Visit Dr. Wes for Grand Rounds 4.29!
Thanks to Dr. Wes for including my post regarding the "Affect of Smoking on PAPP-A Levels in First Trimester Screening for Aneuploidy" in this week's Grand Rounds 4.29. As has been the case in many of my recent posts, the topic was chosen based on...
The Smell of Rain
A dear friend of mine sent this to me. I do not know its origin, but thought it was especially appropriate during the Holiday season. It relates an experience many of my patients live through every day. To them and the friend who thought enough...
The Best of the Medical Blogosphere
If you are new to the healthcare blog world, you know it can be hard to find interesting blogs addressing health issues. One good way to find other healthcare bloggers is to look at the online posts of "Grand Rounds." Here a host gathers some inte...
Cervical Incompetence and Cerclage - 10 - Rescue Cerclage
In my last post, I detailed my approach to placement of a prophylactic cerclage. Now let’s make things a little more challenging and discuss ‘rescue’ or ‘emergency’ cerclage. Actually, these usually fall into two broad categories, challenging an...
Grand Rounds 3.34 at Medical Humanities Blog
Thanks to Dr. Daniel Goldberg at Medical Humanities Blog for including a link to my "Mother's Day Thoughts" in this weeks Grand Rounds 3.34. Love ya', Mom!
Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 6 - Treatment and Response Accompany Improved Outcomes
In the last several posts, we have presented support from the literature that links imbalances in the fibrinolytic system, as reflected in increased activity of PAI-1, or a genetic predisposition for the same, with adverse pregnancy outcome, both ...
More on Meds and Pregnancy: Adderall and Cymbalta
The following comment was received in response to one of my previous posts: “My friend has just discovered she was pregnant...at her yearly exam. The problem is she takes several meds…Adderall…(and) Cymbalta. She is around 13 weeks and is stress...
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...
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...
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...