Re: Abnormal triple scree

From: Robert Brenner (robbrenner@earthlink.net)
Thu Feb 26 10:02:48 1998


At 11:34 AM 2/25/98 -0600, you wrote: >I have a patient who is a 31 year old g3p0 @ 18 weeks. She is on syntrhoid,
>pregnancy otherwise uncomplicated. No bleeding. Her tripple screen showed:
>
>AFP: 2.6 MoM
>Estriol: 2.16 MoM
>HcG: 7.33 MoM
>
>Utrasound shows no placental or fetal abnormalities. The lady is heavy and
>the sonographers raised a question of cleft lip and palate which could no
>be confirmed. The fingers look normal as does the head, heart and spine.
>
>Would you recommend amnio? Fetal assessment (NST's etc) later? Any special
>studies?
>

If the baby is vertex at the time of sonogram, you could try transvaginal scan to evaluate the face.

--
Robert Brenner MD FACOG
Pikesville MD
robbrenner@earthlink.net
http://docs.obgyn.net/drbrenner




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