Re: Amniocentesis in Twins!!

From: Bernard Cristalli (bcrist@club-internet.fr)
Fri Apr 24 00:23:01 1998


ATB28 wrote: >
> In a message dated 04/23/1998 7:16:55 PM Pacific Daylight Time,
> CharlesD@ZiaNet.com writes:
>
> << Is it safe to instill dye in the amniotic sac to differentiate between
> sacs
> during the procedure?>>
>
> Yes it is, with much literature to support its use,
>
> <<What is the best choice of dye?>>
>
> Indigo carmine is the dye of choice in most experienced centers
>
> <<Is there any evidence to suggest that the dye may cause fetal problems or
> loss?>>
>
> Not with indigo carmine
>
> <Is selective reduction safe in the event that one fetus is affected with a
> chromosomal anomaly?>>
>
> As with amniocentesis (singleton, twins, or triplets), safety is relative to
> the experience and expertise of the surgeon....probably much like cardiac
> surgery!
>
> Allan T. Bombard, MD
--

Agreed with that. The question about selective reduction is whether to perform it or not in a twin pregnancy. The risk of a total miscarriage is not nil.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 05:27:41 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.