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Re: short femursFrom: Joanne Bulley (jbulley@cheshire.net)Sat May 29 18:57:55 1999
George I couldn't agree with you more. With the availability of early testing, this type of thing should be analyzed, diagnosed and decision made BEFORE 24 weeks. The need for late term abortion should be a rare occurrence ------------------------------ On Thu, 27 May 1999 ------------------------------ HPGeorge@aol.com wrote: ------------------------------ As a provider of late abortions services for fetal anomaly, over our last 1500 fetal indications termination of pregnancy patients approximately 8-10% have had a baby with a skeletal dysplasia. What I have observed is that often these "soft" signs are overlooked early in the pregnancy and further investigation is deferred until later. These patients really are angry and feel quite helpless when the diagnosis of achondroplasia, achrondrogenesis, etc, etc is not made until after 24 weeks when a therapeutic abortion is unavailable locally in many instances. At the very least, repeat ultrasounds to monitor the growth or lack of growth of the extremities in relation to the rest of the body should be done. I would also recommend an amnio now. These patients need, in my estimation, all the information that they can get as soon as they can get it. Referral for Level 2 ultrasound evaluation is probably a wise idea to spread around the responsibility for the decisions. George R. Tiller, MD Wichita, Kansas ------------------------------
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