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Re: Elevated AFPFrom: DuBose (dubose@io.com)Sun Oct 8 16:13:43 1995
On Sun, 8 Oct 1995 cnmpat@halcyon.com wrote: > What are you doing for women with: elevated AFPs, normal Level II ultrasounds, > and normal amnio (if the mom chose to have it done). What are some of the > statistics for increased risk of: IUGR, IUFD and PIH? I will be interested in > your comments. > ************************** > Pat Sonnenstuhl, ARNP,CNM > South Sound Nurse Midwives
> 1-800-633-1877 I can do further as a sonographer. The management is up to the obstetrician. The latest thing I have on AFP is the syllabus from a lecture I tended week before last, September 29, 1995, Society of Diagnostic Medical Sonographers Annual Conference Official Proceedings (pp 147-155) in Atlanta. The lecture was titled "The Mystery Continues: AFP Discrepancies" by: Debi F. Brightwell, RDMS, Senior Sonographer Bond Clinic, P.A. 500 Easet Central Avenue Winter Haven, FL 33880 The syllabus contains a graphic algorithm for following a high MSAFP. I'm sure she would be honored if you asked her for a copy of her paper. Or if you are in a hurry, send me a fax number and I'll fax the algorithym to you. Stats that Brightwell quote are: "Open neural tube defects are among the most common congenital anomalies occurring in the United States. The overall prevalence of these defects are 1 to 2 per 1,000 pregnancies in the U.S. and 5 to 7 per 1000 in Great Britian. The prevelance is higher in the eastern U.S. than the western U.S. and higher amoung Caucasians than Blacks. The risk increases by 5% when children are born in families with a child who has a neural tube defect adn 10% with two pervious children with defects." She also discusses TRIPLE SCREEN MARKERS IN MS-AFP SCREENING. Hope this helps, Peace, Terry
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