Re: Informal poll on trisomy 21 screening
From: Allen Worrall (jworrall@alaska.net)
Sun May 15 10:21:58 2005
That is an interesting point that I had not considered. I doubt that we will
offer both first trimester and 2nd trimester maternal serum biochemistry,
because of the issues with serial screening.
Allen
>----- Original Message -----
From: "Dave Berck" <djberck@yahoo.com>
To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
Sent: Sunday, May 15, 2005 6:59 AM
Subject: Re: Informal poll on trisomy 21 screening
> 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
