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Re: Post dates? Wrong dates?From: art fougner, md (evsono@pipeline.com)Wed Aug 6 11:47:26 1997
At Tue, 05 Aug 1997, Deborah Wage wrote: > > (SNIP) > >Hi put me in the non-intervention camp. exactly what is your indication for induction? is it post-dates? if so, prove it. ultrasound assessment is so unreliable in the third trimester that this is an unwarranted conclusion based on the information thus far. is it suspected macrosomia? there is no evidence to suggest that this course of action will yield a more favorable maternal or neonatal outcome. therefore - i suggest you simply await labor. if you are insecure, then fetal assessment by whatever protocol your institution follows seems prudent. addtionally, i also suggest that you reconsider your stance on routine ultrasound confirmation of dates in the first or second trimester. it appears that one good study will often obviate the need for multiple studies down the road. good luck! art
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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