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Fruit of the Womb
Fruit of the Womb
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  • Hypertensive Disorders in Pregancy - 7

    In our last post on the subject of hypertensive disorders in pregnancy, we pointed out that once preeclampsia has developed, we are limited in our ability to “treat” the condition. Indeed, the only situations I have seen in which the clinical synd...

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  • Grand Rounds 4.35 at Musings of a Dinosaur!

    Thanks to Musings of a Dinosaur for the effort and "Jurassic Park" spectacular presentation of this week's Grand Rounds 4.35. Thanks too for including a link to my recent post on "Polyhydramnios: Causes of Too Much Amniotic Fluid." Grand Rounds of...

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  • Infertility and Cervical Incompetence: No Time for a "Stitch in Time" this Time

    On Saturday night, we admitted a patient at only 19 weeks’ gestation with advanced cervical dilation, occasional contractions, and fetal membranes ballooning through the cervix into the vagina – a history consistent with severe cervical incompeten...

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  • Drugs and Fetal Development: Focus, Valproic Acid

    Recently, I was interviewed by a reporter who was interested in discussing stages of fetal development and factors that might contribute to congenital abnormalities during the same. This was a reminder to me that I have wanted to review recent co...

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  • A Loss of Twins and Missed Opportunities for Cerclage

    Recently, a reader left the comment below. The value and use of cervical cerclage continues to come into question. There are major institutions in this country where it is not considered to be a useful procedure and have abandoned or severely li...

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  • Grand Rounds 4.02 at Musings of a Distractible Mind

    Compliments to Dr. Rob at Musings of a Distractible Mind for a most bodacious, though occasionally loquacious, Grand Rounds 4.02 tribute to Dr. Seuss. Ya gotta read it to believe it! And many thanks 'midst all the rhyme in semiperfect time for i...

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  • X-Linked Hydrocephalus - 2 - HSAS/MASA Spectrum of Disease

    Yesterday we began a discussion of “X-linked hydrocephalus.” As we pointed out, this is not a single disease entity, but a spectrum of overlapping syndromes that are characterized by variable expression of Corpus callosum hypoplasia, Retardation,...

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  • SSRIs and Persistent Pulmonary Hypertension

    Freshly oxygenated blood from the placenta enters the baby through the umbilical vein. Some of this blood is diverted into the liver before traveling to the heart and the rest goes directly to the heart through a blood vessel, called the ductus v...

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  • Quintuplet Story: A Physician's Perspective - 4

    On April 6, 2007, at 27 6/7 weeks, Joy began having more “pelvic pressure” and the decision was made to give her corticosteroids to accelerate fetal lung maturation. Serial ultrasounds had shown that one of the babies was developing intrauterine ...

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  • Thanks to Prudence, M.D. for GrandRounds 4.10!

    Many thanks to Prudence, M.D. for the time and effort placed into putting together this week's Grand Rounds 4.10. And, thank you so much for including my post "Cytomegalovirus (CMV) Reprise" written in response to a reader's query regarding the as...

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About the Author

Dr. Trofatter is an expert on maternal-fetal medicine.

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