Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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 ...

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  • 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...

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  • Grand Rounds Thanks to ScienceRoll

    Many thanks to Bertalan Mesko at "ScienceRoll" for Grand Rounds 4.22: The Future of Medicine and for including a link to my post regarding "Abnormal Sperm Morphology and Recurrent Pregnancy Loss." When we evaluate the couple for recurrent early pr...

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  • Retinal Arteriole Occlusion in Early Pregnancy

    The comment below was left on a recent post regarding "Readers' Questions Related to MTHFR Polymorphisms." The reader presents a very unusual complication early in her first pregnancy - retinal arteriole occlusion - and the response to her query ...

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  • Misunderstanding Group B Streptococcus (GBS)

    There is not a week that goes by when I don't get a bunch of questions regarding Group B Streptoccus (GBS) infections, either on this site or at the office. GBS is an endless source of stress, misunderstanding, and sometimes over-reaction. For exa...

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  • Hypoplastic Right Heart Syndrome (HRHS): A Reader's Query

    Before I respond to the reader below, I wanted to explain why you have not seen much of me lately at “Fruit of the Womb.” Those of you who have followed this blog for awhile may know that I had some medical problems of my own dating back the last...

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  • Uterus Transplant?: Whatever!!!!!

    It was recently announced that a New York hospital is making plans to perform the first uterus transplant. The press release announced that "the hospital's ethics board has conditionally approved the plans." The physicians involved in the project...

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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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  • Recurrent Early Pregnancy Loss - 6 - A Special Patient

    Before I get into details regarding specific abnormalities of the maternal immune system and clotting system that appear to be related to recurrent early pregnancy loss, let me tell you a story about one of those ‘special patients’ in my life who ...

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  • Midtrimester Loss: Preterm Labor vs. Cervical Incompetence

    Below is a sequence of comments between a reader and me related to the unending difficulties we encounter sorting out the cause of midtrimester pregnancy losses: Is it preterm labor, cervical incompetence, uterine infection, fetal chromosomal abn...

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About the Author

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

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