Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Diabetes in Pregnancy - 5 - Diagnosis of Gestational Diabetes

    In our last post, we discussed the basic differences between type 1 and type 2 diabetes and concluded with the characterization of gestational diabetes mellitus (GDM), diabetes that is first expressed (or detected) as the result of pregnancy, as f...

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  • Chromosomal Abnormalities and Multiple Gestations - 3

    To bring those of you just jumping into this discussion up to speed, in our last two regular posts on the subject of “Chromosomal Abnormalities in Multiple Gestations,” we presented a case in which a 40 year old woman, who conceived twins by IVF a...

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  • Reader's Questions Related to Low PAPP-A in First Trimester Screening for Aneuploidy

    The following comments and questions were left on my previous post regarding Low Pregnancy-Associated Plasma Protein-A (PAPP-A) and Pregnancy Outcome. The questions are excellent and summarize the concerns of many of our readers who have a low PA...

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  • Cervical Incompetence and Cerclage - 5 - Cervical Assessment

    Once the suspected diagnosis of cervical incompetence has been established, a decision has to be made regarding what therapy is offered to the patient. I have found that the patient’s participation in that decision is often very important. When ...

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  • Constipation in Pregnancy - 2

    Since constipation can be a chronic and ongoing concern in pregnancy, it is worth revisiting at least once with a few additional comments. Actually, the writer referred to in the previous post had some more specific follow-up questions and my res...

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  • Grand Rounds 4.34 at Health Business Blog!

    Thanks to David E. Williams at Health Business Blog for a most entertaining Grand Rounds and for including a link to my recent post regarding Consequences of Decreased Amniotic Fluid in pregnancy. This is the 4th post in my series on amniotic flui...

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  • 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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About the Author

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

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