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Re: Is 5 mm considered nuchal thickness?
From: Abbey (anonymous@obgyn.net)
Fri, 14 Dec 2001 18:53:38 -0600 (CST)
Thanks for the reply, Dr. Shanahan. After reading your response, I
called my OB and asked if he could refer me for a Level II, but he said
it wasn't indicated- told me I was being utterly ridiculous and if I
wanted it, I would just have to pay it out of pocket, period (my
insurance won't cover patient-requested U/S) Do you think any other OB's
might agree to refer to a perinatologist given the findings I mentioned?
Should I try to get in to see a different physician elsewhere, or is
this the same thing any OB would say?
At Fri, 14 Dec 2001, M. Kelly Shanahan, MD, FACOG wrote:
>
>At Fri, 14 Dec 2001, Abbey wrote:
>>
>>My 19-week screening US showed a nuchal thickness of 5 mm. Doc didn't
>>seem too concerned, but I'm very worried about Down's because my HCG 2.2 MOM, estriol 0.84, though AFP was higher at 2.1. Overall the triple
>>screen was negative and gave me a lower-than-average risk for my age
>>(31). However, I'm concerned because of the nuchal fold
>>thickness-apparently, that raises my risk of Down's by a factor of 28.
>>Should I get a Level II U/S or amnio at this point? How many babies with
>>a 5 mm nuchal fold thickness turn out not to have Down's? Please help-
>>I'm worried out of my mind!
>
>most babies with nucahal thickening do nto have Down's, but a targeted
>ultraosund and a perinatal consultation will do worlds of good to put
>your mind at ease.
>
>--
>M. Kelly Shanahan, MD, FACOG
>S. Lake Tahoe, CA
>
>author of "Your Over-35 Week-by-Week Pregnancy Guide"
>
>**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
>***private e-mails WILL NOT be answered***
>
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