Re: nuchal cords

From: art fougner, md (evsono@pipeline.com)
Tue Jan 15 21:21:52 2002


the point being - if you don't know what to do with the answer, perhaps it's better not to ask the question. to date - despite many nifty images in articles and adverts - the predictive value of nuchal cord by ultrasound remains unknown.

art

At Tue, 15 Jan 2002, Allen Worrall wrote: >
>In my experience the ob doctors are inclined to do nothing special, just as
>the midwife did in the case reported by Mary. In a case about one year ago,
>a breech at term with the cord tightly over the back of the neck causing
>indentation equal to the diameter of the cord, a section was done, but I
>think the section was done because of the breech presentation. The ob doctor
>told me the cord did not seem to be tight.
>
>In that case I do not think I could be sure the cord went all around the
>neck. Sometimes of course you can demonstrate the cord going all around the
>neck. At term that is often not possible because when you try to obtain an
>axial view of the neck, the underside becomes lost in shadow.
>
>Allen

--
art fougner, md
ich bin ein New Yorker



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