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Re: any clues?From: Malcolm Griffiths (malcolm@mgriff22.demon.co.uk)Fri Jul 11 12:48:21 1997
In message <33C59347.579B@gate.net>, dahmd <dahmd@gate.net> writes >, a hysterosalpingogram (HSG) to rule out >uterine anomalies, and perhaps a hemoglobin A1C. Regarding IUFD @ 23 weeks. 1) I have often seen it claimed that uterine abnormalities may account for preterm delivery and or late spontaneous abortion - though I have also read that uterine abnormalities other than the most gross ones are not a particulary cause for such deliveries. In this instance though I am particularly puzzled how a uternie abnormality might be implicated in IUFD. 2) I have an unpublished case series well into three figures of second & third trimester losses. In no case was HbA1c ever raised in the absence of frank diabetes or some other indicator. In investigation of IUFD at any gestation or of congenital abnormality HbA1c and fructosamine are a waste of time and money. ( My 2c worth :-) )
--
Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt
Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK.
Tel: 01582-497459 (office) Fax: 01582-497376
01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk
http://www.obgyn.net/board/griffith.htm
"It is dangerous to be right on a subject on which the established authorities
are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths)
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