Re: I: yolk sac and early pregnancy failure

From: art fougner, md (evsono@pipeline.com)
Sat Jan 16 10:25:43 1999


Ok - a question. you've got a case in which an asymptomatic patient, say age 27, is referred to your lab for some vaginal staining. you see a approx. 6.5 weeker with FHR of 87 bpm and a 7 mm yolk sac. no subchorionic hematoma and closed cervix. aside from repeating the study, what else would you do and, more importantly, what would you tell the patient? as these situations come up frequently, i'm just tryin to get a sense of how others handle this difficult human situation.

Art

At Sat, 16 Jan 1999, Terry J. DuBose wrote: >
>Dr. Corda, since you have indicated that these are viable embryos, I am
>assuming that a heartbeat was observed or recorded (hopefully). I would
>be interested in seeing the embryonic heart rate (EHR via M-mode) data
>also correlated with these data. Because you are new to the Ultrasound
>section of OBGYN.net, I will give you the URL(s) for an article about
>the EHR. "Old Timers" here are probably tiring of hearing me raise the
>issue ;-). But I believe it is important, and this article(s) explain
>why.
>
>http://www.obgyn.net/ENGLISH/PUBS/FEATURES/dubose/ehr-age.htm
>and
>http://www.obgyn.net/US/present/9811/moroder2.htm
>
>I am also interested in your (or anyone's) comments & observations on
>the above.
>
>Peace, Terry J. DuBose
>
>---
>At Fri, 15 Jan 1999, Andrea Corda wrote:
>>
>>>> -----Original Message-----
>>>> From: Andrea Corda [SMTP:acord@tin.it]
>>>> Sent: Friday, January 15, 1999 7:40 AM
>>>> To: obgyn-us@obgyn.net
>>>> Subject: yolk sac and early pregnancy failure
>>>>
>>>> I've sent an E-mail to Peter W.Callen discussing about the prognostic
>>>> significance of the yolk sac in very early pregnancy (i.e. 5th-7th
>>>> week),namely its size (which sould not exceed 7 mm) and shape,its growing
>>>> rate related to that of the embryo at very early stages and the
>>>> proportions one should expect to find to state a " normal pregnancy"
>>>> between yolk sac,gestational sac and embryo.Anyone interested on this
>>>> topic?I've already collected almost 50 cases and I would like to know if
>>>> others have similar experiences.Thank you,
>>>> Dr.Andrea Corda.
>>>> Cagliari,Italy E-mail:acord@tin.it
>
>--
>Peace, Terry J. DuBose. M.S., RDMS
>DMS Program Director, Univ. Arkansas for Medical Sciences, USA
>Chair, Ultrasound @ OBGYN.net
>Now is the time for all good folks to come to the aid of the Earth.
>
>---
>

--
art fougner, md
SonoScan/Genetic Sciences
forest hills, ny
evsono@pipeline.com



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