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Re: OB: Advanced Maternal Age From: art fougner, md (evsono@pipeline.com) Mon Dec 18 07:49:11 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Implants for HRT used in the UK" Previous message: DoctorJoe@aol.com: "Fwd: Fastest Growing Physician Network on the Internet..." In reply to: Larry Glazerman: "Re: OB: Advanced Maternal Age" Next in thread: Dr. Lynn Montgomery: "Re: OB: Advanced Maternal Age" Reply: Dr. Lynn Montgomery: "Re: OB: Advanced Maternal Age" one point to consider is the variability in quality from laboratory to laboratory with regard to serum screens. also depends on the local incidence of Down's. the bottom line will be how sure will folks want to be. until such time as reliable and reproducible results can be obtained from analysis of fetal cells in maternal circulation, we are pretty much locked into this situation. art At Sun, 17 Dec 2000, Larry Glazerman wrote: > >Allan: > >I agree, but I do tell patients who are leaning against amnio that the >triple screen is a reasonable first step if they're not sure. > >I also advise them that it's not currently "standard of care" and if they >eventually decline amnio I have them sign a refusal > >At 01:14 PM 12/17/00 -0600, you wrote: >>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who will 35 or older at delivery is no longer valid and that triple 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 > >-- >Larry R. Glazerman, MD >Ob-Gyn at Trexlertown >610-402-0161 >l.glazerman@rcn.com > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Implants for HRT used in the UK" Previous message: DoctorJoe@aol.com: "Fwd: Fastest Growing Physician Network on the Internet..." In reply to: Larry Glazerman: "Re: OB: Advanced Maternal Age" Next in thread: Dr. Lynn Montgomery: "Re: OB: Advanced Maternal Age" Reply: Dr. Lynn Montgomery: "Re: OB: Advanced Maternal Age"

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