Applying for Amniocentesis Subsidy for Newborns with Previous Delays

Application for Amniocentesis Subsidy for Newborns

Doctor, my first child is a child with developmental delays (currently 8 years old), but he had tests around one and a half years old, and all reports, including chromosome tests, were normal.
Can I apply for financial assistance for Down syndrome and amniocentesis for my second baby?

Yi Yi, 20~29 year old female. Ask Date: 2012/06/03

Dr. Liu Yuhong reply Obstetrics and Gynecology

According to the revised "Regulations on Subsidies or Reductions for Prenatal Health Care Measures" by the National Health Bureau of the Ministry of Health and Welfare on April 19, 2006, relevant subsidy fees are provided for prenatal genetic diagnosis, specifically cytogenetic testing, under the following circumstances: (1) Pregnant women aged 34 years or older.
(2) Pregnant women diagnosed or certified with any of the following conditions: (a) Themselves or their partners have a hereditary disease.
(b) They have previously given birth to a child with abnormalities.
(c) There is a family history of hereditary diseases.
(3) Pregnant women with a serum screening risk probability of suspected chromosomal abnormalities greater than 1 in 270.
(4) Pregnant women who have undergone ultrasound screening indicating a possibility of fetal abnormalities.
Each case is eligible for a reduction of NT$2,000.
However, for low-income households, pregnant women aged 34 years or older, or those who have previously given birth to a child with congenital abnormalities residing in mountainous areas, offshore islands, or remote regions, an additional reduction of NT$3,500 in testing fees will be provided by the testing institution.
Your eligibility will be determined based on the diagnosis of the first child's condition.
If the pediatric diagnosis is a congenital abnormality, then according to the aforementioned regulation (2)(b): having previously given birth to a child with abnormalities, the second pregnancy amniocentesis can apply for subsidies; conversely, if the first child's condition is not recognized by pediatrics as a congenital abnormality, then subsidies cannot be applied for.
The full text of the regulations can be found on the National Health Bureau website: http://www.bhp.doh.gov.tw/bhpnet/portal/LawShow.aspx?No=200712250016

Reply Date: 2012/06/03

More Info

When considering the application for amniocentesis subsidy for a newborn, especially in the context of having a previous child with developmental delays, there are several factors to consider.
Firstly, it's important to understand what amniocentesis is. This is a prenatal diagnostic procedure where a small amount of amniotic fluid is extracted from the amniotic sac surrounding a developing fetus. This fluid contains fetal cells and various substances that can provide valuable information about the fetus's health, including genetic conditions such as Down syndrome (Trisomy 21) and other chromosomal abnormalities.

In your case, since your first child experienced developmental delays but had normal test results, it raises a few considerations. The fact that your first child was diagnosed as a "遲緩兒" (developmentally delayed child) does not automatically qualify your second child for subsidies related to amniocentesis or other prenatal testing. The eligibility for such subsidies often depends on specific criteria set by health authorities or insurance providers, which may include:
1. Family History: If there is a known genetic condition in the family, this may warrant further testing. However, since your first child's tests were normal, this may not be a strong enough basis for subsidy approval.

2. Current Pregnancy Risk Factors: If there are any risk factors in your current pregnancy, such as maternal age (typically over 35), abnormal ultrasound findings, or other medical conditions, these may qualify you for amniocentesis and associated subsidies.

3. Consultation with Healthcare Providers: It is crucial to discuss your concerns and the history of your first child with your healthcare provider. They can provide guidance on whether amniocentesis is recommended based on your current pregnancy and if it aligns with the criteria for subsidy application.

4. Documentation and Application Process: If you believe you meet the criteria for the subsidy, you will likely need to provide documentation regarding your first child's health history and any relevant medical records. Your healthcare provider can assist in this process.

5. Understanding the Risks and Benefits: Amniocentesis, while generally safe, does carry some risks, including miscarriage. It is essential to weigh these risks against the potential benefits of obtaining information about the fetus's health.

In summary, while having a previous child with developmental delays may raise concerns, it does not automatically qualify you for subsidies for amniocentesis for your second child. It is essential to consult with your healthcare provider to evaluate your specific situation, discuss any risk factors, and determine the best course of action. They can also guide you through the application process for any available subsidies based on your circumstances.

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