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Re: fetal movement From: R. Daniel Braun, MD FACOG (rbraun@iupui.edu) Wed Dec 3 03:13:51 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Annette Knobloch: "Re: Cervical Length" Previous message: Terry J. DuBose: "Re: "trophotropism" theory of placental migration, etc." What we need to remember is that there is no such thing as a positive or a negative on this SCREENING test. Your results should come to you as a risk for; i.e. the risk for a neural tube defect is 1 in 26,600 or the risk for NTD is 1 in 15 or the risk for trisomy is 1 in 250. Then when you discuss the results with the patient you explain to them what the chances are, what the tests for finding out is and what its risks are, and what the disorder is. Then you let them decide on whether or not to have the definitive procedure. This test is not meant to make a diagnosis, it is meant to delineate a group who is at increased risk. I always explain to my patients, before they accept or decline the triple screen, that it never tells anyone that their baby has any disorder or that their baby does not have any disorder. It only gives us a risk. -- R. Daniel Braun, MD FACOG On Wed, 26 Nov 1997, Diana Connor wrote: > > Do any of the OB's or someone else have any thoughts on maternal screening > re alpha feta protein levels? It is pretty commonplace north of the border > to screen all future moms. The only problem is that there seem to be a lot > of false +ves either way. To me, ruling out the high end is easier, as I > would hope that by now we are pretty good with spines. How about the low's? > Sometimes we get pts. that have low afp's- some cannot have amnios > (bleeding. prob pregs etc) so we are forced to look for any abn that might > be associated with Down's Syndrome. This I don't think has been perfected > yet! > Do all these women with borderline highs panic, or do you find that you all > get a lot as well? Are there any other ways of r/o Tris 21 in these pts > without amnio? > > Thanks and : - ) HAPPY THANKSGIVING TO THOSE IN USA > Diana Connor MRT(R), RDMS Next message: Annette Knobloch: "Re: Cervical Length" Previous message: Terry J. DuBose: "Re: "trophotropism" theory of placental migration, etc."

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