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Re: Oligohydramnios, dolicocephaly and elevated AFPFrom: Robert J. Carpenter, Jr. MD (zygote@icsi.net)Fri Jun 24 18:55:57 2005
The critical question anytime anthing is observed on sono that is not kosher is what is going to be done with the information. If TAB is not "on the table, then only observation is appropriate and whatever outcome is, is okay - althought not desired. If TAB is on the table, then why does the risk a major issue when absnece of fluid at this gestation is abn and significant risk for adverse outcome whether you do anything or not. Amnioinfusion for both visual and cytogenetic analysis very appropriate. Many anomalies are seen with fluid than without. As always its needs to be done with the understanding that loss may occur from procedure directly or indirectly. Risk of loss post cord sampling is low even in absence of any fluid - been there too many times. The dx is most improtant to then allow informed decision concerning what alternative option may be most appropriate. And regardless of whether the person investigatin the problem is generalist or MFM, s/he needs to have good hands and judgment. Sorry for your situation! On 23 Jun 2005 at 11:21, Lynn D. Montgomery, M.D. wrote:
> Jim, Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 St. Luke's Medical Tower Houston,TX 77030-2339 713-795-4600
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