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Re: Spina Bifida

From: art fougner, md (anonymous@obgyn.net)
Wed, 6 Jan 1999 11:26:10 -0600 (CST)


avoid hot tubs, too. if you are a diabetic, get your sugars under tight control prior to conception. if you are being treated for seizure disorder, Depakene ( valproic acid) increases your risks. btw was a neural tube defect an isolated abnormality or were there multiple probs suggestive of a syndrome?

good luck

Art

At Mon, 4 Jan 1999, James Connerth MD wrote: >
>At Sun, 3 Jan 1999, Dulsie wrote:
>>
>>I am a RN, who has lost a baby at 20 weeks of pregnancy. The baby had
>>Spina Bifida. I have done a great deal of research on NTD. I would be
>>interested to know if anyone knows other possible means of prevention,
>>other than taking 4 mg of Folic Acid prior and during the next
>>pregnancy.
>>
>>I know the cause is mulitfactorial, but can a high maternal fever at 6
>>weeks of pregnancy contribute?
>Agree with 4mg folic acid;without a family Hx--you're cannces for
>recurrence are in the order of 2-4%.A high maternal fever during the
>period of fetal organ development(2-8wks)could contribute to the
>problem;A tripple screen and targeted sonogram would be indicated in
>next pregnancy--your odds for an unaffected baby are great!!

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com



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