Re: Oligohydramnios, dolicocephaly and elevated AFP

From: DoctorJoe@aol.com
Fri Jun 24 18:59:45 2005


In a message dated 6/24/05 11:00:49 AM, l.glazerman@rcn.com writes:

> Agreed, although in my experience, the question about whether the pregnancy
> would be terminated often enters into the decision about whether to have an
> invasive test performed. IF the patient would not choose to terminate even
> an abnormal pregnancy, many of them choose not to have a test. I do agree
> that some patients will choose testing just for "advance warning" of a
> problem.
>

Well, one datum point which can be put in the old computer is that a lethal defect, while maybe not convincing the parents to abort, can be used as a reason to NOT perform a c-section for "fetal distress." Since many, if not most abnormal fetuses show fetal monitor evidence of distress when stressed, you'd be doing a c-section for no reason if the defect was ultimately lethal.

Joe P.





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