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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Torch Test Result Indicate?

hi i had 11 weak pregnancy and my babies nuchal translucancy was 4.5 mm and . we was suggested to abort the baby . and as suggested we did it. now our doctor adviced us for torch test, in this test rubella IgM antibodies range is 1.54 . what does it means and what should we do
Wed, 9 Mar 2016
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OBGYN 's  Response
Hi there,
Welcome to HCM,

The rubella antibody Ig-M titre in the positive range would mean that you have a recent rubella infection. Repeat the Ig-G and Ig-M of rubella after 3 months and if Ig-M is negative and Ig-G is positive it would mean that you are cured of the infection and have developed immunity to it. Then you need not worry about the rubella infection in any pregnancy from now as immunity once acquired remains life long.

With the nuchal translucency of 4.5 mm it would have been preferable to undergo blood test called first trimester screening and then a decision if further tests such as CVS (Chorionic Villus Sampling ) or amniocentesis is required or not should have been decided. To go straight away for an abortion was to drastic decision.

The NT scan is just a screening test and its not necessary that all fetus with abnormal NT are born with birth defects, it just implies that these babies need more monitoring.

Now you need not worry, take Folic acid 5 mg for three months prior to trying to conceive and you can try to get pregnant as soon as the Ig-G rubella comes positive and you are mentally and physically ready for another pregnancy.

Hope this helps.
Regards.
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What Does This Torch Test Result Indicate?

Hi there, Welcome to HCM, The rubella antibody Ig-M titre in the positive range would mean that you have a recent rubella infection. Repeat the Ig-G and Ig-M of rubella after 3 months and if Ig-M is negative and Ig-G is positive it would mean that you are cured of the infection and have developed immunity to it. Then you need not worry about the rubella infection in any pregnancy from now as immunity once acquired remains life long. With the nuchal translucency of 4.5 mm it would have been preferable to undergo blood test called first trimester screening and then a decision if further tests such as CVS (Chorionic Villus Sampling ) or amniocentesis is required or not should have been decided. To go straight away for an abortion was to drastic decision. The NT scan is just a screening test and its not necessary that all fetus with abnormal NT are born with birth defects, it just implies that these babies need more monitoring. Now you need not worry, take Folic acid 5 mg for three months prior to trying to conceive and you can try to get pregnant as soon as the Ig-G rubella comes positive and you are mentally and physically ready for another pregnancy. Hope this helps. Regards.