Amniotic Fluid - 6 - Polyhydramnios: Causes of Too Much Amniotic Fluid
Polyhydramnios (excessive amniotic fluid), also termed hydramnios, is usually defined by vertical pockets of amniotic fluid > 8 cm or as a 4-quadrant amniotic fluid index (AFI) > 95th percentile for the gestational age. Polyhydramnios has...
Cervical Dysplasia and Cancer in Pregnancy - 2
By the time I got to the consultation room with the information from the clinic, the tears had stopped flowing (see yesterday's post). Her mother was with her and the first thing I asked was if she wanted her boyfriend there as well. Again, she sh...
Constipation in Pregnancy
A writer recently requested some information regarding "constipation in pregnancy." Having just gotten over the consequences of my Norovirus infection, I thought I might welcome a little constipation in my life, even if it isn't one of our more 'm...
Yesterday the U.S. population reportedly reached the 300,000,000 mark. It is probably more than that if one considers all of the ‘illegal aliens’ that call this home as well. You know, those people who live here, work here, spend money here, hav...
Elevated hCG Detected at the Time of First Trimester Screening for Aneuploidy
Below are comments and questions from a reader who underwent combined first trimester screening for aneuploidy. Although the composite screening results did not place her at increased risk for having a baby with trisomy 21 (Down syndrome) or tris...
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!