Re: amniocentesis and fetal malformations

From: Robert J. Carpenter, Jr. MD, JD (zygote@icsi.net)
Wed Dec 31 18:18:08 2008


The description is of transverse limb reduction defects; hoever, if there was at delivery eevidence of streeter's bands then that would be the cause. If bands were not present then transverse defects or possibly a syndromic condition may be at play. There is no precedent for the amnio to cause transverse limb defects by itself. The incidence is 1-1.5/10,000 live births in the genral population (non-CVS).

What pathological data do you have other than the recording as listed.

As to the Italian requirement for only growth and presentation, that needs to be changed.

Awaiting further medical data.

RJC

On 31 Dec 2008 at 4:27, emilio porro wrote:

Date sent: Wed, 31 Dec 2008 04:27:39 -0600 Send reply to: ob-gyn-l@obgyn.net From: sanbonav@hotmail.com (emilio porro) To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Subject: amniocentesis and fetal malformations

> I need Your experience and opinion about what happened to my Collegue in
> Our Department of Obstetrics.The birth at forthy weeks of a baby with
> some malformations:
> 1)Agenesia (absence) of four fingers with hypoplasia of thumb of right
> hand.2)hypoplasia of four fingers with normal thumb of left hand;3)right
> foot agenesia (absence)with hypoplasia of tibial bone;normal left leg.
> She have done amniocentesis in another Obstetrical Department at about
> 18 weeks (normal results) and had a hospitalization in another
> (again)Obstetric Department for abdominal pain at about 23 weeks. She
> has done several echographies (by my Collegue,the other Doctor before
> amniocentesis,and by another Collegue during recovery for abdominal
> pain) and nobody has noted the problems.Italian echographic protocols
> say that after 22 weeks of gestation a Doctor is obliged to see only
> fetal growth and presentation.
> What happened and presumably at what gestational week happened?
> In Italy legal therapeutical abortion is not allowed after 23 weeks of
> gestation.
> 1)amniotic bands(bridles) not evidenced by echographies?
> 2)blood fetal embolism?
> 3)consequence of amniocentesis (infection)?
> 4)other?
> Thank You in advance
> Emilio Porro M.D.
>
> --
> Emilio Porro
> M.D. Ob.Gyn.
> Como
> Italy
> http://www.sanbonaventura.com
> who,whose, with,what,why,where,when,while,watch world wide web
>

Robert J. Carpenter, Jr. MD, JD 6624 Fannin, #2720 Houston, TX 77030 (O) 713-795-4600 (F) 713-795-4422

"Life is difficult" The Road Less Travelled by Scott Peck





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