Re: IUGR

From: art fougner, md (evsono@pipeline.com)
Mon Mar 6 07:19:41 2000


Lenora

you could always get rapid karyotype via umbilical blood sampling if you have access to such a service. the consult is an excellent idea, of course. additionally, would also suggest dopplers - if there is a normal umbilical artery A/B ( or S/D) ratio, then early delivery would most likely be of negligible benefit. the advantage of knowing karyotype would be, hypothetically, to avoid procedures of negligible benefit for a mom carrying a fetus with a potentially lethal trisomy,eg serial biophysical profiles with Trisomy 13.

good luck to you, mom and baby.

Art

At Fri, 3 Mar 2000, Len2976@aol.com wrote: >
>Art, Terrance--
>
>Thanks--an abnormal karotype is also my main concern. The one OB I work with
>thinks that at 36 weeks its too late to offer and won't make a difference
>now. I would like to at least get a perinatal consult.
>
>Lenora

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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