Re: new trends and approaches in biophysical profile
From: Platt, Lawrence D., M.D. (Lawrence.Platt@cshs.org)
Wed Sep 8 13:23:46 1999
Polyhydramnios is most often cosidered abnormal on our BPP
Lawrence D. Platt, MD
Chairman Department of OB/GYN
Cedars Sinai Medical Center
8700 Beverly Blvd Suite 160 West
Los Angeles California 90048
Phone: 1 310 855-7413
Fax 1 310 967-0142
Pager 1 888 350-6930
Email Platt@cshs.org
> ----------
> From:
> DuboseTerryJ@exchange.uams.edu[SMTP:DuboseTerryJ@exchange.uams.edu]
> Sent: Tuesday, September 07, 1999 9:07 AM
> To: ultrasound@obgyn.net
> Cc: Lawrence.Platt@cshs.org
> Subject: RE: new trends and approaches in biophysical profile
>
> 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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