Re: Vernix Caseosa - at what gestational age is it first seen by
From: Allen Worrall (jworrall@alaska.net)
Thu Oct 10 23:25:09 2002
I do not remember what I wrote on 2/13/02, but I certainly am not against
TVS
--
Allen Worrall
>----- Original Message -----
From: "James S Smeltzer MD" <gaperina@mindspring.com>
To: "Multiple recipients of list ULTRASOUND"
<ultrasound@mail.medispecialty.com>
Sent: Thursday, October 10, 2002 7:22 PM
Subject: Re: Vernix Caseosa - at what gestational age is it first seen by
> When you are not blind you see, and learn.
>
> When you know it all, learning stops.
>
> TVS is modality of choice for women who want to alter the basic risk of
> severe aneuploidy without amniocentesis (by NLT and fetal assessment at
> 12-14 weeks), women at risk for prematurity and (in our lab) for screening
> for preterm when cx not well seen by TAS (40% of the time).
>
> IT ALSO HAS BEEN PROVEN BY H FRANK ANDERSEN, AND NOW CONFIRMED
> INDEPENDENTLY BY TWO OTHER GROUPS, TO BE MODALITY OF CHOICE TO ASSESS CX
IN
> HIGH RISK PREGNANCIES. Have been using TVS for high risk assessment since
> 1983, when I looked for split hand foot at 12 weeks, and correctly
excluded
> it. It is used after FFn with symptoms (PLEASE do not use FFn without
> symptoms!), and to follow high risk cx and previas and high risk hx of PTB
> and twins - in conjunction with vag pH and slide tests for BV.
>
> I once had an auto mechanic who couldn't find an oil leak. I fired him
> when I found out he was looking in the glove box and trunk but didn't have
> time to get under the hood.......
> ;^)
> Jim
>
> Please excuse shouting.
>
> At 02:59 PM 2/13/2002 -0600, you wrote:
> >Terry, the price of success is no more transvaginal scans? Too bad.
> >
> >Allen
> >
>