Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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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  • Grand Rounds 4.34 at Health Business Blog!

    Thanks to David E. Williams at Health Business Blog for a most entertaining Grand Rounds and for including a link to my recent post regarding Consequences of Decreased Amniotic Fluid in pregnancy. This is the 4th post in my series on amniotic flui...

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  • Hypertensive Disorders in Pregnancy - 5

    In our last post on this subject, we described an abnormality of placental development, incomplete or abnormal invasion of the maternal spiral arterioles by fetal placental cells (trophoblasts) early in pregnancy, as perhaps the most common senti...

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  • Letter to My Readers

    Dear Readers,A week or so back I received the comment below buried under one of my posts. It troubled me a lot, but it came at a good time, because it made me focus on some of the concerns I have had regarding my role on this site and your expec...

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  • Fetal Nasal Bone Assessment in First Trimester Screening for Aneuploidy

    The reader below underwent combined first trimester screening for aneuploidy and during the process, the baby was found to have an absent nasal bone. Due to the difficulty in routinely obtaining a definitive assessment of the nasal bone, and its c...

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  • Low PAPP-A in Presence of Low Risk for Fetal Aneuploidy

    Below are comments from a woman aged 44 who is carrying a pregnancy conceived by in vitro fertilization (IVF) using a ‘donor egg’ from a 21 year old woman. She had combined first trimester screening done with composite results that were very reas...

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  • Diabetes in Pregnancy - 5 - Diagnosis of Gestational Diabetes

    In our last post, we discussed the basic differences between type 1 and type 2 diabetes and concluded with the characterization of gestational diabetes mellitus (GDM), diabetes that is first expressed (or detected) as the result of pregnancy, as f...

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  • Thanks Kim at Emergiblog!

    Thanks Kim for mentioning my recent post “The "Flu" and Pregnancy: Get Smart, Get Vaccinated NOW” in your weekly Emergiblog Grand Rounds. Honored to be included among the contributors and love your format. Tall Chocolate though, I'm not! Maybe a...

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About the Author

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

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