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Re: OB: Home births**more info From: Betsy Hyde (elishyde@mindspring.com) Fri Nov 25 18:20:20 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: Home births: double footling breech" Previous message: Raymond Stephen: "Re: Home births: double footling breech" In reply to: AFPPLUS3@aol.com: "Re: OB: Home births**more info" You are correct. I can't find a post of mine on Quad vs first trimester risk assessment vs integrated screen.....not under this topic, at least. As you have stated, integrated screening has greatest sensitivity and specificity. We offer it to our patients. At Yale, women can have their blood work done prior to their nuchal thickness, and get a result on the spot. They may then elect AFP or full 2nd trimester analysis of risk. It does get complicated when we discuss this! -- Betsy Hyde CNM Branford, CT On Friday, November 25, 2005, at 06:19 PM, AFPPLUS3@aol.com wrote: > Betsy, >   > You mention that BhCG, PAPP-A, and Nuchal is more accurate than the > Quad Test, but you forget to mention that the most accurate, safest > and lowest screen positive rate is found when you do The Integrated > Test. (First and Second Trimester Evaluation of Risk). >   > For mothers who have to know the result in the first trimester there > is, the modified sequential. This tests allows for the first trimester > result be issued to the patient and then a final report is issued at > around 15-16 weeks gestation.  >   > NEJM: November 10, 2005 Vol.253 No. 19 pages 2001-11 > FASTER Trial >   > Leonard H. Kellner, MS Next message: Raymond Stephen: "Re: Home births: double footling breech" Previous message: Raymond Stephen: "Re: Home births: double footling breech" In reply to: AFPPLUS3@aol.com: "Re: OB: Home births**more info"

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