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Constipation in Pregnancy - 2
Since constipation can be a chronic and ongoing concern in pregnancy, it is worth revisiting at least once with a few additional comments. Actually, the writer referred to in the previous post had some more specific follow-up questions and my res...
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Grand Rounds 4.34 at Health Business Blog!
Thanks to David E. Williams at Health Business Blog for a most entertaining Grand Rounds and for including a link to my recent post regarding Consequences of Decreased Amniotic Fluid in pregnancy. This is the 4th post in my series on amniotic flui...
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Birth Plans: More General Thoughts
In my last post, I began a discussion of “what constitutes a good birth plan” in response to comments following a previous post. I addressed general issues and, after giving some more thought to the matter as I was falling asleep last night, I wo...
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What is Aneuploidy?
Recently, we did a routine ultrasound on a 16 year old in her first trimester to simply confirm her “dates” and found, incidentally, a baby with a large fluid collection on the back of its neck called a cystic hygroma. When this is identified in ...
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Assessing Fetal Lung Maturity - 4 - TDx-FLM, Lamellar Body Count, and Foam Stability Index
In our last post, we described the two earliest tests that were introduced in the 1970’s to assess fetal lung maturity – the lecithin/sphingomyelin (L/S) ratio and detection of phosphatidylyglycerol. Originally, both of these tests were performed...
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Recurrent Cystic Hygromas
Kristi has left a new comment on your post "Fetal Cystic Hygromas in First Trimester": Dear Dr.T, With my first pregnancy a cystic hygroma was found at 13 weeks. I had an amniocentesis done which came back normal for all genetic and chromosomal ab...
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The New "Normal" Pregnancy
Every day is different and every pregnant woman is unique. Pregnancy is a dynamic process in which the mother’s physical state changes daily from the moment of conception until many weeks after delivery. The hormonal, physiologic, and immunologic ...
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Thanks to Jon and the AADT Crew for Grand Rounds Vol. 3 No.12
Thank you to Anxiety, Addiction and Depression Treatments for including my personal recollections regarding the first HIV patient, who just happened to be pregnant, I ever took care of (too many years ago), even before we had a name and a cause fo...
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Diabetes in Pregnancy -3 - Normal Changes in Insulin Sensitivity
In our second post on diabetes in pregnancy, we gave a simple overview of glucose metabolism and discussed the essential role insulin plays in assuring that glucose gets into the cell. Pregnancy alters the normal balances involved in glucose metab...
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Hypertensive Disorders in Pregnancy - 5
In our last post on this subject, we described an abnormality of placental development, incomplete or abnormal invasion of the maternal spiral arterioles by fetal placental cells (trophoblasts) early in pregnancy, as perhaps the most common senti...
