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Re: Elevated AFPFrom: Jason Gardosi (jason.gardosi@nottingham.ac.uk)Mon Oct 9 13:28:03 1995
><<only a 2-fold increase in IUFD risk - most of which was >identifiable based on very poor fetal growth - thus there is no appropriate >intervention in the anatomically normal fetus with an elevated MSAFP.>> > >So I like to follow elevated MSAFPs with serial sonography looking for fetal >growth retardation. I probably do more NSTs in the 3rd trimester, but I don't >know if that's very helpful. > ..and it is worth adding perhaps that an AFP can be 'false-high' due to an early bleed, but the latter itself is also a warning sign for a number of later problems - S/B, IUGR, prem labour etc., which indicate serial growth assessment. I cannot find much use for NSTs myself. jason.gardosi@nottingham.ac.uk Ob/Gyn, Queen's Medical Centre University of Nottingham, UK
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