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Re: FASTER trial/clinical practice From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu May 25 19:27:04 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "HIPPA violation" Previous message: Raymond Stephen: "Vaginal Breech delivery" In reply to: Marie Harkins: "FASTER trial/clinical practice" FWIW, a recent ACOG update tape was very good on the subject. The moderator, Mary D'Alton, summarized that Down Syndrome screening in the US is in transition. The implication is that some form of integrated or sequential screening (there are several different combos of how you link first trimester analytes, nuchal translucency, and second trimester analytes--separate, integrated, sequential, contingent, etc.) will likely be the norm in the future, but the logistics have to get up to speed, i.e. the mass of sonographers have to get up to speed on nuchal translucency. She also said that ongoing quality control is paramount, and not to simply start doing this on your own. Garry At Thu, 25 May 2006, Marie Harkins wrote: > >I was wondering what folks are offering women in the way of non >invasive screening for Down Syndrome? > >Is anyone routinely offering step-wise sequential screening (first and >second trimester screens) or serum integrated screening without nuchal >translucency? If so, are you offering it to all women regardless of >age and risk factors? > >Our practice is working on ways to increase the consistency of our >counseling in this area, but even our various consulting >perinatologists seem to be doing things differently. > >I am curious about what is going on in other places and would love some >input from this diverse crowd. > >-- >Marie Harkins, CNM >Ithaca, NY > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "HIPPA violation" Previous message: Raymond Stephen: "Vaginal Breech delivery" In reply to: Marie Harkins: "FASTER trial/clinical practice"

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