Re: Informal poll on trisomy 21 screening

From: Dave Berck (djberck@yahoo.com)
Sun May 15 09:57:34 2005


we have been doing NT with pappa and free beta then quad screen. my concern is that since 2nd tri multiple marker screening is the "standard of care", we are obliged to offer it despite issues of serial screening etc. does anyone share similar concerns?

--- Allen Worrall <jworrall@alaska.net> wrote: > We are just in transition. Our method had been
> nuchal translucency and fetal
> survey at ~ 12 weeks. Then triple screen or quad
> screen at 16 weeks, and
> fetal survey at 18-22 weeks.
>
> Now that I have achieved the FMF credential for
> nuchal translucency, I hope
> that within a month or two we will be doing NT and
> 1st trimester maternal
> biochemistry, and of course later an AFP. We use
> GenCare, and that is free
> beta HCG and PAPP-A. But I find that despite the
> benefits claimed for 1st
> trimester screening, the obstetricians that I work
> with are slow to change.
>
> For those patients that do not register early enough
> for nuchal
> translucency, I presume we will do the quad screen
> and 2nd trimester fetal
> survey.
>
> Allen
>
> Joseph A Worrall MD RDMS
> OB/GYN Ultrasound at the Fairbanks Clinic
> Fairbanks, AK 99701
> http://www.obgynsono.com
>

>> ----- Original Message -----
> From: "Dave Berck" <djberck@yahoo.com>
> To: "Multiple recipients of list ULTRASOUND"
> <ultrasound@dns.obgyn.net>
> Sent: Saturday, May 14, 2005 5:48 PM
> Subject: Informal poll on trisomy 21 screening
>
> > What's your approach to trisomy 21 screening?
> >
> > 1st tri screening with NT and 1st tri screening?
> If
> > so, which serum tests? free beta and papp-A
> >
> > AFP3 / AFP4 / AFPMore?
> >
> > "Genetic scan"?
> >
> > I'm interested to hear your opinion.
> >
> > Dave Berck, MD, MPH
> >
> > David J. Berck, MD, MPH
> >
>

David J. Berck, MD, MPH




recommended search...
Google
OBGYN.net forums endometriosis zone Web

use when must restrict search to only the ultrasound forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  Ultrasound Forum Mail a New Message to the Forum: ultrasound@obgyn.net
Forum Administrator: terry.dubose@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 05:19:52 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.