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Re: Twin Amnio From: art fougner, md (evsono@pipeline.com) Sun May 21 10:04:39 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: OB: Billing when the MD doesn't make it--long" Previous message: art fougner, md: "Re: OB: Billing when the MD doesn't make it--long" In reply to: john miklos: "Re: Office urodynamics system - help please" Next in thread: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" Reply: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" two randomized studies conclude that not only is early amnio more hazardous than 16 wk amnio, it may be more hazardous than cvs. while they specifically did not address the issue of multiple gestation, there is no good evidence on which to base the conclusion that early amnio is any safer for multiples. i would totally agree with Dr. Bombard on the experience issue. art At Sun, 21 May 2000, Jim Connerth wrote: > >I believe the increased loss was backed up by several studies--- > >Garry Siegel wrote: > >> At Sat, 20 May 2000, EKJMDRN@aol.com wrote: >> > >> >Question regarding genetic amniocentesis in twin pregnancies. >> > >> >Is there a decreased risk of amniocentesis related miscarriage in twin >> >pregnancies when amnio is performed earlier than 15-16 weeks? I know of a >> >colleague who recommends amnio at 13 weeks. >> > >> >Thanks in advance. >> > >> >Eric B. Jacoby, MD >> >Private Practice >> >Plano,TX >> >> I specifically remember an article in the Green from U of Alabama >> Birmingham (my training ground) by Brumfield, et al, that actually >> showed an *increased* loss rate earlier than 15 weeks. I bet it was for >> singletons, but I believe that this study helped shift the trend away >> from the earlier amnios. The perinatologists in my world aren't doing >> them much anymore. >> >> Garry >> >> -- >> Garry E. Siegel, M.D., F.A.C.O.G. >> Roswell, GA >> Private Practice -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Paul Prior MD: "Re: OB: Billing when the MD doesn't make it--long" Previous message: art fougner, md: "Re: OB: Billing when the MD doesn't make it--long" In reply to: john miklos: "Re: Office urodynamics system - help please" Next in thread: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long" Reply: Efrain Ramirez: "Re: OB: Billing when the MD doesn't make it--long"

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