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Re: any clues? From: Harvey S. Marchbein, M.D. (hmarchbein@worldnet.att.net) Thu Jul 10 19:51:33 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jose C. Ferreira: "Re: MSAFP vs triple screen" Previous message: dahmd: "Re: any clues?" Maybe in reply to: Dr. Amarnath Bhide/Rajendra Deshpande: "any clues?" Next in thread: Jose C. Ferreira: "Re: any clues?" At Thu, 10 Jul 1997, dahmd wrote: > >Dr. Amarnath Bhide/Rajendra Deshpande wrote: >> >> A 22 yr old G1 registered for AN care at 16 weeks. 19 weeks scan was >> normal. No risk factors. A visit at 23 weeks, I was unable to document FHS >> on stethoscope/doppler. No symptoms. An urgent USG documented severe >> oligoamnios and IUFD. > >I usually evaluate these patients with a fetal autopsy and karyotype >(sounds impossible in your situation with a macerated fetus), >antiphospholipid antibodies, a hysterosalpingogram (HSG) to rule out >uterine anomalies, and perhaps a hemoglobin A1C. Since the 19 week scan >was "normal" it sounds unlikely that a condition such as Potter's >Syndrome was the culprit, although another anomaly, including a >chromosomal problem, could have caused this. Good luck. I really hate >when tragedies like this happen. I agree with Ashley's assessment. My money (little that there is after managed care) is on fetal autopsy/karyotype findings being the culprit. -- Harvey Harvel the Marvel Harvey S. Marchbein, M.D. FACOG, FACS President, Nassau Obstetrical and Gynecological Society, Inc. OBGYN.net U.S. Representative, New York http://www.obgyn.net/states/bios/marchbein.htm Private practice, Long Island, N.Y. ********************************* It's better to be lucky than to be smart. Even smart people can have an off day! ********************************* Next message: Jose C. Ferreira: "Re: MSAFP vs triple screen" Previous message: dahmd: "Re: any clues?" Maybe in reply to: Dr. Amarnath Bhide/Rajendra Deshpande: "any clues?" Next in thread: Jose C. Ferreira: "Re: any clues?"

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