MSFinals-3504

Sophie, a 35-year-old woman who is G1P0 and 16 weeks pregnant, visits you to discuss her 12-week combined screening test results. Her HCG levels are high, PAPP-A levels are low, and the nuchal translucency is thickened. Sophie has researched the results and is worried that her baby may have Down’s syndrome. She is extremely upset and anxious. This is her first pregnancy after trying for a year, and she is concerned that her age may affect her ability to conceive again. However, Sophie is uncertain about continuing with the pregnancy and is contemplating termination.

What advice would you offer Sophie?