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Re: any clues?From: Prof. Farouk Fikry (farouk@brainy1.ie-eg.com)Fri Jul 11 13:17:07 1997
At 12:49 ã 11/07/97 -0500, you wrote: >In message <33C59347.579B@gate.net>, dahmd <dahmd@gate.net> writes >>, a hysterosalpingogram (HSG) to rule out >>uterine anomalies, and perhaps a hemoglobin A1C. > >Regarding IUFD @ 23 weeks. > >1) I have often seen it claimed that uterine abnormalities may >account for preterm delivery and or late spontaneous abortion - though I >have also read that uterine abnormalities other than the most gross ones >are not a particulary cause for such deliveries. In this instance though >I am particularly puzzled how a uternie abnormality might be implicated >in IUFD. > >2) I have an unpublished case series well into three figures of >second & third trimester losses. In no case was HbA1c ever raised in the >absence of frank diabetes or some other indicator. In investigation of >IUFD at any gestation or of congenital abnormality HbA1c and >fructosamine are a waste of time and money. ( My 2c worth :-) ) > >Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt >Obstetrician & Gynaecologist Luton & Dunstable Hosp., LU6 2DT, UK. >Tel: 01582-497459 (office) Fax: 01582-497376 > 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk >http://www.obgyn.net/board/griffith.htm >"It is dangerous to be right on a subject on which the established authorities >are wrong." (Voltaire) "But sometimes it's fun :-)" (Griffiths) > >Dear Sir,
I have seen many cases of mid-trimester and premature labor associated with
uterine abnormalities in the form of septate and subseptate uterus. I think
this is due to patulous internal os- proved by ultrasound measurements. In
my experience doing circlage gives good results in these cases. I am not
convinced that uterine malformations can lead to intra-uterine death. I
agree with your results that diabetes do not cause second or third trimester
abortions. My work in this concept is still unpublished.
sincerely
DR Farouk Fikry
>
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