. Only it has no risk of miscarriage unlike the two mentioned just now as its non-invasive.
The down side of this blood test is that it's relatively new and is quite expensive.


Hope this helps.

Last edited by Lin00; 22.06.2016 at 16:50. Reason: spelling
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  #28  
Old 22.06.2016, 16:45
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Re: [Thread Split] Testing/Screening During Pregnancy

I had the free cell DNA test done here even though my doctor thought it wasn't necessary (he still told us about it though), the results came back fine which set my mind at ease (I'm in my forties). If you want actual results instead of probability results I would recommend it.

Just an FYI, no insurance company pays for it - I've heard that some will cover a portion, but ours didn't cover any of it as its an optional test and not part of the Swiss standard pregnancy tests.
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Old 22.06.2016, 16:46
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Re: [Thread Split] Testing/Screening During Pregnancy

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The blood test you had done is a probability test. It takes maternal age, fetal nuchal translucency thickness(ultrasound), maternal serum free β-human chorionic gonadotropin, and pregnancy-associated plasma protein A results(blood tests) and calculates probability of Trisomy 21, Trisomy 13 and Trisomy 18.


The other test actually tests fetal cell-free DNA (i'e. your unborn baby's DNA circulating in your blood). And it gives the actual results. So its as accurate as CVS or Amnio. Only it has not risk of miscarriage unlike the two mentioned just now as its non-invasive.
The down side of this blood test is that it's relatively new and is quite expensive.


Hope this helps.
This is partly true. The the non-invasive test is actually not as accurate as the invasive tests (CVS/amnio). See the pic below (sorry in German; source: Geburtshilfe Unispital Zürich). It (Möglichkeit 2) can approach 98% trisomy problem, but not other genetical problems. This is in contrast to the invasive ones (Möglichkeit 1), which is really accurate, and can approach other genetical problems.
My Obgyn told me, if you choose to have the non-invasive one, and the result shows that your baby has a trisomy, and then you'd like to choose to terminate the pregnancy, they still have to run the invasive ones, just to make sure.
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Old 22.06.2016, 16:48
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Re: [Thread Split] Testing/Screening During Pregnancy

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Hi folks
Bumping up this old thread here, maybe some of you can help me. 2 days ago, I had my first trimester screening. All ok with nuchal translucency and the blood test gave 1:7400, 1:40000 and 1:40000 odds for Down, Trisomy 13 and Trisomy 18 respectively.
I am pondering over going for further non-invasive blood-test just to be sure (the one that costs about 1200 CHF).

So, my question is does anyone know whats the difference between these two tests ? The one that I got done and the further non-invasive one ? I know these are questions for a doctor but she has left for vacation

Thanks much !
At those odds, I wouldn't bother going for further tests. You'll be fine
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Old 23.06.2016, 11:58
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Re: [Thread Split] Testing/Screening During Pregnancy

Thanks to you all
Oh, and by the way, I figured, the second test in my original post is called "Panaroma test".
Thought it may help someone.
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Old 23.06.2016, 12:24
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Re: [Thread Split] Testing/Screening During Pregnancy

Is it true that if the first blood test come back with high risk (> 1/1000) then the panaroma test is covered by insurance?
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Old 23.06.2016, 13:53
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Re: [Thread Split] Testing/Screening During Pregnancy

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Is it true that if the first blood test come back with high risk (> 1/1000) then the panaroma test is covered by insurance?
Your answer from the relevant authorities' website, in English please:
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04. Is a first-trimester test covered?
Yes, this test is covered for prenatal assessment of the risk of trisomy 21, 18 and 13 based on ultrasound measurement of fetal nuchal translucency (12th to 14th week of pregnancy) and the assessment of certain maternal blood factors and other maternal and fetal factors (e.g. maternal age).
05. When is non-invasive prenatal testing (NIPT) covered?
Compulsory health insurance covers NIPT from the 12th week of a singleton pregnancy if there is an increased risk of trisomy 21, 18 or 13. This risk must previously have been determined by a first-trimester test (see no. 4). An increased risk is defined as 1 in 1000 or higher. A positive NIPT result should be confirmed by amniocentesis (cf. no. 6).
06. Is amniocentesis always covered?
Amniocentesis, chorionic villus sampling (placental biopsy) or cordocentesis (umbilical blood sampling) is covered in cases where:
• there is a strong suspicion (based on NIPT) or the first-trimester test indicates a risk of 1 in 380 or higher that the fetus is affected by trisomy 21, 18 or 13
• ultrasound findings, family history or other factors indicate a risk of 1 in 380 or higher that the fetus is affected by a genetic disorder
• the fetus is at risk due to a complication of pregnancy, maternal illness, or a non-genetic fetal illness or developmental disorder.
(Source: Federal Office of Public Health)
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  #34  
Old 23.06.2016, 14:03
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Re: [Thread Split] Testing/Screening During Pregnancy

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Is it true that if the first blood test come back with high risk (> 1/1000) then the panaroma test is covered by insurance?
Yes, the new regulation (as of 2015) says this is covered by basic insurance provided the first screening shows high risk.
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Old 23.06.2016, 14:04
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Re: [Thread Split] Testing/Screening During Pregnancy

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Is it true that if the first blood test come back with high risk (> 1/1000) then the panaroma test is covered by insurance?
According to my doctor the test is not covered completely under any circumstances in Switzerland by any insurer (he has apparently had a few patients blindsided by the bill). You should phone your insurance before doing the test to make sure.
My risk was >1/1000 and the insurer did not pay.
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Old 23.06.2016, 14:06
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Re: [Thread Split] Testing/Screening During Pregnancy

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According to my doctor the test is not covered completely under any circumstances in Switzerland by any insurer (he has apparently had a few patients blindsided by the bill). You should phone your insurance before doing the test to make sure.
My risk was >1/1000 and the insurer did not pay.
When did you take the test?
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Old 23.06.2016, 14:09
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Re: [Thread Split] Testing/Screening During Pregnancy

In February this year.
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