Im 18 weeks pregnant and my quad screen came back

Patient : Im 18 weeks pregnant and my quad screen came back at 1 in 41 chance baby has Trisomy 18, my mom had spina bifida, first how likely is it my baby actually has Trisomy 18? Second since my mom had spina bifida is it possible I carry the gene and it will come up positive no matter what? Thank you! Terrified momma here
Symptoms:  Pregnancy positive for trisomy 18
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