Re: Double nuchal cord on ultrasound
From: Efrain Ramirez (eramirezt@coqui.net)
Wed Jun 9 20:21:11 2004
I did not know I had my personal Oxford Superlex Dictionary !! --but
thanks.. !!Your input was greatly appreciated..
>At Wed, 9 Jun 2004, Braun, R. Daniel wrote:
>
>NTS ?????????????????????????
>
>Neural Tube Screening???
>
>Dan
>
>"Sound is like water. If you drill one hole in the wall the sound will
>leak right through."
>
>- JAY BRAUN, a band member by love, a soundproofer by necessity.
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain
>Ramirez
>Sent: Wednesday, June 09, 2004 1:11 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Double nuchal cord on ultrasound
>
>Agree -- do NTS - wait for onset of labor - this topic has been brought
>before - let's raise the number of loops to 4-5 --
>
>>At Tue, 8 Jun 2004, ainsron wrote:
>>
>>Wait a minute. "Ask the Patient?" We are supposed to be the
>>professionals. I would tell the patient that a double nuchal cord was
>>found, tell her that many babies are born with nuchal cords and even
>>true knots without any problems, but let her know that it could cause
>>problems during or before labor if it were to tighten -which is not
>>predictable and not a high percentage. I would tell her to watch fetal
>
>>movement consistently and report to L&D if any acute changes -
>>increased or decreased. I would offer NST 2x wkly until delivered. If
>
>>there are severe variables in labor, deliver by C/S. If she strongly
>>requested a C/S I would most likely agree to it, but not without a
>>couple of weeks of negotiation and discussion.
>>
>>Ronald E. Ainsworth
>>
>>-----Original Message-----
>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>Richard Chudacoff, MD
>>Sent: Tuesday, June 08, 2004 6:53 AM
>>To: Multiple recipients of list OB-GYN-L
>>Subject: Re: Double nuchal cord on ultrasound
>>
>>Ask the patient. Offer a primary C-section or attempt a vaginal
>>delivery. If there are abnormalities on the FHR tracing in labor, then
>>cut.
>>
>>Richard Chudacoff, MD
>>
>>Beer is living proof that God loves us and wants us to be happy.
>>
>>Benjamin Franklin
>>
>>Heaven grant that the burden you carry may have as easy an exit as it
>>had an entrance. [Prayer To A Pregnant Woman]
>>-Desiderius Erasmus
>>
>>Para one @ 36 weeks has an ultrasound - all parameters normal vertex,
>>was breech previously. Has a double nuchal cord on ultrasound. Now
>>what?
>>
>>Robert Modugno MD MBA FACOG
>>Marietta, GA
>>http://www.novaobgyn.yourmd.com
>
>--
>"The opposite of a correct statement is a false statement.
>But the opposite of a profound truth may well be another profound
>truth."
>
>Niels Bohr (1885 - 1962)
>
--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."
Niels Bohr (1885 - 1962)
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