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docdoc
Forum Senior Topics: 20 Posts: 104 |
23 years old, G1 P0, 18weeks pregnancy comes for antenatal care. MS-AFP levels are 3.5 MoM (high). Whats the next best step? a) Repeat MS-AFP b) AF-AFP c) Ultrasound d) Genetic counseling
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tess
| Forum Guru Topics: 131 Posts: 368
b) AF-AFP this is done through ultrasound.
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docdoc
| Forum Senior Topics: 20 Posts: 104
c) Ultrasound - to confirm gestational age. The MS AFP values are always taken relative to gestational age. If first reading shows a high or low MS-AFP then first step is to check for gestational age with an ultrasound (kaplan). If levels are still high after confirming the dates, then get AF-AFP. If date discrepency is found, then repeat MS-AFP.
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tess
| Forum Guru Topics: 131 Posts: 368
Thank you docdoc, those are very nice questions. GL!
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