Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Cruise - 2 - A Lesson in Group Therapy

    The last day of the cruise was overcast, rainy, and cold. For those who had gotten too much sun already, that was probably a blessing! We were not in sight of land and the open water was rougher than it had been – out came the Dramamine. Anyway...

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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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  • 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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  • Low hCG and PAPP-A in a Patient with an Autoimmune Disorder

    The following comment was left on an old post "Affect of Smoking on PAPP-A Levels in First Trimester." The case is interesting because it reminds us that abnormal maternal serum markers in first trimester might be the result of factors unrelated t...

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  • Grand Rounds 4.44 at GruntDoc!

    Thanks to GruntDoc for the effort put into hosting this week's Grand Rounds 4.44. I am grateful that he included my recent post on Amniocentesis is Not Without Risk. Admittedly, it is a long post, but it tells a story. I may be wrong, but I get ...

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  • Amniotic Fluid - 8 - Evaluation and Management of Polyhydramnios

    In the last couple of posts we have reviewed causes and complications related to excessive amniotic fluid, otherwise known as polyhydramnios or, simply hydramnios. Although 50-60% of cases of hydramnios are idiopathic (no identifiable cause) and ...

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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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  • Grand Rounds 4.35 at Musings of a Dinosaur!

    Thanks to Musings of a Dinosaur for the effort and "Jurassic Park" spectacular presentation of this week's Grand Rounds 4.35. Thanks too for including a link to my recent post on "Polyhydramnios: Causes of Too Much Amniotic Fluid." Grand Rounds of...

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  • Infertility and Cervical Incompetence: No Time for a "Stitch in Time" this Time

    On Saturday night, we admitted a patient at only 19 weeks’ gestation with advanced cervical dilation, occasional contractions, and fetal membranes ballooning through the cervix into the vagina – a history consistent with severe cervical incompeten...

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About the Author

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

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