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Re: OB: Downs ScreningFrom: ATB28 (ATB28@aol.com)Fri Apr 3 07:46:18 1998
In a message dated 98-04-03 09:20:57 EST, evsono@pipeline.com writes: << a midtrimester scan with attention paid to the cerbellum and the shape of the calvarium seems more than sufficient to supplant afp as far as NTD is concerned. >> Art: You are probably correct; however, the standard of practice as elucidated by ACOG and the ACMG is to offer a mid-trimester serum AFP screen for NTDs. It's also much cheaper than a scan in most parts of the US and generally easier to accomplish. Once a reliable first trimester serum or urine screen for NTDs is developed, the trend will unquestionably be towards first trimester screening for both DS and NTD. Allan
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