Re: Informal poll on trisomy 21 screening
From: Latha Natarajan (nattu@vsnl.com)
Sun May 15 23:59:26 2005
We do NT and scan at 18-19 wks for markers.
Triple test is offerred to all low risk. Some 60% refuse it . They
prefer scan at 18-19 wks.
LN.
Dr. Latha Natarajan,
Bangalore, India.
>----- Original Message -----
From: "Dave Berck" <djberck@yahoo.com>
To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net>
Sent: Sunday, May 15, 2005 8:28 PM
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
