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Re: tripple screen redo?

From: angela (anonymous@obgyn.net)
Wed, 17 Apr 2002 15:30:47 -0500 (CDT)


At Wed, 17 Apr 2002, William McIntosh, MD wrote: >
>At Tue, 16 Apr 2002, angela wrote:
>>
>>Hi, I had a tripple screen test done at about 17 weeks and today was
>>told it was positive for neural tube only. She said it was elevated a
>>bit outside the bell shape. I don't know, she was trying to explain.
>>Anyway, I am concerned because today i am 19+4 andshe redid the test
>>today. Is this a reliable time being so close to 20 weeks to redo this
>>test and is this standard procedure? I was under the impression that a
>>level 2 u/s would be the next step. However we live in a moderatly
>>small city so.... I just want to be sure after deciding to go ahead and
>>have the test that I get the correct result. Should I request further
>>testing? She said that if this test was negative well just ignore it
>>all. Thank you for your time and patience.
>
>The standard proceedure is indeed to proceed with Level III U/S.
>Repeating a screening test has very limited value.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute
>for consultation and examination by a licensed medical professional.
>

THANK YOU SO MUCH!!! I really needed that reasurance. I spoke with her again today and she insists that an ultrasound is not needed yet. I got a little more info. On the first test the neural tube defect ratio was 1 in 200. Also, my mother had a baby die shortly after birth but was never given a medical cause of death. They said very little to her and she was 16, a long time ago. Anyway, I am very concerned that the results of the test pending will not be reliable and will bring me no reasurance. She is plannig to do a regular office ultrasound on the 29th at my next appointment but insists that i'll just have to wait till then before we'll know anything. I understand that a screening is not a definate but I feel the course of action she has choosen is unnacceptable. Any ideas on what to do or how to go about getting something done? And thanks again




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