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Re: Difficult twins at 32 6/7 weeks From: art fougner, md (evsono@pipeline.com) Wed Mar 4 10:01:20 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: OB Breech dilemma" Previous message: Dr Zainal Abidin Hanafiah: "sarcoma botryoides in a 3 year old child." In reply to: Bruce Pielet, MD: "Difficult twins at 32 6/7 weeks" Next in thread: ATB28: "Re: Difficult twins at 32 6/7 weeks" At Tue, 3 Mar 1998, Bruce Pielet, MD wrote: > >Recently asked to see twins with reported discordance. US demonstrated >twin gestation with approximately 17% difference in weight. Weights >were 1895g and 1580g. Smaller twin had decreased AFV (AFI=3.6) and >umbilical cord doppler revealed S\D of 6.00 on one sample and remainder >of samples were with absent end diastolic flow. The larger twin had >normal AFV and doppler S\D. Suggestions on what should be done at this >point would be welcome. > >-- >Bruce Pielet, MD >Lutheran General Hospital > would suggest transfer to a tertiary care center as delivery may be warranted. good luck art -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: art fougner, md: "Re: OB Breech dilemma" Previous message: Dr Zainal Abidin Hanafiah: "sarcoma botryoides in a 3 year old child." In reply to: Bruce Pielet, MD: "Difficult twins at 32 6/7 weeks" Next in thread: ATB28: "Re: Difficult twins at 32 6/7 weeks"

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