Re: Double nuchal cord on ultrasound

From: Braun, R. Daniel (rbraun@iupui.edu)
Wed Jun 9 06:45:40 2004


NTS ?????????????????????????

Neural Tube Screening???

Dan

"Sound is like water. If you drill one hole in the wall the sound will leak right through."

- JAY BRAUN, a band member by love, a soundproofer by necessity.

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Wednesday, June 09, 2004 1:11 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Double nuchal cord on ultrasound

Agree -- do NTS - wait for onset of labor - this topic has been brought before - let's raise the number of loops to 4-5 --

>At Tue, 8 Jun 2004, ainsron wrote:
>
>Wait a minute. "Ask the Patient?" We are supposed to be the
>professionals. I would tell the patient that a double nuchal cord was
>found, tell her that many babies are born with nuchal cords and even
>true knots without any problems, but let her know that it could cause
>problems during or before labor if it were to tighten -which is not
>predictable and not a high percentage. I would tell her to watch fetal

>movement consistently and report to L&D if any acute changes -
>increased or decreased. I would offer NST 2x wkly until delivered. If

>there are severe variables in labor, deliver by C/S. If she strongly
>requested a C/S I would most likely agree to it, but not without a
>couple of weeks of negotiation and discussion.
>
>Ronald E. Ainsworth
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>Richard Chudacoff, MD
>Sent: Tuesday, June 08, 2004 6:53 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Double nuchal cord on ultrasound
>
>Ask the patient. Offer a primary C-section or attempt a vaginal
>delivery. If there are abnormalities on the FHR tracing in labor, then
>cut.
>
>Richard Chudacoff, MD
>
>Beer is living proof that God loves us and wants us to be happy.
>
>Benjamin Franklin
>
>Heaven grant that the burden you carry may have as easy an exit as it
>had an entrance. [Prayer To A Pregnant Woman]
>-Desiderius Erasmus
>
>Para one @ 36 weeks has an ultrasound - all parameters normal vertex,
>was breech previously. Has a double nuchal cord on ultrasound. Now
>what?
>
>Robert Modugno MD MBA FACOG
>Marietta, GA
>http://www.novaobgyn.yourmd.com

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound
truth."

Niels Bohr (1885 - 1962)





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