Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Chorionic Villus Sampling

    In the last several posts, I have discussed amniocentesis as a means of fetal diagnosis for chromosomal or genetic problems. Amniocentesis is considered to be an ‘invasive diagnostic procedure.’ We actually have to stick a needle through the fetal...

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  • Quintuplet Story - A Physician's Perspective - 2

    On the whole, the pregnancy progressed well. At about 13 weeks, we placed a high cerclage in her cervix. This stitch around the cervix was intended to help prevent subclinical cervical changes leading to early labor as well as a means of providi...

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  • Developing a "Birth Plan"

    A comment after my last post raised the question regarding “what constitutes a good birth plan” for a “first-time mother-to be.” I would love to answer this with a simple response that “a good birth plan” is whatever is right for YOU! And, even ...

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  • Medicaid Funding Cuts

    I work in the State of South Carolina. Yesterday was a bleak day for me (and should be an embarrassment to the state) and speaks to the short-sightedness of people who sit in positions of power with regard to their understanding of the economics ...

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  • Readers' Questions Related to MTHFR Polymorphisms

    Several recent comments on my post "MTHFR Mutations and Congenital Heart Defects" worthy of a general response for our readers: Anonymous said Sept 02, 09:30:00 PM 2007...My daughter was diagnosed with MTHFR gene mutation during a blood test befor...

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  • Norovirus Infections and Pregnancy

    Sorry, guys, I have been out of commission over the past week. Between the very unfriendly Norovirus that has been going around (don’t ask for details) and playing catch-up at work following the fun with Noro, I have not had the time or the energ...

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  • Chromosomal Abnormalities and Multiple Gestations - 3

    To bring those of you just jumping into this discussion up to speed, in our last two regular posts on the subject of “Chromosomal Abnormalities in Multiple Gestations,” we presented a case in which a 40 year old woman, who conceived twins by IVF a...

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  • Reader's Questions Related to Low PAPP-A in First Trimester Screening for Aneuploidy

    The following comments and questions were left on my previous post regarding Low Pregnancy-Associated Plasma Protein-A (PAPP-A) and Pregnancy Outcome. The questions are excellent and summarize the concerns of many of our readers who have a low PA...

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  • Cervical Incompetence and Cerclage - 5 - Cervical Assessment

    Once the suspected diagnosis of cervical incompetence has been established, a decision has to be made regarding what therapy is offered to the patient. I have found that the patient’s participation in that decision is often very important. When ...

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  • Constipation in Pregnancy - 2

    Since constipation can be a chronic and ongoing concern in pregnancy, it is worth revisiting at least once with a few additional comments. Actually, the writer referred to in the previous post had some more specific follow-up questions and my res...

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About the Author

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

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