Also, try acupuncture. In women over 35, the risk of a chromosomal problem in a given pregnancy becomes greater than the risk of a miscarriage from an amnio. It's balancing apples and oranges, and so issues like family history, how much you worry, and whether you would abort a Down-syndrome baby or one with a more severe problem are very important in making your decision. Perhaps the age cutoff should be higher now that women can have AFP testing for chromosomal problems without the risk of a miscarriage. It's best to talk with a genetic counselor in your area to get the exact statistics for your age and the programs offered in your area prior to making a final decision.
Genetic counselors are well trained and sympathetic.
Amnio can detect all chromosomal problems, but this is not the same as detecting all birth defects or metabolic problems like sickle cell or diabetes. Structural problems involving the heart, kidneys, or limbs can almost all be noted on ultrasound pictures at around 18 to 20 weeks. Part of the genetic counseling session is to reassure parents that many problems affecting a baby are, of course, mild and are compatible with happy, rewarding lives for both child and family. These decisions and values are very personal ones. Spokespeople for members of the disabled community ask us to remind the public that they are very glad to have been born and are valued individuals leading fulfilling lives.