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AMA Case Study Essay

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Jane is a 45yo, G2 P1001, who was seen for an ultrasound evaluation and consultation. She does have AMA but conceived during embryo transfer with a donor egg that is age 32. The father of the baby is 62. She does smoke vapor nicotine cigarettes. She has not smoked regular cigarettes for the past couple of years. She also does have asthma but is currently asymptomatic. She reportedly has had some seizures in the past but her last one occurred in 2007, about 9-10 years ago and she has not been treated for over 7 years and at this point in time is doing well and therefore medication would not be indicated at this point in time. She does have one previous delivery in 2013 that was by cesarean delivery. Lastly, she does have some issues with chronic back pain following a car accident and injuries in the past. Currently, however, she is only on acetaminophen by report. Overall, on today’s assessment she has no complaints other than she states that she has had some headaches off/on for the past couple of weeks.

By dates, she is 14 ½ weeks and the measurements are concordant. The amniotic fluid volume is normal and the cervix appears to be long and closed. It does appear that the placenta is forming …show more content…

We discussed genetic testing options of invasive procedures including CVS and amniocentesis with their risks and complications and pros and cons, but she was not interested in these test and they were declined. We also discussed noninvasive prenatal testing (NIPT) with its benefits and limitations. Because it was a donor egg, the Panorama test cannot be used but Sequenom-MaterniT testing can be done. We also discussed quad screen testing. Upon completion of this portion of the consultation, they were interested in the NIPT and in further discussion elected to have the GENOME test performed. This bloodwork was drawn. We will forward the results to your office upon their return in 14

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