Re: Amnio for woman aged 30

From: Dr. Lynn Montgomery (lmontgomery@communitymed.org)
Mon Jul 31 10:23:40 2000


Have her contact Mark Evan's office at Wayne State in Detroit. I don't think they will have a problem doing the amnio. Lynn

--
Lynn D. Montgomery, M.D.
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
2825 Fort Missoula Rd., Suite 130
Missoula, Montana, 59804
406-327-4094
fax: 406-327-4154
e-mail: lmontgomery@communitymed.org
Website: http://www.communitymed.org/rmpc/

>----- Original Message ----- From: Kathi Wilson <wilsonk@gtn.on.ca> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> Sent: Monday, July 31, 2000 6:46 AM Subject: Amnio for woman aged 30

> Our practice has just taken into care a 30 year old woman who wants to > have an amniocentesis done. She is fully cognizant of the risks of > miscarriage vs. malformation, but states that it is absolutely > unacceptable to her and her husband to have a baby with a genetic > defect. > > Our genetics clinic and OB's up here will *not* do an elective amnio on > a woman unless she is aged 35 or more. Otherwise the route is maternal > serum screen and amnio prn. Part of the rationale is, no doubt, use of > resources and cost-effectiveness, but the genetics clinic also expressed > ethical concerns (i.e. people wishing amnio to determine gender and > termininating if wrong gender). > > This woman is a US citizen and, therefore, wishes to go to the US to pay > for an amnio. The closest major centres for her from here are Detroit > and Buffalo. Without getting into a large ethical discussion about this > whole issue, I would like to know a) if it's possible for her to > self-refer to an obstetrician in the US for amnio and b) names of > recommended obstetricians in either of these two centres. Although the > woman desparately wants this amnio, and will travel and pay to have it > done, she also wishes to have a competent practitioner. > > You may e-mail me privately with your responses, if you wish. > -- > Kathi Wilson, RM > Ilderton, Ontario, Canada > mailto:wilsonk@gtn.on.ca > ********************** > Thames Valley Midwives > 346 Platts Lane,

> London, Ontario, Canada > > http://tvm.on.ca > mailto:info@tvm.on.ca >





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