Fruit of the Womb
Fruit of the Womb
Latest Entries
  • ACOG Annual Meeting - San Diego

    Hey guys. On the road again. Decided to go to the American College of Obstetricians and Gynecologists (ACOG) Annual Meeting in San Diego starting this weekend. Since my specialty area is in Maternal-Fetal Medicine, I don’t get to the ACOG Meet...

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  • Preterm Birth: Paths to Early Delivery

    “Preterm labor can no longer be considered a single disease…(it) is the clinical expression of different pathologic insults to the feto-maternal unit.” Roberto Romero, 1993It is clear that there are a variety of initiating factors that can lead to...

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  • Readers' Featured Comments/Questions - Why Wait to Conceive after Miscarriage and Rh-negative Concerns

    Anonymous has left a new comment on your post "Early Pregnancy Loss - 2": I found out from my OB today that I miscarried (I found out I was pregnant on 8/22, and began bleeding on 8/29, he ordered a hCG level test which went from 12 to 2 in a 48 h...

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  • Quintuplet Story - A Physician's Perspective

    Before I became distracted by a plethora of administrative responsibilities, I was in the middle of writing a series about multiple gestations. Although I did not want to spend a lot of time discussing 'high order multiples' (three or more babies)...

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  • Placenta Accreta: A Growing Problem

    Today's post is written in response to the questions raised by the reader below...Anonymous has left a new comment on your post "Hypoplastic Right Heart Syndrome (HRHS): A Reader'...": Dear Dr TI am 40 and pregnant for the 8th time. I have 2 kids ...

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  • Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 1 - Introduction

    In a post at the end of September, we summarized a series of questions from a 26 year old, otherwise healthy, reader who had had recurrent early first trimester pregnancy losses. Her ‘work-up’ to date had been relatively unremarkable, however, sh...

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  • "In the beginning...": Determining Gestational Age and Due Date

    The other day, I repeated a conversation I have had countless times. I was finishing up an early ultrasound on a very young woman and informed her that she was 8 weeks’ pregnant and congratulated her on coming in early for prenatal care. At that p...

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  • Poop is Part of Parturition

    I was reading a post by another blogger today that addressed the delicate issue of feces in the delivery room. I sort of chuckled at the report of the writer’s (a neonatologist’s) repulsion with the situation (guess most babies in the NICU don’t ...

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  • Cervical Incompetence and Cerclage - 7 - All Cerclages are Not Created Equally

    In today’s post, I was originally going to discuss the surgical and medical approach I have used for many years in management of cervical incompetence, but I thought it would first be best to introduce why I think this will be a worthwhile endeavo...

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  • Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 4 - Ovulation and Corpus Luteum Development

    In our last post on this topic, we concluded that imbalances of the fibrinolytic system are commonly found in women with no other obvious explanations for recurrent early pregnancy loss (RPL) and that one of the more consistent findings in this im...

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About the Author

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

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