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Multiple Gestations - 2 - Placentation in Twins
Another area of confusion for patients relates to the actual development of the placentas (placentation) of twins. Perhaps this is where the patient mentioned at the outset of our last post had problems understanding – her different gendered babi...
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Down Syndrome and Folate Metabolism - 2
Since the publication of the first two studies cited in my last post related to this issue, various groups around the world have investigated the association of abnormalities in folate metabolism and methylation pathways and the risk for Down synd...
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Dr T Takes a Cruise
Well, I have been gone about a week on a long overdue vacation. Did any of you miss me? I went on a cruise (for the first time) and stayed away from any contact with the internet and work. You guys are NOT work. You are a labor of love and I m...
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Thanks to Odyssees of George for Grand Rounds 4.12
Thanks to Dr. George at Odyssees of George for this week's colorful Grand Rounds 4.12 and for including a link to my recent post Post-op Dr T. In this post, I relate my own personal (painful, but humorous) experiences as a patient in the post-oper...
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Readers' Questions About Rh-negative Blood Types and Complications
Hello again. I apologize to all of you for my recent 'down-time' but the Chairman of our department decided to retire on very short notice and I have been put in the position of 'interim Chair' until we can get someone to replace him. I sincerely ...
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HAPPY ANNIVERSARY RITA!!!!
Thanks to Rita at MSSPNexus BLOG for including my post on the importance of preconceptional counseling in the SECOND ANNIVERSARY edition of your Medical Grand Rounds! It is quite flattering to be included amongst such an erudite 'faculty.' For th...
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Endometriosis and Pregnancy Loss
Endometriosis is a condition that affects millions of reproductive age women. It is associated not only with infertility, pain, and other complications, but also with recurrent early pregnancy loss (RPL). Below is a series of comments and my resp...
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Cervical Incompetence and Cerclage - 2 - An Overview of Cervical Structure
In the nonpregnant state, the cervix comprises the lower one-third of the uterus and connects the uterine cavity to the vagina. The overall length of the cervix is highly variable but generally falls in the range of 2.5 to 5.0 cm. Only about one-...
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Use of Fondaparinux During Pregnancy
I felt the comment below from a reader deserved a more thorough response than could be accommodated under the post upon which it was left and also might be of interest to other readers and providers who frequent this site. Anticoagulation during ...
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Hypertensive Disorders in Pregnancy - 2
The term preeclampsia applies to a spectrum of disorders that are pregnancy-dependent, all accompanied (usually) by some degree of hypertension at some point in their evolution. Preeclampsia is subdivided into categories based on the severity of ...
