Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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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  • 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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  • 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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  • Thanks MedHelp for an Awesome Grand Rounds Selection!

    Many thanks to Enoch Choi, MD at MedHelp for a full-plate of nourishing offerings (gotta get into the Holiday spirit a little bit now that we've finally digested, though not worked off, Thanksgiving dinner) and a lot of hard work at this week's ed...

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  • Recurrent Early Pregnancy Loss - 2 - Hormonal Causes

    To begin our discussion of actual causes of recurrent early pregnancy loss, let’s start with the one that is probably the most commonly touted, though still the least well-understood (and to me the MOST confusing) – HORMONAL CAUSES. Now, let me a...

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  • Group B Streptococcus (GBS) in Pregnancy: Hold the Vancomycin?

    Group B Streptococcus (GBS) is a bacterium that colonizes the vagina and lower gastrointestinal tract in as many as one-third of all healthy reproductive age women. It is the leading cause of serious bacterial infection in newborns. Most babies ...

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  • A Case of Robertsonian Translocation and Turner Mosaicism

    The reader below recently lost a pregnancy early in gestation. During the course of her work-up afterwards, she was found to have not only a balanced Robertsonian translocation of chromosomes 13;15, but a low level of mosaicism for Turner syndrom...

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  • Amniotic Fluid - 1 - The Basics

    We have readers with a wide range of backgrounds and medical sophistication. One of the things I have tried to do on this site is to provide information which appeals to readers across this spectrum. In some instances, we have discussed very basi...

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About the Author

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

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