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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!
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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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ACOG Annual Meeting - San Diego
Hey guys. On the road again. Decided to go to the American College of Obstetricians and Gynecologists (ACOG) Annual Meeting in San Diego starting this weekend. Since my specialty area is in Maternal-Fetal Medicine, I don’t get to the ACOG Meet...
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Preterm Birth: Paths to Early Delivery
“Preterm labor can no longer be considered a single disease…(it) is the clinical expression of different pathologic insults to the feto-maternal unit.” Roberto Romero, 1993It is clear that there are a variety of initiating factors that can lead to...
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Readers' Featured Comments/Questions - Why Wait to Conceive after Miscarriage and Rh-negative Concerns
Anonymous has left a new comment on your post "Early Pregnancy Loss - 2": I found out from my OB today that I miscarried (I found out I was pregnant on 8/22, and began bleeding on 8/29, he ordered a hCG level test which went from 12 to 2 in a 48 h...
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Quintuplet Story - A Physician's Perspective
Before I became distracted by a plethora of administrative responsibilities, I was in the middle of writing a series about multiple gestations. Although I did not want to spend a lot of time discussing 'high order multiples' (three or more babies)...
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Down Syndrome and Folate Metabolism
The other day I received a comment from Sheila on my post related to MTHFR mutations and fetal cardiovascular malformations. She reported that she had had a history of recurrent pregnancy losses (x 4) and during her ‘work-up’ for the same was foun...
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Preterm Birth: Mortality Rates Doubled!
In one of my first posts on preterm birth (PTB), Preterm Birth: An American Tragedy, it was mentioned that early delivery had surpassed birth defects and genetic abnormalities as the leading cause of death in the first year of life in the United S...
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Asherman's Syndrome
Recently, several readers have requested information or had complications I suspect are related to "Asherman's syndrome." Two comments and my responses are included below...Julia Mangan has left a new comment on your post "Request to My Readers......
