Re: Question for perinatologists

From: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)
Tue Jul 29 16:37:12 2003


Anna, It is prothrombin G20210 mutation and it should be performed as a PCR test. It is one of the thrombophilias - predisposing to emboli - one of the more significant causes as a matter of fact. Can be associated with pregnancy loss, but more commonly associated with embolic events. Lynn

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna Meenan, MD Sent: Tuesday, July 29, 2003 2:58 PM To: Multiple recipients of list OB-GYN-L Subject: Question for perinatologists

I have a patient in my indigent clinic who just had her second second-trimester loss. (First one last year at 16 weeks, this one last week at 18 weeks) Her public aid card runs out at the end of August, and of course she won't be able to get another one until she is actually pregnant the next time. Our perinatologist can't get her in before September, so I asked what blood workup we could do while she still has a card. He rattled off a list of tests and then had to run to an emergency. The one test I can't find in the lab order book is a "prothrombin 20120". I did have him repeat that one twice, because I had never heard of it. Is that the actual correct name of it, or does it go by something else, and what exactly does it measure?

Thanks.

Anna Meenan, MD (family practice--perinatology and fertility stuff is out of my league)





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