Re: Abnormal triple screen

From: Gary Kleinman (fuf@ix17.ix.netcom.com)
Thu Feb 26 12:24:59 1998


>>
>If the baby is vertex at the time of sonogram, you could try transvaginal
>scan to evaluate the face.
>
>Robert Brenner MD FACOG

Thanks. The baby is breech.

The literature search seems to show that HCG MoM's above 5are associated with Turner's syndrome, triploidy, non-immune hydrops, preeclampsia, IUGR and fetal demise. We will follow growth carefully.

BTW, our lab reported an NTD risk of 1/240 and a tri 18 risk of 1/77106 (I guess I'm a bit sad they cant give it to me to another decimal place). They dont report a tri 21 risk if the NTD risk is high. Why? Idont know. Managed care contracts say all triple screens in the area go to them.

Allan: could you fill me in on what is in the "quadruple screen"? Obviously, with our designated local lab getting all the specimens, we will be last to get any innovations.

Thanks all for your replies. I will give you follow up as soon as it is availble.

Gary

--
Gary E. Kleinman, M.D.
Perinatologist/Geneticist
Perinatal Center
3196 S. Maryland Ave
Las Vegas, NV 89109
702 732-9332
702 732-4472 (Fax)




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