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Questions and Answers

Q. I have a question about whether to have an Amnio or not. I am currently 34 years old, I will be 35 on June 21st. My baby is due September 29th and it has been recommended to me that I have an Amnio because of my age and not for any other reason. We have no history of genetic defects, we are not Jewish or Black or Hispanic or Asian - just plain white. I have had a successful pregnancy seven years ago, however, I did have premature labor at 31 weeks with her, but nothing was wrong with my daughter.

I am torn on whether the risks of an Amnio are worth it for me considering I missed the "cut off" by 3 months only (being 35 instead of 34 at delivery). I understand the AFP test screens for Down's as well as Spina Bifida and other defects. Do you have any unbiased advice? I would sincerely appreciate your input.

A. I gave birth to my 4th son when I was 35. An amnio was suggested because of my age, but my doctor was not overly forceful about it and I chose not to have one done. You mention risks and whether or not it would be worth it to proceed with having the amnio. You must ask yourself if you would be more upset to give birth to a child with handicaps or to miscarry this baby due to complications of the amnio itself. You also stated that your genetic history is rather low risk. I have been a nursery nurse for almost 18 years and have seen just as many down syndrome babies born to mothers in their 20s as to older moms. I know that the literature shows a higher incidence of many types of problems in an older mother but if you are of normal weight, with no chronic disease and in good general health you have every reason to expect a normal baby as any expectant mother would. You should base your decision on what feels right for you and your family. Take care.

Cyndi Klausing, RN, ACCE, has been a childbirth educator and breastfeeding counselor for over 18 years. She currently works as a newborn nursery nurse and is the mother of four sons.

Cyndi will answer your questions on fertility, pregnancy, birth, breastfeeding and babies. Her advice does not take the place of your practitioner. Personal answers will not always be possible.