Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Cervical Incompetence and Cerclage - 7 - All Cerclages are Not Created Equally

    In today’s post, I was originally going to discuss the surgical and medical approach I have used for many years in management of cervical incompetence, but I thought it would first be best to introduce why I think this will be a worthwhile endeavo...

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  • "The Road Not Taken..."

    Recently, I was asked to see a very interesting patient in consultation. Although a favorable outcome of her pregnancy is by no means guaranteed at this time, I am fairly sure that the timely request from her physician for a “curbside” consult av...

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  • Abnormal First Trimester Screen in a Woman with Chronic Kidney Disease

    Hello Dr. T:I am also new to the whole blogging thing. I am currently 13 weeks 3 days, and was told at my last prenatal appointment that based on my first trimester screening, I have a 1 in 235 chance of having a baby with Downs syndrome. I am onl...

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  • Diabetes in Pregnancy -6 - Diet and Exercise as the Foundation for Management of GDM

    Once we have established the diagnosis of gestational diabetes mellitus (GDM), the first step in management is to counsel the patient regarding the diagnosis, management options, potential risks to the pregnancy, antepartum assessment of the baby,...

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  • Multiple Gestations - An Introduction

    Not long ago I was attending at a twin delivery – one boy and one girl. The mother knew from about 16 weeks into the pregnancy that she had one of each gender. Yet, at the time of the delivery, despite the fact that there really was one of each,...

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  • Fetal Cystic Hygromas in First Trimester

    Today I received another comment to a post I wrote awhile back on aneuploidy (chromosomal abnormality) from a reader who has a first trimester baby that was found to have a cystic hygroma. With the growing acceptance of first trimester screening f...

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  • Choroid Plexus Cysts - Again!

    The following comment was left on my last post in which we responded to a patient's concern that she should have an amniocentesis done because her baby might have a chromosomal abnormality due to her age alone risk despite the fact that she also h...

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  • Cervical Incompetence and Cerclage - 3 - Significance of the Internal Cervical Os

    The incidence of cervical incompetence in the general population is really not known and probably varies by population subgroups. Estimates range between 1 in 100 and 1 in 2000. My sense over the years (considering the number of cerclages I have...

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  • Management of an Rh-Isoimmunized Pregnancy

    In my last three posts we have set the groundwork for understanding complications related to maternal Rh-isoimmunization and fetal Rh-disease. Now let’s use a real-live patient to focus our discussion on the medical management of this condition…W...

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  • The Happy Hospitalist Hosts Grand Rounds 4.37

    Thanks to The Happy Hospitalist for the effort and the humor put into this week's rendition of Grand Rounds. I am thankful and quite grateful that he chose to include my recent post on "Teen Pregnancy: We ARE Failing Our Children."As pointed out ...

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About the Author

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

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