Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Cervical Incompetence and Cerclage - 11 - Rescue Cerclage (2)

    A 17 year old primigravida was sent on referral when she was found to have significant “ballooning” of the membranes into the cervical canal at 20 2/7 weeks gestation. She was obese and a smoker but otherwise had an unremarkable medical and pregn...

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  • Grand Rounds 3.44 at A Chronic Dose

    Thanks to Laurie Edwards at A Chronic Dose for including a link to my recent post in which we address common questions related to the evaluation of HSIL in pregnancy, the risk and benefits of diagnostic procedures, and its natural history, in this...

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  • Maternal Mortality Rates Rise

    Within the past week the National Center for Health Statistics released its annual report on mortality in the U.S. for the year 2004 (National Vital Statistics Reports. 2007. 55;19) Buried as the last area of comment in the report were the materna...

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  • Down Syndrome and Folate Metabolism - 3

    In my last two posts (prompted by a query from Sheila, a woman who is homozygous for the MTHFR C677T polymorphism and had a baby with Down syndrome) we have tried to make a case for an association of abnormalities in folic acid/methylation metabol...

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  • Molar Pregnancy vs. Hydropic Degeneration

    As detailed in the reader's comment below, she had an early pregnancy loss and her doctors were concerned that she had a molar pregnancy. Sometimes it is very difficult to differentiate by ultrasound a true molar pregnancy from simple 'hydropic de...

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  • Case of Elevated Inhibin with a Midtrimester Maternal Serum Screen

    I have spent most of my free time this week, the little I seem to have anymore, catching up with all of the readers' comments that accumulated while I took my vacation. One thing that seems to be a constant in medicine is that you can turn off yo...

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  • "It was the best of times, it was the worst of times..."

    Yesterday, shortly after rounds with our residents, I was called urgently to the postpartum floor because a patient of ours was “coding” (cardiopulmonary arrest). She was a 31 year old woman who had just delivered her sixth child the day before....

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  • Infection and Preterm Birth: A General Overview

    For those of you who are just joining us, I have been posting a series on preterm birth (PTB) because of the magnitude and epidemic growth of the problem in the U.S. today. In the last post, we began a discussion of broad categories of risk factor...

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  • Thanks Adam for Grand Rounds 4.04!

    Thanks to Adam at NY Emergency Medicine for hosting this week's Grand Rounds 4.04. Love the pictures! And, no, the handsome guy next to the paragraph with my link is not me! If I looked that good, I'd be impossible to live with. While we are on su...

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  • Recurrent Early Pregnancy Loss - 8 - Maintaining Hope

    We have provided a lot of information over the past two weeks related to recurrent early pregnancy loss. Before we begin to translate that information into the medical evaluation that can be used to try to identify specific problem areas and poss...

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About the Author

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

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