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Dr. Lynn ...with regards to the findings of amniocentesis testing??
From: J (anonymous@obgyn.net)
Thu, 31 Aug 2000 07:26:47 -0500 (CDT)
Hello again!
I read your message to my sister...I'm not sure if we have such
specialists but I'm sure she will check it out...thanks for that!
With regards to the amnio...what exactly doesn't it show...I think she
is mainly worried about things like...mental problems that may be
associated with experimental drug use...or spinal/muscular/neural type
diseases.
Can it reassure her at all about the general health of the fetus??
Thanks again!
J
At Wed, 30 Aug 2000, Lynn D. Montgomery, MD wrote:
>
>At Wed, 30 Aug 2000, J wrote:
>>
>>The experimental drug for psoriasis is made by a company called Biogen
>>Inc...the drug is called Amevive.
>>Her dermatologist, who is conducting the study, told her that there
>>isn't anything to worry about.
>>She wants to have an amniocentesis done regardless of what he
>>said...what exactly can the amnio tell her....and what doesn't it tell
>>her about the health of the fetus?
>>
>>Thank you for responding.
>>Jacqueline
>
>Jacqueline,
>She is certainly entitled to have an amniocentesis. I would have her
>request the data on the medication. I have checked my sources and
>cannot find the med-this is unusual because the sources I have are
>usually very up to date. If the medication is being used on humans,
>experimental or not, there are several levels of trials the medication
>must undergo prior to human use-have your friend get that data.
>
>The problem with the amnio is the fact that it only shows whether or not
>the chromosomes are normal or not. What it doesn't show are the more
>common problems that occur secondary to medications-deformities. She
>should make sure that she asks for a targeted ultrasound from a
>specialist in obstetric ultrasound (either a maternal-fetal specialist
>or a Radiologist with special experience in obstetric scans)...
>Lynn
>>
>>At Wed, 30 Aug 2000, Lynn D. Montgomery, MD wrote:
>>>
>>>At Wed, 30 Aug 2000, J wrote:
>>>>
>>>>Hello
>>>>
>>>>My sister found out yesterday that she is 10 weeks pregnant...it was a
>>>>great shock because she had been taking an experimental drug for
>>>>psoriasis and apparently the baby was conceived 1 week after her last
>>>>dose of the meds...but her test results for the past few months showed
>>>>negative for pregnancy!
>>>>
>>>>Anyway, she is indeed pregnant...she had some concerns about this drug
>>>>(Amevive)...but her dermatologist assured her it wouldn't harm the fetus
>>>>(she hasn't taken any since 1 week before conception).
>>>>
>>>>Her anxiety comes mainly in the form of her husband...he likes to smoke
>>>>marihuana (no other drugs) and she is now concerned about the effects of
>>>>his smoking on the fetus...my sister is not exposed and hasn't been
>>>>exposed to the secondhand smoke!
>>>>
>>>>Can there be any developmental or birth defects caused from a father who
>>>>smokes this stuff?
>>>>
>>>>Thanks for any advice!
>>>>
>>>>--
>>>>J
>>>>
>>>J,
>>>I checked on the "Amevive". I am wondering about the spelling because I
>>>cannot find anything on it. There is no evidence that paternal usage of
>>>marijuana causes any reproductive problems or congenital
>>>abnormalities...
>>>Lynn
>>>
>>>--
>>>Lynn D. Montgomery, MD
>>>Director, Maternal-Fetal Medicine
>>>Rocky Mountain Perinatal Center
>>>Missoula, Montana
>>>
>>>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>>>
>>>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>>>
>>>**Thank you for your understanding ;-)
>>>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
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