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Re: ULTRASOUND digest 2170 Nuchal CordFrom: Philippe Jeanty (jeanty@TheFetus.net)Mon Feb 23 18:26:02 2004
Well the standard of care varies from one region to another, but in the US not reporting a documented fact will get you in trouble. -----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Prakie Persad Sent: Monday, February 23, 2004 7:22 PM To: Multiple recipients of list ULTRASOUND Subject: Re: ULTRASOUND digest 2170 Nuchal Cord I personally believe that we should not comment or document the nuchal cord even if it is observed. There is in fact no correlation between the presence of a nuchal cord and fetal outcome (The same cannot be said of a true cord knot, though). If this is brought into the picture and should the fetal outcome be less than optimal for any of many non-related issue, it raises the possibility of medico-legal action. In many centres, a large category of fetal demise remains "unexplained fetal death". The cord is around the fetal neck in almost 25% of all deliveries anyway. Prakashbhan Persad Consultant Obstetrician/ Perinatologist General Hospital, San Fernando Trinidad & Tobago
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