Inauguration Day Thoughts
At the time of the swearing in ceremony for President Barack Obama, I was supposed to be at two different meetings. I didn’t go to either of them. Instead, I went to the OB/GYN Residents’ lounge and turned on the television to watch what will su...
I was discussing the content of my recent posts (April 17, 2007; April 28, 2007) about amniocentesis with one of my patients today. She was trying to decide between the options for aneuploidy screening and actual fetal chromosomal diagnosis, and t...
Thanks to Over!My!Med!Body! - Grand Rounds 3.41
Thanks to the folks at Over!My!Med!Body! for including the final post in my series on Hypertensive Disorders in Pregnancy - 8 (9 and 10!) in this week's Independence Day Grand Rounds 3.41. I know it didn't quite meet with the theme, but for those...
Fetal Cystic Hygromas in First Trimester
Today I received another comment to a post I wrote awhile back on aneuploidy (chromosomal abnormality) from a reader who has a first trimester baby that was found to have a cystic hygroma. With the growing acceptance of first trimester screening f...
Time to Reevaluate Cesarean Section Techniques
The other day I attended a session entitled “Myths and Truths of Cesarean Delivery Technique” presented by Dr. Aviva Lee-Parritz from Boston Medical Center. The discussion critically evaluated the surgical techniques commonly employed to accomplis...
Asherman's Syndrome: Diagnosis, Treatment, and Prevention
In our last post, we described the condition called “Asherman’s syndrome” wherein scarring of the intrauterine cavity can cause aberrations of menstrual bleeding (in the most extreme cases very light or absent periods), infertility, recurrent preg...
Grand Thanks to Dr. R.W. Donnell
Thanks to Notes from Dr. RW and to Dr. Donnell himself for including my post regarding Infertility and Cervical Incompetence in patients with insulin resistance syndromes in his weekly edition of medical bloggers Grand Rounds vol. 10 no. 3
Cervical Incompetence and Cerclage - 3 - Significance of the Internal Cervical Os
The incidence of cervical incompetence in the general population is really not known and probably varies by population subgroups. Estimates range between 1 in 100 and 1 in 2000. My sense over the years (considering the number of cerclages I have...
A Second Chance
Dear Readers,About a month ago, I started writing again and had at least tried to begin responding to the many queries that have kept coming in the door – some left on posts that are a year or two old. (And for all of you out there who have asked...
Grand Rounds 4.8 at Dr Anonymous!
Thanks to Dr. Anonymous for including my last minute submission regarding the role of endometriosis in recurrent early pregnancy loss (RPL)in this week's Grand Rounds 4.8. Many women associate infertility with endometriosis, but are not aware of ...