Re: OB: Advanced Maternal Age

From: ATB28@aol.com
Sun Dec 17 12:11:11 2000


In a message dated 12/16/2000 4:48:38 PM Pacific Standard Time, geffrey.klein@medispecialty.com writes:

> Any thoughts on this Green Journal Article?
>
> Efficacy of Screening for Fetal Down's Syndrome in the US from 1974
> to 1997. Egan etal Obstet Gynecol 2000;96:979-85
>
> Essentially they are saying that the idea of offering amnio to women
> who will 35 or older at delivery is no longer valid and that triple
> screen should be used instead..
>
> --
>

Actually, other data supporting this concept has been out there for some time (FBR data from Maine; CA State screening program; etc.), but until the ACOG and the ACMG indicate that the standards of care have evolved - and recommend AGAINST offering invasive prenatal diagnosis for women age 35 years and older at term, I certainly wouldn't change my practice. Allan T. Bombard, MD





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