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Re: obgy- IUGR From: art fougner, md (evsono@pipeline.com) Sat Oct 5 10:58:33 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Judosborne@aol.com: "email address change" Previous message: Efrain Ramirez: "Where is Kevin? -" In reply to: Dr Aswath kumar: "obgy- IUGR" seems a bit premature ( no pun intended) to pull the trigger. as dopplers seem nl would follow amniotic fluid volume, NST/CTG, looking for other signs of decompensation. consider infectious or syndromic etiologies for sga. art At Thu, 3 Oct 2002, Dr Aswath kumar wrote: > >Sir/Madam, >I am a post MD resident in the dept. of OBGY at the B.J. Medical >College Ahmedabad,Gujarat, India. >I have a querry regarding the medical condition of my sister. She is 27 >yrs of age,married 18 months ago. Now pregnant for the first time. She >used to have menstrual periods of varying lengths,the longesthaving been >56 days.At present she is 31 weeks according to LMP. According to the >Sonography report, the baby is of 25 weeks maturity. >The previous USG findings are as follows: at 12 wks according to LMP, >maturity was 11 wks, at 21 wks-maturity was 18 wks, at 27 wks-maturity >24 wks, at 29 wks-maturity 24 wks, and at 31 wks-maturity 25 >wks.According to the present USG findings,BPD-66mm, OFC-247mm, AC-193mm, >FL-47mm. SD ratio umbilical artery 3.5, middle cerebral artery SD ratio >of 6. Chordocentesis at this stage doesn't reveal any chromosomal >anomalies.Mother has no associated medical diseases. >Based on these findings, the treating Obstetritian has diagnosed >symmetric IUGR and has advised immediate termination of the pregnancy,as >the baby would be having significant brain damage. >Iam really confused.Can the pregnancy be continued? Or,should we >terminate the pregnancy? If we decide to continue with the >pregnancy,what are the chances of an abnormal baby? >Kindly reply at the earliest,as they have fixed up Monday for >termination. >Thanking you, >Yours sincerely, >Dr. Aswath Kumar. > >-- >Aswath Kumar, Post-MD resident, B.J.Medical College, Ahmedabad, Gujarat, India. > -- art fougner, md ich bin ein New Yorker Next message: Judosborne@aol.com: "email address change" Previous message: Efrain Ramirez: "Where is Kevin? -" In reply to: Dr Aswath kumar: "obgy- IUGR"

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