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Re: OB-GYN-L digest 332 From: annette lee (aleeoc@rocketmail.com) Wed Mar 31 08:18:19 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Margie Dacko, CM: "Re: Trial of Labor?" Previous message: (no name): "Re: Trial of Labor?" Does this study refer to elevated SERUM AFP or AMNIOTIC FLUID AFP or both? The case in question has normal serum AFP and elevated amniotic fluid AFP. "The best reference regarding outcomes in patients with increased AF-AFPand normal AcHE is a study published by Barbara Crandall in PrenatalDiagnosis (?'97? ?'98?...don't have my journals here at home). Only documented adverse outcome (again, neg AcHE and no fetal hemoglobin...most increased AF-AFP is due to fetal blood contamination)was IUGR, particularly with AF-AFP > 5.0 MoM. Best management is periodic ultrasound looking at AFV and fetal growth; with antenatal testing for placental insufficiency *if* IUGR becomes manifest." Next message: Margie Dacko, CM: "Re: Trial of Labor?" Previous message: (no name): "Re: Trial of Labor?"

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