Re: RCT supports expectant management 42 wks

From: art fougner, md (evsono@pipeline.com)
Sun Dec 27 08:54:15 1998


Interesting re: AFI. Platt uses AFI for AF component of BPP. Additionally, Manning in Creasy 4th ed suggests AFI should work for BPP as well.

Art

At Sat, 26 Dec 1998, Luis Sanchez-Ramos wrote: >
>At Sat, 26 Dec 1998, Deborah J. Wage FNP, CNM wrote:
> >>I seem to get an AFI <6 with EVERY 41 weeker I order a BPP on.<<
>
>BPP is a test to determine fetal well-being. It is not meant to
>quantitate amniotic fluid volume. In fact, a patient can have a 10/10
>BPP with oligohydramnios (as long as the deepest vertical pocket of
>amniotic fluid measures at least 2 cm). When you order a BPP, all you
>should receive in return is a score. To determine the amount of
>amniotic fluid, you should order AFI(amniotic fluid index)or other
>methods of estimating amount of fluid. Generally, the person performing
>BPPs is not an RDMS.
>
>--
>Luis Sanchez-ramos, MD
>

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com




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