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Re: Question about IUGR and polihydramniosFrom: James S Smeltzer MD (gaperina@mindspring.com)Sun Mar 7 22:56:20 1999
Miguel, That combination is associated with a high risk of chromosomal anomalies - over 10% if the hydramnios is hydramnios (the fetus in axial section is a peninsula of the uterus, surrounded by water on three sides) and not simply increased fluid. At this level of probability, not even completely normal targeted imaging is going to reduce the risk for a chromosomal anomaly to less than the risk of the procedure, and it is always recommended to offer amniocentesis. I Offer it even if the couple will not consider termination, to avoid the possibility of emergent cesarean for a problem no-one can fix. You must apprise the couple of the costs, expected benefits, risks and information provided by the testing and amniocentesis. It is up to the patient to decide if they will have the test. Jim Smeltzer
At 11:01 AM 3/6/1999 -0600, you wrote:
>I am Venezuelan MD OG.
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