Re: Oligohydramnios, dolicocephaly and elevated AFP

From: Larry Glazerman (l.glazerman@rcn.com)
Sun Jun 26 16:25:29 2005


Agreed as well

--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown, PC
610-402-0161
l.glazerman@rcn.com

_____

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of DoctorJoe@aol.com Sent: Friday, June 24, 2005 8:01 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Oligohydramnios, dolicocephaly and elevated AFP

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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