Fruit of the Womb
Fruit of the Womb
Latest Entries
  • A Poignant Story

    Maternal-Fetal Medicine can be a rough business sometimes. The highs are great, but the lows can keep you down for days. I have always tried to abide by the admonition in the House of God that one should always remember “the patient has the dise...

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  • A Second Chance

    Dear Readers,About a month ago, I started writing again and had at least tried to begin responding to the many queries that have kept coming in the door – some left on posts that are a year or two old. (And for all of you out there who have asked...

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  • Cervical Dysplasia and Cancer in Pregnancy - 3

    It the last two posts we reviewed a discussion I had with a young woman who had misconceptions about the significance of an “abnormal Pap test” result early in her pregnancy. The point that was emphasized to her was the she did have genital warts ...

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  • Cytomegalovirus (CMV): Spectrum of Disease

    From the time of exposure to CMV, to the onset of virus excretion, which occurs whether or not symptomatic disease develops, usually takes 4-12 weeks. At least half of the primary, and the vast majority of the recurrent, infections are entirely as...

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  • Is 17-Hydroxyprogesterone Caproate (17P) Safe for the Baby During Use in Preterm Birth Prevention?

    Recently, I received the following two comments from readers regarding their concerns about the use of 17-hydroxyprogesterone caproate or 17P (formerly known as Delalutin) in the management of preterm labor. Their specific concerns are related to...

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  • Recurrent Early Pregnancy Loss - 6 - A Special Patient

    Before I get into details regarding specific abnormalities of the maternal immune system and clotting system that appear to be related to recurrent early pregnancy loss, let me tell you a story about one of those ‘special patients’ in my life who ...

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  • Falling Folic Acid Levels Portend Problems

    A few weeks ago, I attended the Medicaid Commissioner’s Perinatal Task Force meeting in my home state of South Carolina. A featured presenter at that meeting was Dr. Roger E. Stevenson from the Greenwood Genetic Center who reminded us of the need ...

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  • Midtrimester Loss: Preterm Labor vs. Cervical Incompetence

    Below is a sequence of comments between a reader and me related to the unending difficulties we encounter sorting out the cause of midtrimester pregnancy losses: Is it preterm labor, cervical incompetence, uterine infection, fetal chromosomal abn...

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  • Will We Ever See 17-P for PTB?

    On August 31, I posted a note entitled "Preterm Birth: An American Tragedy." In that post, I reported that Adeza Biomedical Corp. had filed application with the FDA to have exclusive rights to the production of 17-hydroxy-progesterone caproate ("1...

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  • Low Pregnancy-Associated Plasma Protein A (PAPP-A) and Pregnancy Outcome

    On August 27, 2007, K left the following comment on my previous post entitled"Abnormal First Trimester Screening Results" published earlier this year:I had a 1st trimester screen and while most of the results came back normal, my PAPP-A level was ...

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About the Author

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

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