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New ACOG Practice Bulletin Regarding Fetal Aneuploidy Screening
HAPPY NEW YEAR to all of you! I only have one New Year’s resolution this year. I resolve to try to finish up all of the ‘to be continued’ discussions I started in other posts and have been slow to revisit due to my ‘flight of ideas.’ I resolve t...
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Group B Strep Colonization and Pregnancy
At Mon Aug 20, 11:32:00 AM 2007, Anonymous said…Hi there Dr. T. I am 36 1/2 weeks and I just found out that I was GBS+ and I am very concerned about my baby. I wonder, why give antibiotics during labor? Why not now? I have also had many problems w...
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"To B or not to B...": Comments on FDA Approval of Plan B
In my last post, I discussed the high rates of maternal mortality related mostly to complications of bleeding and infection in the U.S. prior to the era of modern care that really began in the 1940’s with the availability of antibiotics and blood ...
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Recurrent Pregnancy Loss and PAI-1: Thrombosis vs. Hypofibrinolysis as the Pathogenic Mechanism?
Well hello again readers! It appears that the 'comment screening' process has been rejuvenated and we are back in business. As feared, however, now I've got to respond to the 50 comments that miraculously appeared in my mailbox yesterday after a...
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Grand Rounds Thanks to Inside Surgery
Many thanks to the team at Inside Surgery for including my first (of three) posts related to the possible association of abnormalities in folate metabolism and methylation with risk for Down syndrome in Grand Rounds 3.37. My series on this subject...
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Prothrombin G20210A Mutation
As we have written about on several occasions, pregnancy loss is a very traumatic experience for many couples and their families – especially when there are recurrent episodes of loss. It is a basic human need to seek an explanation for such even...
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Thanks Dr. Smith for Grand Rounds 3.42!
Thanks to Dr. Tara C. Smith at ScienceBlogs.com Aetiology for including my recent post in this week's Grand Rounds 3.42 regarding a conversation I had with a young teen who was pregnant, had an abnormal Pap test, and thought she had cervical cance...
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Mother's Day Thoughts
On Wednesday, May 9, 2007, Kenneth L. Noller, MD from Boston was sworn in as the 58th president of the American College of Obstetricians and Gynecologists. During his inaugural address, he reminded the audience to be cognizant of our past, the lon...
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Cervical Incompetence and Cerclage - 9 - My Approach to Prophylactic Cerclage
At the end of my last post, I mentioned that the McDonald cerclage procedure is the type I have preferred for many years for most routine and ‘rescue cerclages’, but I also mentioned that if the suture is not placed highly enough, deeply enough, o...
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Cervical Dysplasia and Cancer in Pregnancy - 1
Awhile back, a reader asked me to discuss cervical cancer in pregnancy. I had put the topic on the back burner, waiting for a good segue into the subject from a patient care perspective. When it comes right down to it, cervical cancer during pre...
