2017 Twins Pregnancy


Hello everyone! I'm new to this forum and I'm having twins thru Ivf at kkh. Now into 7 weeks of pregnancy and am thinking of which gynae to go to in kkh? I'm currently on the subsidised scheme but thinking of appointing dr john tee or June Tan. Any advice? Tia!
 
if you are not sure about their advise i think you should get a second opinion from other hosiptal doctor if u got the dollars.
 
So far I don't have much complaints about kk except for their long time but I guess that's the cost to pay for going to structured hospital. I'm now thinking of which gynae to choose.
 
Thanks Casey! But I'm at a loss if I shld appoint a fixed doc and I have no idea who is good at kkh. Read some reviews about dr June Tan and dr john tee but not sure if they are good with twins pregnancy.
Dr Tee is better.
That Dr Tan has a track record of going MIA before you go into labour.
 
My 1st choice is dr tee and dr Tan is one of the choice because I read that she is good with Twins pregnancy. But it will be scary if she is Mia just before labour. I will be seeking advice from the Nurses during my next appt. Hopefully there will be some good advice
 
Hi mummies, I'm sorry if this is irrelevant but I thought asking this question here would be more appropriate since I'm having twins.
I just received my OSCAR test results from KKH at week 13 yesterday and the results were terrible, both twins have high risk of T21 (Downs Syndrome). Twin A is 1:5 and Twin B is 1:61, due to high NT at 2.8 and 3.8 and high free beta HCG at 3.522.
I am scheduled to go for Amniocentesis 3 weeks later. As the procedure is invasive and has risk of miscarriage, I have made another appointment to see Dr Anandakumar at Camden for a Genetic Ultrascan. However, as Genetic Ultrascan is also using ultrasound, I would like to find out if I should go for Harmony or M21 or Panoramic test which seems to be more accurate.

May I know if anyone has done any of the above tests yet and can you share your experience?

Thank you.
 
Hi mummies, I'm sorry if this is irrelevant but I thought asking this question here would be more appropriate since I'm having twins.
I just received my OSCAR test results from KKH at week 13 yesterday and the results were terrible, both twins have high risk of T21 (Downs Syndrome). Twin A is 1:5 and Twin B is 1:61, due to high NT at 2.8 and 3.8 and high free beta HCG at 3.522.
I am scheduled to go for Amniocentesis 3 weeks later. As the procedure is invasive and has risk of miscarriage, I have made another appointment to see Dr Anandakumar at Camden for a Genetic Ultrascan. However, as Genetic Ultrascan is also using ultrasound, I would like to find out if I should go for Harmony or M21 or Panoramic test which seems to be more accurate.

May I know if anyone has done any of the above tests yet and can you share your experience?

Thank you.

I went for verifi test as it's more accurate than Oscar plus can find out gender.
 
It's the first time I've heard of verifi test. Could you share what is this test and where did you do it, price? Thank you!
my gynae told me its another company/brand name of harmony, for twins the costs is 1.7k before gst. mayb u check with ur gynae clinic.
u can still opt for harmony test for twins just tat can't find out gender but for now i tik tat's beside the point, just want to know whether are they high or low risk for DS & etc.
 
my gynae told me its another company/brand name of harmony, for twins the costs is 1.7k before gst. mayb u check with ur gynae clinic.
u can still opt for harmony test for twins just tat can't find out gender but for now i tik tat's beside the point, just want to know whether are they high or low risk for DS & etc.
Hi dolly_gal, can the verifi test reliably provide the DNA result for each twin?
 
Hi hi mummies,anyone staying in ponggol n need boys clothings.
Infants onwards...1big bag ..Need to collect by this Saturday .
Pls pm me soonest tks
 
Sorry if out of topic. Planning to seek IVF treatment too but worry for getting twins. Is it high possiblity to get twins from IVF?
 
Hi anyone know which Doctor specialists I can go to to check if there's membrane separating my identical twins? Currently 8 weeks.

I read that normal gynae their equipment and training not as sophisticated to pick up the membrane as opposed to specialists. Thanks in advance!
 
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Hi anyone know which Doctor specialists I can go to to check if there's membrane separating my identical twins? Currently 8 weeks.

I read that normal gynae their equipment and training not as sophisticated to pick up the membrane as opposed to specialists. Thanks in advance!

By week 12 shd b able to see clearer whether there's a membrane between the identical twin. For my case it was Cfm thru Oscar scan that it's 2 sac n 1 placenta. Then subsequent my gynae Aso can see from his u/s machine in his clinic as well. For time being dun worry too much, I know wat u worry about cos I went thru the same path
 
Hi, how much is the cost for IVF?
Hi Pinky Flower,

Sorry for late reply was busy with my confinement and adjustments.

I can only share an estimate based on whatever receipts i had kept.

Third cycle of IVF:
Medisave : $4,000
Govt subsidy : $6,300
Cash : $358.91

Total bill : $10,658.91

In comparison, all 3 fresh cycle uses abt 3.2k, 3.4k, 4k from medisave.

Govt subsidy, 6.3k, 6.1k and 6.3k respectively.

Hope it helps.
 
