Re: Nuchal Cord

From: Philippe Jeanty, MD, PhD (jeanty@TheFetus.net)
Fri Feb 27 11:42:46 2004


Well I think for the cord much depends on how it is presented to the patient (my 2 kids had nuchal cord, and Roberto did a great job with them !)

For the soft-markers, Roy is preparing an editorial in the JUM that should address this issue and make counseling a lot easier, but here again I think that how you explain things makes a great difference.

I have not reported a placental grade in ... 20 years ?

And indeed the transient deceleration I consider normal variant, so I am doing the same as you...

-----Original Message----- From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of Dave Berck Sent: Friday, February 27, 2004 11:48 AM To: Multiple recipients of list ULTRASOUND Subject: Re: Nuchal Cord

I'm with you. I'm troubled by the notion that we are obliged to report findings that are of, at best, questionable significance. Other examples include placental grading, isolated "soft" Downs markers in patients with low T-21 risks after undergoing screening, the occasional observed cardiac deceleration in an otherwise normal fetus, etc. Anyone agree? D Berck, MD, RDMS

--- "art fougner, md" <evsono@pipeline.com> wrote: > Have seen many cases of "ring around the collar" in
> the second trimester
> - where i practice - were i to make a note on the
> report for the
> referring OB's, my referrals would disappear.
>
> art
>
> At Thu, 26 Feb 2004, DoctorJoe@aol.com wrote:
> >
> >In a message dated 2/26/04 13:26:01,
> goubaa.mohamed@gnet.tn writes:
> >
> >> A 27-year-old G3P2 patient underwent her first
> prenatal ultrasound at 12
> >> weeks of pregnancy, and this day at 22 weeks.
> This second ultrasound
> >> examination demonstrated normal anatomy and
> ultrasound examination showed
> >> only a nuqual cord.
> >> GOUBAA Mohamed
> >> MD Djerba
> >> TUNISIA
> >>
> >Nice picture. I'm sure at real time scanning you
> can get the feel for how
> >tight the loop is and whether it goes completely
> around the neck or not.
> >
> >Joe P.
>
> --
> art fougner, md
> ich bin ein New Yorker

===== David J. Berck, MD, MPH




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