Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Invasive Diagnostic Testing after Reassuring First Trimester Screening for Aneuploidy?

    Attached is a comment from a reader who has written to me before because of a history of recurrent early pregnancy losses. She is now pregnant, has successfully gotten through first trimester, and has had very reassuring combined risk assessment f...

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  • Preterm Birth: An American Tragedy

    Yesterday, while I was presenting a talk on preterm birth (PTB) to a large family practice group and their 29 residents who practice obstetrics, an FDA advisory panel was reviewing an application from Adeza Biomedical Corporation to bring the drug...

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  • Cervical Incompetence and Cerclage - 8 - Shirodkar vs McDonald Cerclage

    I just realized that since the outset of this series, we have talked about cervical cerclage but we have not explained what that is for the general reader. A cerclage is a ‘stitch’ placed around the cervix in a fashion that will, hopefully, preve...

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  • Cervical Incompetence and Cerclage - 1 - An Introduction

    I have had several readers request information about cervical incompetence and cerclage. These are interrelated subjects in which I have had a keen interest and much personal experience over the years, but they have also been the topics of consid...

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  • Breast Cancer Diagnosis During Pregnancy

    More than 4 million births are expected in the U.S. this year and at current estimated rates, breast cancer will be diagnosed in at least 1300 of these pregnancies. While this constitutes only a small percentage of the total number of cases diagn...

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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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  • Abnormal First Trimester Screen in a Woman with Chronic Kidney Disease

    Hello Dr. T:I am also new to the whole blogging thing. I am currently 13 weeks 3 days, and was told at my last prenatal appointment that based on my first trimester screening, I have a 1 in 235 chance of having a baby with Downs syndrome. I am onl...

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  • Fever in Pregnancy

    The same reader who asked if obstetrical ultrasound caused babies to be left-handed also wanted to know if fever during early pregnancy could hurt her baby. As is so much in this business, the answer, of course, is not straightforward. The simpl...

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  • "The Road Not Taken..."

    Recently, I was asked to see a very interesting patient in consultation. Although a favorable outcome of her pregnancy is by no means guaranteed at this time, I am fairly sure that the timely request from her physician for a “curbside” consult av...

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  • Amniocentesis is Not Without Risk

    Occasionally, a series of comments are left that leave me feeling quite disturbed. Included below is such a series received over the past few weeks, and to which I responded, that tell a story all by themselves. Please read all the way to the end ...

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About the Author

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

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