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Re: PAP Smear after TAH <atb scrren rh+ obs>From: mark decker (mdecker@nconnect.net)Tue Dec 31 19:46:35 1996
> > And talking abouth cost-effective... I don't found any background >for asking for "antibodies" as a routine in a rH positive pregnant women >with no obstetrics history of IUD and I don't do it.. Am I wrong? > Antonio Valdez-Torres MD FACOG > Hospital Guernika > Cd. Juarez, Chihuahua, Mexico well I do find atb I should follow in 2 people a year out of 200..usually 240 deliveries a year. seems that is my pick up rate on unknowns. I get 1-2 people a year with known atb that may devleop serious HDN. I pick up a fair number of innocuous atb's that do not cause HDN so the 2 people I pick up as previous unknowns has to do with atb types thaty may develop HDN. Is it cost effective?? so far no one has had to have a transfusion though I have had to do serial amnio's a few times in 7-8 years in my current practice. every one else had low atb titers on serial screens that I was not compelled to check amnios on them. Mark
-- mark decker md major surgery is done on me obgyn - avid biker minor surgery I do one someone else. midwest usa I need to remember that. <perspective>.
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