Re: nuchal cords

From: art fougner, md (evsono@pipeline.com)
Tue Jan 15 19:54:32 2002


Allen -

when you do report nuchal cords, how do the Ob's near you follow up? kick count, NST, prozac?

art

At Tue, 15 Jan 2002, Allen Worrall wrote: >
>Yes, Art, that is very true. If the sonographer and sonologist report every
>nuchal cord, at any time in pregnancy, then the ob provider is under the
>gun. Any subsequent bad outcome that might happen in that pregnancy,
>regardless of etiology, may be blamed on the ob provider because he or she
>did not "do something" about the cord, or because the ob provider did not
>plan to do a C Section because a loop of cord was reported around the neck
>at 18 weeks or 20 weeks.
>
>There is no question it is a problem. I report only those cords that I think
>have a fair chance of getting the baby into trouble, and that automatically
>means only near term, and only tight loops as evidenced by indentation of
>the skin of the neck.
>
>Allen

--
art fougner, md
ich bin ein New Yorker



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