Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Early Pregnancy Loss - 1

    One of my sonographers came out of an exam room the other day with a vaginal transducer (ultrasound probe) held out in front of her, still sheathed in a lubricated condom, and lightly streaked with old blood. The expression she had on her face is...

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  • Elective Late Preterm Birth – Why Aren’t Patients and Providers Listening?

    In several posts over the past 18 months we have discussed the neonatal (and, to a lesser, though still significant degree, maternal) risks of “late preterm” or “near term” birth especially when this is done ‘electively’ and by cesarean section pr...

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  • Diabetes in Pregnancy - 7 - Self-Monitoring of Blood Glucose Levels

    After discussing the basics and importance of diet, the next step in counseling for the newly diagnosed woman with gestational diabetes mellitus (GDM) revolves around the means of assessing her ‘diabetic control’. The mainstay of management is fr...

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  • Down Syndrome and Folate Metabolism

    The other day I received a comment from Sheila on my post related to MTHFR mutations and fetal cardiovascular malformations. She reported that she had had a history of recurrent pregnancy losses (x 4) and during her ‘work-up’ for the same was foun...

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  • Preterm Birth: Mortality Rates Doubled!

    In one of my first posts on preterm birth (PTB), Preterm Birth: An American Tragedy, it was mentioned that early delivery had surpassed birth defects and genetic abnormalities as the leading cause of death in the first year of life in the United S...

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  • Asherman's Syndrome

    Recently, several readers have requested information or had complications I suspect are related to "Asherman's syndrome." Two comments and my responses are included below...Julia Mangan has left a new comment on your post "Request to My Readers......

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  • Teen Pregnancy: We ARE Failing our Children

    What is wrong with these scenarios?!?....Last Thursday night while I was in the hospital on call for our Residency Program, we had 8 patients on our Labor and Delivery unit. The mean maternal age was 17...The next day, I was covering our ultrasou...

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  • Another Late Midtrimester Pregnancy Loss

    Soumya has left a new comment on your post "Recurrent Early Pregnancy Loss - 6 - A Special Pat..." (I have modified/revised her comment somewhat to the best of my understanding of her concerns)...Hi I lost my pregnancy at 24 weeks on July 17. Actu...

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  • Thanks to Emily DeVoto at "The Antidote..."

    Emily,Great job on this week's Grand Rounds and thanks for including a link to my recent post on "The Human Value of Knowledge." I have found that sharing special moments in patient care, happy and sad, is definitely an antidote to trying to keep ...

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  • Thanks Dr. Val for Grand Rounds 4.31!

    Thanks Dr Val Jones at RevolutionHealth for all the time and attention put into this week's Grand Rounds 4.31. The link to my recent post on the "Use of Fondaparinux During Pregnancy" is also much appreciated!A growing number of women are being id...

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About the Author

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

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