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Fruit of the Womb
Fruit of the Womb
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  • Assessment of Fetal Lung Maturity - 1

    On this site we have been firm advocates of preventing complications related to iatrogenic prematurity and, particularly, “late preterm births.” Indeed, in our own medical community, it appears the message has had a clear impact, particularly, ove...

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  • Thank you Dr. Anonymous

    Dr. A,Thank you for including my Poignant Story post in your Grand Rounds this week. Mine wasn't the only 'poignant story' and the overall impact of this weeks' content is a refreshing change of pace. My compliments on the format and for trying so...

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  • Risk of Amniocentesis

    Today I saw a 38 year old woman who came for genetic counseling and possible amniocentesis to rule out a fetal chromosomal abnormality. She was right at 16 weeks’ gestation. Her last pregnancy was 18 years ago and the 47 year old father of the cur...

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  • Intrahepatic Cholestasis of Pregnancy - A Bitch of an Itch

    Recently, we had a woman diagnosed late in pregnancy with intrahepatic cholestasis of pregnancy, or obstetric cholestasis (OC). Despite reassuring fetal heart rate testing, the baby died in utero awaiting induction of labor that had been schedule...

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  • Thanks for the Oscar Nomination Dr. Jake: Grand Rounds 3.22

    Many thanks to Dr. Jake Young and the Pure Pedantry team for including my post from December 3, 2006, entitled "The Human Value of Knowledge" in their Oscar line up of this week's Grand Rounds 3.22. I am so happy, I think I will go out and shave ...

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  • Quintuplet Story - A Physician's Perspective - 3

    ...The following day, I had a long discussion with Joy and Andres about what to expect over the next 3-4 weeks, the discomforts, the psychological drain, the ever-present concerns for outcomes and the risks. The uterus is now the size of a term o...

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  • Recurrent Early Pregnancy Loss - 9 - Evaluation

    When I first see a patient in consultation for recurrent early pregnancy loss, I usually spend at least an hour with them. The first part of the appointment is spent in obtaining a detailed history – medical, social, and family. Since many diffe...

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  • Cervical Dysplasia and Cancer in Pregnancy - 6

    Our last post detailed the management of a pregnant woman who was found to have multifocal carcinoma in situ and microinvasive squamous cell carcinoma of the cervix early in pregnancy. Although she had a successful outcome from the management appr...

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  • Comment Regarding Prednisone Therapy for Recurrent Pregnancy Loss

    Below are excerpts from a comment/query that appeared recently on my post Recurrent Early Pregnancy Loss -6- A Special Patient. In this post, I recount my first experiences with a woman who had pregnancy complications (miscarriages and severe pree...

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  • Hypertensive Disorders of Pregnancy - 6

    Well, I was away again this weekend. Drove to Indianapolis for my niece’s wedding. That area, like so much of the rest of the country, has been suffering from a drought, but it decided to come to an end this weekend. Of course, the wedding rehears...

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About the Author

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

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