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Re: Difficult twins at 32 6/7 weeks From: ATB28 (ATB28@aol.com) Wed Mar 4 21:45:02 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe: "Re: Any Problems with Continous OCs?" Previous message: Terrence.Jones@ncal.kaiperm.org: "nuchal thickening" Maybe in reply to: Bruce Pielet, MD: "Difficult twins at 32 6/7 weeks" In a message dated 98-03-04 12:04:31 EST, evsono@pipeline.com writes: << 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: Bruce is a perinatologist in a tertiary center. I think he's asking for collegial opinions on how one might approach this interesting case.... Allan Bombard, MD Next message: DoctorJoe: "Re: Any Problems with Continous OCs?" Previous message: Terrence.Jones@ncal.kaiperm.org: "nuchal thickening" Maybe in reply to: Bruce Pielet, MD: "Difficult twins at 32 6/7 weeks"

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