Ask the Midwife : Genetic Tests

Ask the Midwife Question: I am 8 weeks pregnant with my first baby and just had my new OB visit. I am confused about genetic tests that are offered. Are these required? What do you recommend? How accurate are they? What is the difference between a screening test and a diagnostic test? Will my insurance cover this type testing?    Answer: Congratulations on your pregnancy! It is our goal that you feel informed about all of your options during your pregnancy and have the confidence to make the right choices for yourself and your baby. Unlike the basic blood tests that we ask you to get during pregnancy so we can take the best care of you, the genetic tests are not required. We can give you information and guidance but we do not make specific recommendations, as whether or not to have genetic testing is a very personal choice.    Genetic tests come in two different categories: screening tests and diagnostic tests. Screening tests can tell you if there is a chance that your baby is affected by specific disorders but not whether it is certain. If a test comes back indicating that there is a higher chance of a problem, further testing must be done to verify whether or not there is actually a problem. Screening tests have different rates of false positive results, depending on the test. Diagnostic tests tell you for sure whether your baby is affected. Diagnostic tests are not [...]