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Re: I: yolk sac and early pregnancy failureFrom: DRoss38040@aol.comTue Jan 19 15:41:32 1999
Martin Necas said: << I advised her to see her doctor if she develops any >bleeding or if something is not quite right. I also suggested a re-scan for >viability in 2 weeks. The patient had a miscarriage a week later. >> But my question is, how does this information change the management of the pregnancy? This knowledge does not change the outcome at all. If we knew this would lead to a trisomy, it would be a different matter. As it is, wait and see and check again in a week is the best stance for the sonographer or sonologist, for that matter. Imparting this information to the patient is a judgment call. My position as a sonographer is to say that "I see the heartbeat" and leave it at that. Refer the patient to her physician (who presumably knows her better than I do) and let the physician know all the details. He/she may caution her, or not, according to his judgment. This patient may have nervous disorders, emotional problems, family history problems, that we who only see her for a sonogram cannot appreciate. Pregnancy can be such a nerve-wracking event...why add to it if it isn't necessary? IMHO Diana Ross, RT, RDMS
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