Re: AMA aneuploidy risks
From: art fougner, md (evsono@pipeline.com)
Fri Aug 14 07:55:00 1998
Have seen several, but none associated with fetal complications - Thank
God. My only suggestion to your case is to repeat or continue the NST.
did you do dopplers? i would certainly defer to Jim Smeltzer on this
one.
Good luck
Art
At Fri, 14 Aug 1998, Dianne Walkup RDMS RDCS wrote:
>
>Dr. Worrall and all,
>Greetings to the land of the midnight sun. I lived in Fairbanks (and
>Talkeetna, Wasilla, and Anchorage) for many years, but, alas, the state
>was not big enough for my ex husband and I both. I still visit though,
>and have many family members there.
>I work with a Perinatology fellowship. Our practice offers counseling
>and amniocentesis to all AMA patients, and if they decline
>amniocentesits they are offered a fetal echo at 22 weeks gestation to
>check for cardiac defects. Our anatomy screening at 18 weeks usually
>catches most problems, but the echo is often an anxiety reducer for the
>parents and the doctors. If problems are found our patients are not
>offered terminations here, but are offered perinatal hospice or are
>referred out. Many of our patients opt for perinatal hospice and carry
>pregnancies to their natural end, whatever that may be. The parents are
>given much moral support and compassion. We have had live births of
>some fetuses with problems incompatible with life, and the parents have
>the opportunity to hold their baby for however long they can, and be
>with him when he passes on. I find it a wonderful practice to work for
>and think the world of the doctors and Sonographers here.
>Unrelated, we are following two cases of (presumed) chorioangioma in our
>group right now. I find it odd that I have only seen this entity one
>other time in my 11 years of sonography, and now have two at once. Both
>are exhibiting fairly severe polyhydramnios at present, but no other
>signs of hydrops. Both are in the third trimester. Both fetus'
>placental cord insertion sites were adjacent to the mass, and at present
>one mass has enlarged such that the cord insertion is actually into the
>mass. Baby got 6/8 on BPP (no breathing movements) and then a
>borderline NST with low baseline and barely reactive, so the docs were
>puzzling whether to deliver or watch today (35 weeks now). Has anyone
>else seen this entity? I don't have a scanner yet, so I can't send
>images.
> mitakuye oyasin
>
>--
>Dianne Walkup, RDMS RDCS
>
--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com
