Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Birth Plans: More General Thoughts

    In my last post, I began a discussion of “what constitutes a good birth plan” in response to comments following a previous post. I addressed general issues and, after giving some more thought to the matter as I was falling asleep last night, I wo...

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  • What is Aneuploidy?

    Recently, we did a routine ultrasound on a 16 year old in her first trimester to simply confirm her “dates” and found, incidentally, a baby with a large fluid collection on the back of its neck called a cystic hygroma. When this is identified in ...

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  • Assessing Fetal Lung Maturity - 4 - TDx-FLM, Lamellar Body Count, and Foam Stability Index

    In our last post, we described the two earliest tests that were introduced in the 1970’s to assess fetal lung maturity – the lecithin/sphingomyelin (L/S) ratio and detection of phosphatidylyglycerol. Originally, both of these tests were performed...

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  • Quintuplet Story - A Physician's Perspective - 3

    ...The following day, I had a long discussion with Joy and Andres about what to expect over the next 3-4 weeks, the discomforts, the psychological drain, the ever-present concerns for outcomes and the risks. The uterus is now the size of a term o...

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  • Recurrent Early Pregnancy Loss - 9 - Evaluation

    When I first see a patient in consultation for recurrent early pregnancy loss, I usually spend at least an hour with them. The first part of the appointment is spent in obtaining a detailed history – medical, social, and family. Since many diffe...

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  • Cervical Dysplasia and Cancer in Pregnancy - 6

    Our last post detailed the management of a pregnant woman who was found to have multifocal carcinoma in situ and microinvasive squamous cell carcinoma of the cervix early in pregnancy. Although she had a successful outcome from the management appr...

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  • Comment Regarding Prednisone Therapy for Recurrent Pregnancy Loss

    Below are excerpts from a comment/query that appeared recently on my post Recurrent Early Pregnancy Loss -6- A Special Patient. In this post, I recount my first experiences with a woman who had pregnancy complications (miscarriages and severe pree...

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  • Hypertensive Disorders of Pregnancy - 6

    Well, I was away again this weekend. Drove to Indianapolis for my niece’s wedding. That area, like so much of the rest of the country, has been suffering from a drought, but it decided to come to an end this weekend. Of course, the wedding rehears...

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  • Letter to My Readers

    Dear Readers,A week or so back I received the comment below buried under one of my posts. It troubled me a lot, but it came at a good time, because it made me focus on some of the concerns I have had regarding my role on this site and your expec...

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  • Fetal Nasal Bone Assessment in First Trimester Screening for Aneuploidy

    The reader below underwent combined first trimester screening for aneuploidy and during the process, the baby was found to have an absent nasal bone. Due to the difficulty in routinely obtaining a definitive assessment of the nasal bone, and its c...

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About the Author

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

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