Re: new trends and approaches in biophysical profile

From: DuboseTerryJ@exchange.uams.edu
Tue Sep 7 11:07:32 1999


It does seem that polyhydramnios would be included in the BPP in some way.

Terry J. DuBose, M.S., RDMS Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510 http://www.io.com/~dubose/ <http://www.io.com/~dubose/> http://www.uams.edu/CHRP/dmshome.htm <http://www.uams.edu/CHRP/dmshome.htm>

http://www.obgyn.net/us/panel/panel.htm <http://www.obgyn.net/us/panel/panel.htm>

-----Original Message----- From: evsono@pipeline.com [SMTP:evsono@pipeline.com] Sent: Tuesday, September 07, 1999 10:57 AM To: Multiple recipients of list ULTRASOUND Subject: Re: new trends and approaches in biophysical profile

Terry

just got back from vacation. everyone knows that anomalies should be excluded with poly. the prob i am concerned with is the increased perinatal mortality and morbidity associated with poly, even in the absence of anomalies. yet all the "scoring systems" ignore this prob, focusing on oligo.

perhaps Dr Platt has a comment concerning poly.

Art

At Thu, 26 Aug 1999, DuboseTerryJ@exchange.uams.edu wrote: >
>A common concern in the presents of polyhydramnios is upper GI
track problems that prevent swallowing. I had not thrown this out, but I noticed no one else said anything. So anomalies of the mouth (clefts), esophagus (tracheoesophageal fistulas), or esophageal atresias. Also neurologic problems that might affect the autonomic swallowing response. >
>I am not sure about Polyhy as it relates to BPP.
>
>Terry J. DuBose, M.S., RDMS
>Director, Diagnostic Medical Sonography Program
>CHRP, University of Arkansas for Medical Sciences
>Little Rock, Arkansas, USA
>501-686-6510
>http://www.io.com/~dubose/ <http://www.io.com/~dubose/>
>http://www.uams.edu/CHRP/dmshome.htm
<http://www.uams.edu/CHRP/dmshome.htm> >
>http://www.obgyn.net/us/panel/panel.htm
><http://www.obgyn.net/us/panel/panel.htm>
>
> -----Original Message-----
> From: evsono@pipeline.com [SMTP:evsono@pipeline.com]
> Sent: Thursday, August 26, 1999 12:36 PM
> To: Multiple recipients of list ULTRASOUND
> Subject: Re: new trends and approaches in biophysical

profile >
> Jim -
>
> ltns! problem with af volume assessment is that lit is

divided. In july two articles suggested oligo might be less important yet another showed a significant import with borderline amt of af. also - as you suggest, the definition of oligo seems to vary from study to study. where is your reference on your work with cerebro - umbilical differences. Could not find this. and what about the significance of poly? should not the interpretation of bpp take the negative impact of poly into account? I have not found fetal breathing all that useful, especially in diabetics whose glucose seems to stimulate breathing. look forward to hearing from you. >
> Art
>
> At Wed, 25 Aug 1999, James S Smeltzer MD wrote:
> >
> >Art,




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