Re: Oligohydramnios, dolicocephaly and elevated AFP
From: art fougner, md (evsono@pipeline.com)
Mon Jun 27 08:12:14 2005
sorry i'm weighing in late on this - were fetal bladder and kidneys
visualized? were the renal arteries identified using color doppler? did
the uterine artery waveforms demonstrate bilateral notching? if the
placenta is anterior, consider placental biopsy ( late cvs) as an
alternative to amnio.
art
At Sun, 26 Jun 2005, Efrain Ramirez wrote:
>
>This circumstance is a very personal and tough one – you can have all
>the available data but at the end, one has to ask -- with which
>consequence (s) you can live the rest of your life at “peace with
>yourself” after making the decision…. If you choose an amniocentesis
>and because of it, an abortion of a healthy child occurs or don’t do it
>and – a baby with Down syndrome or other chromosomal abnormality is
>born? – both are direct consequences of our choices… tough. To Dr. Wang
>and his wife I wish them the best .. the wisdom to choose adequately,
>the acceptance of their choice and to their Doc – strength and caring.
>
>Ef.
>
>Ef.
>At Fri, 24 Jun 2005, DoctorJoe@aol.com wrote:
>>
>>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.
>
>--
> I think I will do nothing for a long time but listen,
> And accrue what I hear into myself...and let sounds
> contribute toward me.
>
> ~walt whitman~
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
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