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Re: OB: Poor reproductive outcome From: art fougner, md (evsono@pipeline.com) Wed May 16 20:40:56 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: OB: Cystic Fibrosis testing" Previous message: Larry Glazerman: "Re: OB: Poor reproductive outcome" In reply to: Garry Siegel: "OB: Poor reproductive outcome" Next in thread: ATB28@aol.com: "Re: OB: Poor reproductive outcome" yes art At Wed, 16 May 2001, Garry Siegel wrote: > >30 YO P 0120, 6.5 weeks now: > >1st preg, age 17, "miscarried" at 6 months, passed a fetus and had to >have a curettage. No records, of course. > >2nd preg, 1999, spont Ab at 5 to 6 weeks, no D and C (elsewhere) > >3rd preg, 2000, laparoscopic salpingostomy for early tubal pregancy >found via HCG/Ultrasound when spotting at 6 to 7 weeks > >This preg--because of a prior tubal pregnancy, HCGs done. She is >asymptomatic > >5/8--1229, progesterone 10 >5/10--1296--reported Friday, 5/11, patient out of town >Mon, 5/14, 3300 >Tues, 5/15--ultrasound shows small gest sac with a yolk sac that >literally fills the gest sac, and a small (3 mm) pole with a FHR of 84. > >Thus, this pregnancy isn't right, so to speak. She is going to have a D >and C tomorrow (did not at all wish for expectant management), and asked >about a workup. I'm going to send chromosomes (bet they're abnormal). > >Would you then work her up for recurrent Ab, even though she doesn't >really fit the "two in a row" or "three in a row"? > >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: art fougner, md: "Re: OB: Cystic Fibrosis testing" Previous message: Larry Glazerman: "Re: OB: Poor reproductive outcome" In reply to: Garry Siegel: "OB: Poor reproductive outcome" Next in thread: ATB28@aol.com: "Re: OB: Poor reproductive outcome"

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