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Re: Double nuchal cord on ultrasound From: Charlie Chambers (cchamber@gorge.net) Thu Jun 10 10:41:28 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: trapped vertex at c-section" Previous message: Elrod Glen Maj 3 MDG/SGOB: "Deadbeat Dads Face Ban on Procreation" In reply to: RModugno@aol.com: "Re: Double nuchal cord on ultrasound" Next in thread: Braun, R. Daniel: "Re: Double nuchal cord on ultrasound" On a certain level, I think it makes some sense. However, you would be talking about induction of a large number of babies at 37 weeks because if you do it for one then you have to offer it for everyone. Also, the association is assumed causative if you have a stillbirth then the nuchal cord is at fault. When 25-30% of pregnancies by 42 weeks have a nuchal cord then assuming cause and effect is only natural, but the proof isn't there. Unfortunately, we still have a large percentage of IUFD's are idiopathic. Until we have etiologies for these cases, it's tough to recommend an intervention. Her biggest risk factor for IUFD is not the nuchal cord but being pregnant. I think you can make a much better argument to induce everyone at 37 weeks to reduce IUFD's (not that I would agree), as long as you are willing to ignore the complications of inductions. ************************************************************************ ** Charlie Chambers -- Hood River, OR USA cchamber@alumni. rice. edu "I'm a goin fishin. Yeah, I'm goin fishin And my baby's goin fishin too!" Taj Mahal ************************************************************************ On Jun 9, 2004, at 6:48 PM, RModugno@aol.com wrote: > In a message dated 6/9/2004 6:54:22 PM Eastern Daylight Time, > rchudacoff@mylinuxisp.com writes: > >> After all, no tried and true management will impact outcome. Plus, >> you are looking at up to 25% population will have a >> nuchal cord, and will no sequelae. > > Charlie, wouldn't induction of a live fetus impact the outcome rather > than have an IUFD? Remeber we are talking about a double nuchal cord. > > Robert Modugno MD MBA FACOG > Marietta, GA > http://www.novaobgyn.yourmd.com > Next message: art fougner, md: "Re: trapped vertex at c-section" Previous message: Elrod Glen Maj 3 MDG/SGOB: "Deadbeat Dads Face Ban on Procreation" In reply to: RModugno@aol.com: "Re: Double nuchal cord on ultrasound" Next in thread: Braun, R. Daniel: "Re: Double nuchal cord on ultrasound"

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