i would think they would push an amniocentisis a bit harder but in the end it is up to you if you chose to have one or not. i think you may be monitored a bit closer due to “advanced maternal age” (i believe thats what they call anything over 35) but it would probably be treated the same as any other moderate – high risk pregnancy. congratulations by the way. i was higher risk and just had additional ultrasounds and started weekly non stress tests at 32 weeks and bi weekly at 36 weeks.
You will have only those you WANT to have. They will try to get you to have them but it is up to you ~ the quad screen blood test is often a false negative when you are over 35 so I refused it (I was 39) the amnio will be pushed but I too refused it. Unless you plan to abort I see no reason for it and why risk a MC, even if only 1%. They can tell SO much from a scan now. I had the PApp-a test the same day as my nucal trans scan at 13 weeks, it is 90% accurate in detecting a possible chromsome concern. It is very good if combined in figuring out the risks of downs. The papp-a blood test is blood taken from your finger. You should also be refer to a high risk doc who specialized in high risk as well as a genetic counselor. They are more experienced in advanced age so if you arent referred by 10 weeks request it 🙂