Sorry if out of topic. Planning to seek IVF treatment too but worry for getting twins. Is it high possiblity to get twins from IVF?
Hi! If you are afraid of having twins. You can always opt to put 1 embryo in only. The rest can be frozen and use again in frozen cycles.
 
Any mummies have the bill breakdown for your twin delivery at mount alvernia or kkh for single bedded or 2 bedded rooms.
 
KKH - I did elective CS for twins in 2015. Ard 8k I think. Cheap until I laugh until pengz. Cos I tot twins must be expensive.... My twinnie's stayed normal nursery, no need special care as I delivered at 37 weeks.

My no 1 cost me $10k at TMC back in 2012- natural then become emergency CS.

I feel KKH is quite good. Both hospitals I stayed at class A one bedded. I find KKH nurses at class A really took good care of me compared to TMC - more caring than TMC. Plus hubby can easily find food at KKH. Main reason was that I can choose subsidized class if I have to deliver suddenly and prematurely.. Heng - the twins stuck wif me until week 37. They were born at 2.4 n 2.5kg.

If babies need special care like NICU, KKH is still the best place.


Hi im expecting twins and am also planning on an elective c section. U mentioned ur bill was 8k only. Was that the total cash u had to pay eventually after medisave claim and all subidies or was it the total bill before the subsidies?
 
Hi all, I am now around 9 weeks. My gynae recommended Harmony test. But somehow I read that such non invasive tests are not as accurate as Amniocentesis for twin pregnancies. Whats the difference between Oscar vs Harmony, or Paranoma or M21? Which test did you go for?
 
I was also recommended harmony test by my gynae yesterday. He told me no point going for oscars as it always gives false results and causes undue stress. He also says harmony is ok for identical twins.
 
Hi mummies
I'm a nanny staying in the east.
Very xp looking after 2 infants at 1 go.
If u are looking for my service ,can whatsapp me at 97327396.
I got a macaren twin pram to let go...Single pram also have....
 
I was also recommended harmony test by my gynae yesterday. He told me no point going for oscars as it always gives false results and causes undue stress. He also says harmony is ok for identical twins.

I am carrying non identical twins and have read that this may complicate the analysis not just in harmony, but in all NIPT. Just gotta pray for the best.
 
I am carrying non identical twins and have read that this may complicate the analysis not just in harmony, but in all NIPT. Just gotta pray for the best.

Not tat I know of.. cos I have ivf frens with non identical twin doing harmony/ verifi test.
 
Hi hi, just wondering if there is any WhatsApp group chat for 2017 twins mum or Facebook closed group? Do pm me if there's any. Interested to join.
 
Hello mummies to be, I have some formulated milk for pregnant women to bless:

Anmum Materna 36g x6 packets
Frisomum Gold 45g x7 packets
Similac Mum 36.5g x1 packet
Enfamama 50g x1 packet
Mamil Mama 400g x1 tin
Nestle Mom & Me 350g x2 boxes

Earliest expiry is 6 Jun 2017
Latest expiry is 20 Dec 2017

Self collect at Buangkok MRT.
I'm giving away all, so please don't pick and choose.

Pls pm me if you are interested.

Thank you!

UPDATE: Given away. Thank you!
 
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I m told harmony cannot detect gender for twins but verifi test can. It's from different company. I did mine thru verifi n no Y chromosome detected meaning both gals ..
 
Extracted from http://www.sonicgenetics.com.au/nipt/faqs/the-accuracy-of-harmony/

There is limited information about the performance of the Harmony™ test in identical (monozygotic) twins.

From first principles, identical twins have the same genetic makeup and both will be releasing DNA into the maternal circulation. It would not be possible to distinguish the two fetuses because their DNA will be the same. If one twin has a chromosome abnormality, the other will have the same chromosome abnormality.

With both fetuses releasing the same DNA into the maternal circulation, the accuracy of the Harmony™ test in identifying the genetic status of the twins should be as good as in a singleton pregnancy.

The situation is more complicated with non-identical (dizygotic) twins. In this situation, each fetus is releasing its own DNA into the maternal circulation. Non-invasive prenatal testing (whichever assay is used) must distinguish the proportions of chromosomes from three people (mother, twin 1, and twin 2) rather than two (mother and fetus in a singleton pregnancy). The amount of DNA being released from each twin into the maternal circulation can be markedly different.

In addition, if one fetus has a chromosome abnormality, it is unlikely that the other fetus will have the same abnormality. These factors complicate the analysis and interpretation of any form of NIPT in non-identical twins.


The published experience of the Harmony™ test with non-identical twins is that there is an increased risk (2-3 times higher than in a singleton pregnancy) of the fetal fraction of at least one twin being insufficient for the test to be reported; this reflects the biology of a twin pregnancy and is not a failing of the assay.

The data regarding test performance are also limited, but the detection rate of trisomy 21 in non-identical twins may also be lower e.g. 95%. This detection rate is higher than the sensitivity of conventional first trimester screening in singleton pregnancies, but not as high as the Harmony™ test in singleton pregnancies.

There is very limited published information about the performance of non-invasive prenatal testing in detecting other aneuploidies in twin pregnancies.

In pregnancies with non-identical twins (or if zygosity is not known), invasive cytogenetic testing may be warranted if either Harmony™ or conventional first trimester screen indicate high risk of fetal aneuploidy.
 


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