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Re: IUGR From: art fougner, md (evsono@pipeline.com) Fri Mar 3 13:53:01 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: Candida albicans" Previous message: DoctorJoe@aol.com: "Fwd: Early Release Article and Editorial from the New England" In reply to: Margot Bourassa, MD: "Re: tongue studs" Next in thread: Garry Siegel: "Re: IUGR" would recommend karyotype and consultative ultrasound including fetal echo. sounds likely that another shoe waits to drop. good luck. Art At Fri, 3 Mar 2000, Len2976@aol.com wrote: > >27 y/o w/f G1 at 35.5 weeks gestation. >U/S ordered by me 2 weeks ago for S< D (FH 30 cm at 33 weeks); weekly >NSTs-(last done 3/1/00--reactive) started at that time. > >U/S (done 2/29) reveals symmetrial IUGR: > ---AGA--31.5 weeks (FL 30 wks--sl. < HC, AC) > ---AFI 13.5 (NL) > ---EFW 1740 gms (< 10th percentile) > ---cleft palate > >U/S done at 21 weeks--"normal," without notation of cleft palate or any other >defects. When I spoke to the radiologist comment made--"Didn't get good view >of face." > >I consulted with both OBs in our 2 obstetrician/3 CNM practice. One advises >twice weekly NSTs (or weekly BPP), repeat U/S in 2 weeks for interval growth, >and delivery at 38 weeks or sooner if abnormal tests. The other obstetrician >questions whether patient should be referred to Level 3 facility (we have >Level I) nursury. > I > plan to see the patient Monday. When I spoke to her on the telephone (after >her call re the U/S results), I just told her about the small baby. I felt I >needed to see her in person (it was also her birthday yesterday!) to discuss >the results and give her management options. > >Comments and recommendations, please. > >Lenora McCall, CNM >Spring Hill, Florida -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: ainsron@msn.com: "Re: Candida albicans" Previous message: DoctorJoe@aol.com: "Fwd: Early Release Article and Editorial from the New England" In reply to: Margot Bourassa, MD: "Re: tongue studs" Next in thread: Garry Siegel: "Re: IUGR"

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