Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Multiple Gestations - An Introduction

    Not long ago I was attending at a twin delivery – one boy and one girl. The mother knew from about 16 weeks into the pregnancy that she had one of each gender. Yet, at the time of the delivery, despite the fact that there really was one of each,...

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  • Choroid Plexus Cysts - Again!

    The following comment was left on my last post in which we responded to a patient's concern that she should have an amniocentesis done because her baby might have a chromosomal abnormality due to her age alone risk despite the fact that she also h...

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  • Recurrent Early Pregnancy Loss - 11 - Therapeutic Interventions

    Our patient with recurrent early pregnancy loss has come to us desperately wanting to know” Why? What’s wrong with me? What can be done to help?” She is at the point where she needs more than simple reassurances, although that is still an importa...

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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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  • Falling Folic Acid Levels Portend Problems

    A few weeks ago, I attended the Medicaid Commissioner’s Perinatal Task Force meeting in my home state of South Carolina. A featured presenter at that meeting was Dr. Roger E. Stevenson from the Greenwood Genetic Center who reminded us of the need ...

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  • Will We Ever See 17-P for PTB?

    On August 31, I posted a note entitled "Preterm Birth: An American Tragedy." In that post, I reported that Adeza Biomedical Corp. had filed application with the FDA to have exclusive rights to the production of 17-hydroxy-progesterone caproate ("1...

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  • Amniocentesis Q & A

    Yesterday, I addressed the issue of ‘risk’ related to amniocentesis. I thought I should clarify that there are many different reasons we do an amniocentesis, and there are many different times during a pregnancy when it might be indicated that thi...

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About the Author

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

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