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Re: OB: Vasa Previa From: art fougner, md (evsono@pipeline.com) Wed Apr 6 14:21:29 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Lawsuit-Minded Doctors, Hospitals Restrict Delivery-Room Videos" Previous message: doctorjoe@aol.com: "Re: Lawsuit-Minded Doctors, Hospitals Restrict Delivery-Room Videos" In reply to: Garry E. Siegel, M.D.: "OB: Vasa Previa" Garry I actually DID make the diagnosis prenatally - was following the patient for placenta previa when the light bulb went on and I had my Archimedes "Eureka" moment. This patient had, not placenta, but a narrow band of tissue with fetal vessels (demonstrable with doppler) covering the internal os. Her referring OB called me from the Recovery Room to thank me. (I'm usually like a broken clock - right twice a day.) That being said - this is not an easy diagnosis to make - and the sensitivity, specificity and predictive values of the ultrasound diagnosis of vasa previa need to be worked out. Art At Tue, 5 Apr 2005, Garry E. Siegel, M.D. wrote: > >A delightful 36 YO P1011 at 32 weeks, prior C/S for repeat, brought in a >short article from Prevention Magazine (Feb 2005) about Vasa Previa, and >the Ob quoted (a med school faculty member) said it could be detected >antenatally with vaginal doppler scanning, and should be picked up. > >She asked is she should have this, and I said "You can, but it is not >standard and this is a rare condition." > >Any thoughts? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: art fougner, md: "Re: Lawsuit-Minded Doctors, Hospitals Restrict Delivery-Room Videos" Previous message: doctorjoe@aol.com: "Re: Lawsuit-Minded Doctors, Hospitals Restrict Delivery-Room Videos" In reply to: Garry E. Siegel, M.D.: "OB: Vasa Previa"

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