Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Recurrent Early Pregnancy Loss - 9 - Evaluation

    When I first see a patient in consultation for recurrent early pregnancy loss, I usually spend at least an hour with them. The first part of the appointment is spent in obtaining a detailed history – medical, social, and family. Since many diffe...

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  • Cervical Dysplasia and Cancer in Pregnancy - 6

    Our last post detailed the management of a pregnant woman who was found to have multifocal carcinoma in situ and microinvasive squamous cell carcinoma of the cervix early in pregnancy. Although she had a successful outcome from the management appr...

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  • Comment Regarding Prednisone Therapy for Recurrent Pregnancy Loss

    Below are excerpts from a comment/query that appeared recently on my post Recurrent Early Pregnancy Loss -6- A Special Patient. In this post, I recount my first experiences with a woman who had pregnancy complications (miscarriages and severe pree...

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  • Hypertensive Disorders of Pregnancy - 6

    Well, I was away again this weekend. Drove to Indianapolis for my niece’s wedding. That area, like so much of the rest of the country, has been suffering from a drought, but it decided to come to an end this weekend. Of course, the wedding rehears...

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  • Cervical Incompetence and Cerclage - 7 - All Cerclages are Not Created Equally

    In today’s post, I was originally going to discuss the surgical and medical approach I have used for many years in management of cervical incompetence, but I thought it would first be best to introduce why I think this will be a worthwhile endeavo...

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  • Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 4 - Ovulation and Corpus Luteum Development

    In our last post on this topic, we concluded that imbalances of the fibrinolytic system are commonly found in women with no other obvious explanations for recurrent early pregnancy loss (RPL) and that one of the more consistent findings in this im...

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  • Cervical Incompetence and Cerclage - 11 - Rescue Cerclage (2)

    A 17 year old primigravida was sent on referral when she was found to have significant “ballooning” of the membranes into the cervical canal at 20 2/7 weeks gestation. She was obese and a smoker but otherwise had an unremarkable medical and pregn...

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  • Grand Rounds 3.44 at A Chronic Dose

    Thanks to Laurie Edwards at A Chronic Dose for including a link to my recent post in which we address common questions related to the evaluation of HSIL in pregnancy, the risk and benefits of diagnostic procedures, and its natural history, in this...

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  • Inauguration Day Thoughts

    At the time of the swearing in ceremony for President Barack Obama, I was supposed to be at two different meetings. I didn’t go to either of them. Instead, I went to the OB/GYN Residents’ lounge and turned on the television to watch what will su...

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  • Early Amniocentesis

    I was discussing the content of my recent posts (April 17, 2007; April 28, 2007) about amniocentesis with one of my patients today. She was trying to decide between the options for aneuploidy screening and actual fetal chromosomal diagnosis, and t...

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About the Author

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

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