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Re: Nuchal Cord From: Philippe Jeanty (jeanty@TheFetus.net) Fri Feb 20 09:04:29 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Nuchal Cord" Previous message: Philippe Jeanty: "Re: Nuchal Cord" In reply to: Charlotte Henningsen: "Re: Nuchal Cord" Next in thread: Philippe Jeanty, MD, PhD: "Identical twins ? the answer is posted on TheFetus.net" Yes we routinely look for nuchal cord. This is actually totally automatic as you go from the cranial and facial views to the upper chest you pass thru the neck. So this does not entail anymore examination time. -----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Charlotte Henningsen Sent: Thursday, February 19, 2004 4:01 PM To: Multiple recipients of list ULTRASOUND Subject: Re: Nuchal Cord At Thu, 19 Feb 2004, Philippe Jeanty, MD, PhD wrote: > >The answer is actually very simple: the information was obtained FROM the >patient, FOR the patient and thus the patient has the right to be made >aware. >The skill is on how to provide explanations so that the patient does not >freak out and forces her MD into unnecessary further examinations. (futile >since they would not alter the management). Those who review legal case >should stand firm on this (an I do). > I agree that if we see a nuchal cord that it is our duty to document it, so it is reported to the managing physician and the patient can be apprised. And certainly if there is accompanying decreased movement or bradycardic episodes. But do you routinely look for a nuchal cord? That is not part of standard protocol, and is what this particular sonographer is doing. Charlotte >-----Original Message----- >From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of >Charlotte Henningsen, MS, RT, RDMS, RVT, FSDMS >Sent: Thursday, February 19, 2004 1:39 AM >To: Multiple recipients of list ULTRASOUND >Subject: Nuchal Cord > >I have heard many times obstetricians and perinatalogist state that >sonographers should not be looking for cord around the neck because it only >creates angst for the patient with a situation that may be dynamic, very >common, and probably insignificant. But I have not been able to find this in >the literature. We have a sonographer who is documenting nuchal cord and it >is leading to a lot of unnecessary follow up, not to mention worry. Can >anyone point to articles that addresses when and if nuchal cord should be >documented? > >Thank you, >Charlotte > >-- >Charlotte Henningsen, MS, RT, RDMS, RVT, FSDMS >Chair and Professor - Sonography Department >Florida Hospital College >407-303-5733 > >The information contained in this message may be privileged and/or >confidential and protected from disclosure. If the reader of this message >is not the intended recipient or agent responsible for delivering this >message to the intended recipient, you are hereby notified that any >dissemination, distribution or copying of this communication is strictly >prohibited. If you have received this communication in error, please notify >the sender immediately by replying to this message and deleting the material >from any computer. > Next message: art fougner, md: "Re: Nuchal Cord" Previous message: Philippe Jeanty: "Re: Nuchal Cord" In reply to: Charlotte Henningsen: "Re: Nuchal Cord" Next in thread: Philippe Jeanty, MD, PhD: "Identical twins ? the answer is posted on TheFetus.net"

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