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Re: Ob: Aneuploidy screening From: zygote@icsi.net Sun Jul 30 23:12:18 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Stmidwife@aol.com: "Re: Need help writing a medical business plan" Previous message: zygote@icsi.net: "Re: Cervical Ectopic Pregnancy" In reply to: Jane Helwig, MD : "Re: Ob: Aneuploidy screening" Although I agree in concept, the problem frequnetly is that patients should be referred to for formal genetic counselling. That may be heresy to some but to others of us it in lunacy not to do so. Have a great day RJC On 25 Jul 2006 at 11:27, Jane Helwig, MD wrote: Date sent: Tue, 25 Jul 2006 11:27:11 -0500 Send reply to: ob-gyn-l@obgyn.net From: jane@helwig.net (Jane Helwig, MD ) To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Subject: Re: Ob: Aneuploidy screening > I know of a case where a patient had sickle cell trait. She was > counseled appropriately to have the father of the baby come in for a > blood draw for hemoglobin electrophoresis. The risk of sickle cell > disease in the baby was discussed and this discussion was documented. > The father of the baby never came in, the baby was born and had sickle > cell disease, a lawsuit was filed, and a settlement was reached. The > plaintiff (via her lawyers) said that she wasn't told that she could > have had amniocentesis to find out if the baby had sickle cell disease. > She said that if she had known this, she would have had amniocentesis > and would have aborted a fetus with SCD. > > So it's not enough to try to get the FOB in for blood draw when the > patient has sickle cell trait. You must also document that you offered > amniocentesis for diagnosis of sickle cell disease. And I guess this > would extend to cystic fibrosis carrier testing when the mom is a > carrier and the FOB doesn't or won't come in, or when the patient isn't > sure who the FOB is. > > -- > Jane Helwig, MD, FACOG > moving at the moment... > Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 Houston, TX 77030 (O) 713-795-4600 (F) 713-795-4422 "Life is difficult" The Road Less Travelled by Scott Peck Next message: Stmidwife@aol.com: "Re: Need help writing a medical business plan" Previous message: zygote@icsi.net: "Re: Cervical Ectopic Pregnancy" In reply to: Jane Helwig, MD : "Re: Ob: Aneuploidy screening"

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