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Re: CMV and amniocentesis

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Fri, 23 Aug 2002 17:53:24 -0500 (CDT)


At Fri, 23 Aug 2002, Wendy wrote: >
>Its been a while, and I'm almost due. Bottom line -- I had a positive
>CMV IgG at 8 weeks, then a positive IgM at 10 weeks gestation. Baby
>showed echogenic bowel at 17 weeks when an amnio was performed. Got my
>results at 20 weeks they were NEGATIVE for CMV (performed a PCR on the
>fluid) and my ultrasound at 21 weeks did not show echogenic bowel. I am
>now 34 weeks and have not had an ultrasound since. My measurements, etc
>as well as kick counts suggest that the baby is growing normally with
>good activity levels. Just how accurate is an amnio in detecting CMV
>infection? Every time I read about a mother who showed echogenic bowel
>and had an amnio that tested positive for CMV I get nervous. This baby
>doesn't seem as big as my first child at this stage (though I feel huge
>and have gained the same amount of weight). I know that the March of
>Dimes website said that its at least 80% accurate, but that 20% seems
>like a large margin of error. Just wanted an opinion.

tha amnio is very good, not perfect. The fact that the follow up amnio was normal is also reassuring

--
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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