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Re: nonselective fetal reduction of triplets From: Braun, R. Daniel (rbraun@iupui.edu) Wed Feb 23 10:18:14 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Re: nonselective fetal reduction of triplets" Previous message: Robert J. Carpenter, Jr., M.D.: "Re: nonselective fetal reduction of triplets" Maybe in reply to: dr. peterman: "nonselective fetal reduction of triplets" Bob, Could you send that to "Bruce.speyer@obgyn.net"? He could then put it up on the site and send us all the URL which those of us who are interested could then download. Dan -----Original Message----- From: Robert J. Carpenter, Jr., M.D. To: Multiple recipients of list OB-GYN-L Sent: 2/23/00 11:56 AM Subject: Re: nonselective fetal reduction of triplets Date sent: Tue, 22 Feb 2000 19:36:43 -0600 Send reply to: ob-gyn-l@obgyn.net From: peterman@proteus.com (dr. peterman) To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Subject: nonselective fetal reduction of triplets Dear Dr. Peterman I tried emailing you privately to provide about 10 pps of data which I give to patients who call concerning reduction. You are correct concerning the issue of triplets. All of us who see RMFP patients counsel many triplet couples. 40% of reductitons are done in this category. Since it is possible for triplets to be delivered @ relatively good gestational age, it is the balancing of perceived risk which then allows for whatever decision is ultimately made. I do not encourage or discourage reduction in any pregnancy. The data which I give frequently helps people in their decision making process. If you can give me an address since the above failed in transmission twice, I will forward the data to you. I hope the data is helpful to you and ayour patient. RJC > I have a new ob patient with triplets (from IVF) who is agonizing over > the decision to procede with nonselective reduction (a choice offered > her by her perinatologist). ACOG Educational Bull. says that it is > unclear if long-term neonatal outcome is improved when triplets are > reduced to twins. This statement does not take into account published > work done at Chaim Sheba Medical Center in Israel in 1989, 1994 and > 1996, that shows a significant improvement in fetal outcome. How are > you advising your patients with triplets? When is the best time to > undergo fetal reduction?Does elective cerclage have a role (do I dare > ask this question?)? > > P.Peterman > Robert J. Carpenter, Jr., M.D. St. Luke's Medical Tower # 2720 6624 Fannin, Houston, TX 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: Geffrey Klein, MD: "Re: nonselective fetal reduction of triplets" Previous message: Robert J. Carpenter, Jr., M.D.: "Re: nonselective fetal reduction of triplets" Maybe in reply to: dr. peterman: "nonselective fetal reduction of triplets"

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