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Re: CMV and amniocentesisFrom: 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
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