Our expert says:
The chances according to the test are exactly that 1 in 224, Further screening tests may alter the chances but the only way to be sure is to do an amniocentesis which is only useful if you absolutely have to know before birth(may affect what you do). Amniocentesis also has its own pregnancy loss rate.
Ultrasounds may pick up some suggestive signs.
The decision is however still yours as to which way to go
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