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Re: Superfetation or severe IUGR?? From: Kathi Wilson (wilsonk@gtn.on.ca) Sat Feb 24 15:58:28 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Re: Superfetation or severe IUGR??" Previous message: Garry Siegel: "Re: US docs only. Telephone consults" Maybe in reply to: M. Kelly Shanahan, MD: "Superfetation or severe IUGR??" Next in thread: Geffrey Klein, MD: "Re: Superfetation or severe IUGR??" "M. Kelly Shanahan, MD" wrote: > Sent for a second MFM consult with a different MFM (MFM#1 just does > genetic counseling). This MFM scans her, gets an EDC of 6/20 and says > there is no IUGR, just erroneous dates. He does review all hte data and > can't explain how we saw a 6 week fetus on 9/22, which is a couple of > days before the estimated date of conception according to his scan. > "Maybe she lost the first one and just got pregnant again" is his > explantation". > > I know superfetation occurs in horses, but humans? And even if this is > superfetation, how can you explain seeing a fetus at 6 wks, 8 wk and 15 > wks, then it completely disappearing only to be replaced by a second > baby, never seen before that is 4 weeks younger?? Do your MFM guys do their own scanning? Our MFM people scan themselves only for routine kinds of things, ie. BPP, position and such. Has this woman had a targeted ultrasound (what, in this neck of the woods, are also termed "level II" and no we don't have a level III)? Around here, only radiology would be making such definitive statements. If IUGR is due to genetic effect, as I recall, it would by symmetric, not asymmetric, and therefore you wouldn't be looking at the same sorts of biometric parameters, I would think. -- 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 Next message: Geffrey Klein, MD: "Re: Superfetation or severe IUGR??" Previous message: Garry Siegel: "Re: US docs only. Telephone consults" Maybe in reply to: M. Kelly Shanahan, MD: "Superfetation or severe IUGR??" Next in thread: Geffrey Klein, MD: "Re: Superfetation or severe IUGR??"

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