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Re: any clues? From: Larry R. Glazerman, M.D. (glazerman@enter.net) Thu Jul 10 21:32:25 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey H. Klein, MD: "Your chance to make me look good.." Previous message: dahmd: "Re: any clues?" Maybe in reply to: Dr. Amarnath Bhide/Rajendra Deshpande: "any clues?" Next in thread: PJBRN@aol.com: "Re: any clues?" Ashley: In general, I agree with your response and workup, although I doubt the value of an HSG in the face of an intrauterine demise. If there were preterm labor, incompetent cervix, etc, I'd agree. I think the incidence of a uterine anomaly causing a demise at 23 weeks after a normal 19 week scan would be exceedingly low. -- Larry R. Glazerman, M.D. Private Practice Ob-Gyn Valley Ob-Gyn Associates Allentown, PA ---------- > From: dahmd <dahmd@gate.net> > To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> > Subject: Re: any clues? > Date: Thursday, July 10, 1997 6:49 PM > > Dr. Amarnath Bhide/Rajendra Deshpande wrote: > > > > A 22 yr old G1 registered for AN care at 16 weeks. 19 weeks scan was > > normal. No risk factors. A visit at 23 weeks, I was unable to document FHS > > on stethoscope/doppler. No symptoms. An urgent USG documented severe > > oligoamnios and IUFD. > > I usually evaluate these patients with a fetal autopsy and karyotype > (sounds impossible in your situation with a macerated fetus), > antiphospholipid antibodies, a hysterosalpingogram (HSG) to rule out > uterine anomalies, and perhaps a hemoglobin A1C. Since the 19 week scan > was "normal" it sounds unlikely that a condition such as Potter's > Syndrome was the culprit, although another anomaly, including a > chromosomal problem, could have caused this. Good luck. I really hate > when tragedies like this happen. > > Ashley > D. Ashley Hill, M.D. > dahmd@gate.net > Orlando, FL Next message: Geffrey H. Klein, MD: "Your chance to make me look good.." Previous message: dahmd: "Re: any clues?" Maybe in reply to: Dr. Amarnath Bhide/Rajendra Deshpande: "any clues?" Next in thread: PJBRN@aol.com: "Re: any clues?"

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