Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Diabetes in Pregnancy - 7 - Self-Monitoring of Blood Glucose Levels

    After discussing the basics and importance of diet, the next step in counseling for the newly diagnosed woman with gestational diabetes mellitus (GDM) revolves around the means of assessing her ‘diabetic control’. The mainstay of management is fr...

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  • A Complication of Methotrexate Use for Ectopic Pregnancy

    The comment from the reader below was published on one of my posts related to recurrent early pregnancy loss and illustrates one of the risks of methotrexate use in the treatment of ectopic pregnancy... At Thu Sep 06, 05:52:00 PM 2007, Anonymous ...

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  • Early Pregnancy Loss - 1

    One of my sonographers came out of an exam room the other day with a vaginal transducer (ultrasound probe) held out in front of her, still sheathed in a lubricated condom, and lightly streaked with old blood. The expression she had on her face is...

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  • Recurrent Miscarriages and Empiric Use of Enoxaparin - A Reader's Queries

    The reader below related her obstetrical history which included three miscarriages surrounding the birth (one before and two after) of a healthy child. Her doctor chose a course of empiric therapy despite a completely ‘negative’ work-up (which did...

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  • Placenta Accreta: A Growing Problem

    Today's post is written in response to the questions raised by the reader below...Anonymous has left a new comment on your post "Hypoplastic Right Heart Syndrome (HRHS): A Reader'...": Dear Dr TI am 40 and pregnant for the 8th time. I have 2 kids ...

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  • Amniocentesis is Not Without Risk

    Occasionally, a series of comments are left that leave me feeling quite disturbed. Included below is such a series received over the past few weeks, and to which I responded, that tell a story all by themselves. Please read all the way to the end ...

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  • Chorionic Villus Sampling

    In the last several posts, I have discussed amniocentesis as a means of fetal diagnosis for chromosomal or genetic problems. Amniocentesis is considered to be an ‘invasive diagnostic procedure.’ We actually have to stick a needle through the fetal...

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  • Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 1 - Introduction

    In a post at the end of September, we summarized a series of questions from a 26 year old, otherwise healthy, reader who had had recurrent early first trimester pregnancy losses. Her ‘work-up’ to date had been relatively unremarkable, however, sh...

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  • "In the beginning...": Determining Gestational Age and Due Date

    The other day, I repeated a conversation I have had countless times. I was finishing up an early ultrasound on a very young woman and informed her that she was 8 weeks’ pregnant and congratulated her on coming in early for prenatal care. At that p...

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  • Poop is Part of Parturition

    I was reading a post by another blogger today that addressed the delicate issue of feces in the delivery room. I sort of chuckled at the report of the writer’s (a neonatologist’s) repulsion with the situation (guess most babies in the NICU don’t ...

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About the Author

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

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