Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Percutaneous Umbilical Blood Sampling (PUBS)

    In several previous posts, we addressed issues related to invasive diagnostic fetal testing, covering amniocentesis (early and midtrimester) and chorionic villus sampling. I got side-tracked by the ACOG Meeting in San Diego and just remembered tha...

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  • Thanks Kim at Emergiblog!

    Thanks Kim for mentioning my recent post “The "Flu" and Pregnancy: Get Smart, Get Vaccinated NOW” in your weekly Emergiblog Grand Rounds. Honored to be included among the contributors and love your format. Tall Chocolate though, I'm not! Maybe a...

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  • Low PAPP-A in Presence of Low Risk for Fetal Aneuploidy

    Below are comments from a woman aged 44 who is carrying a pregnancy conceived by in vitro fertilization (IVF) using a ‘donor egg’ from a 21 year old woman. She had combined first trimester screening done with composite results that were very reas...

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  • 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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About the Author

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

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