Re: Gestational Age
From: art fougner, md (evsono@pipeline.com)
Wed Jan 26 12:27:36 2000
if your ultrasound first TM dating is no better than +/- 10 days, you
need to talk to your ultrasound folks.
Art
At Wed, 26 Jan 2000, Malcolm Griffiths wrote:
>
>In my unit we tend to stick with LMP unless there is a difference between US
>estimate and LMP of more than 10 days on 1st trimester scan or 14 days on
>2nd trimester scan.
>
>I am though well aware of Jason Gardosi's (& others) work which shows that
>we should always accpet the US estimate no materr what the LMP. This avoids
>mislabelled post-dates and other problems. I would happily follow Jason's
>example but feel that my colleagues aren't quite ready for that yet. LAter
>this year when my new MFM colleague starts I may be able to switch:-)
>
>--
>Malcolm GRIFFITHS, Ob/Gyn E-mail obsdoc@doctors.org.uk
>Dept of Obs & Gynae +44(0)1582-497533 (Sec) 21, School
>Lane,
>Luton & Dunstable Hospital, +44(0)1582-497376 (Fax/me) Eaton Bray,
>Lewsey Road, +44(0)1525-222849 (Home)
>DUNSTABLE,
>LUTON, LU4 0DZ.. +44(0)1525-222643 (Fax)
>Beds., LU6 2DT..
>>----- Original Message -----
>From: Ricardo Gomez <rgomez@ciamnet.com>
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>
>Sent: Tuesday, January 25, 2000 7:54 PM
>Subject: Gestational Age
>
>> I'm a 2nd year resident and confused as to how to properly determine the
>> gestational age under the following circumstances:
>> a) when the LMP is unknown (go by the US estimates) that's pretty easy
>> b) when the menstrual dates and US dates coincide with a CRL or a first
>> trimester scan WITHIN A WEEK (again, that's easy)
>> c) when the menstrual age and US estimate vary by more than 1 week (from
>> CRL)?? from a scan in the 1st 20 weeks??
>> d) when menstrual dates and US estimate vary by more than 2 weeks from
>> CRL ?? from a scan within 20 weeks'gestation ?
>>
>> Basically what I'm asking how do most of the listers utilize the gest
>> age obtianed by US and correlate it to that obtained by LMP. I'm not
>> sure if I've made my self understood. I hope so. Gracias
>>
>> RGomez
>>
--
art fougner, md
and what am i gonna do with all this food, bottled water,
and gasoline now that armageddon was called off for lack
of interest?
