Re: OB: MTHFR for old doctors

From: art fougner, md (evsono@pipeline.com)
Mon Oct 18 18:21:22 2004


Garry

try this review in Aug Grey Journal

Am J Obstet Gynecol. 2004 Aug;191(2):412-24.

OR

just ask TJ LOL

art

At Mon, 18 Oct 2004, Garry E. Siegel, M.D. wrote: >
>40 YO P1314 at 10 weeks, with no personal history of thromboembolism:
>
>Ob #1 1987, different hubby--spont PTL after uncomp preg, delivered at
>32 weeks.
>
>Ob #2, 1996, this hubby--35 week severe PIH due to IUGR, delivered due
>to same.
>
>Ob #3, 1999, 38 weeks, mild PIH, induced and delivered.
>
>Ob #4, 2001, 36+6, spont labor and delivery, no PIH.
>
>Ob #5, 2004, surprise(!), normal nuchal translucency/blood at 13 weeks,
>demise at 18 weeks. No studies done as they weren't having more
>children.
>
>Thus, given the above, did testing for the thrombophilias:
>
>Results negative for Lupus anti-coagulant, cardiolipin antibody, Factor
>V Leiden, ATT III, Protein S and C, yaday.
>
>MTHFR heterozygous positive, and MFM says no problem, but to test
>fasting homocysteine, which is being done.
>
>Here's my real question:
>
>I can't really find the basic science on this in anything I have. I've
>found a 1997 reference, and have ordered it. Does anyone have any
>articles for old doctors about thromobophilias in general?
>
>Thanks,
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
art fougner, md
ich bin ein New Yorker




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