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Late Preterm Birth - AGAIN
The other night I was preparing a Grand Rounds’ presentation on late preterm birth for the next morning. There was going to be a large group of resident applicants in the audience, and the competition for the cream of the graduating medical schoo...
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Preterm Labor Day: Factors Associated with Preterm Birth
Labor Day weekend always seems to be busy for us. I think pregnant women believe it represents a celebration and expectation of delivery rather than a tribute to the average working person. And, each year I always seem to be on call to help them c...
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Recurrent Miscarriages and Empiric Use of Enoxaparin - A Reader's Queries
The reader below related her obstetrical history which included three miscarriages surrounding the birth (one before and two after) of a healthy child. Her doctor chose a course of empiric therapy despite a completely ‘negative’ work-up (which did...
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A Complication of Methotrexate Use for Ectopic Pregnancy
The comment from the reader below was published on one of my posts related to recurrent early pregnancy loss and illustrates one of the risks of methotrexate use in the treatment of ectopic pregnancy... At Thu Sep 06, 05:52:00 PM 2007, Anonymous ...
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Early Pregnancy Loss - 1
One of my sonographers came out of an exam room the other day with a vaginal transducer (ultrasound probe) held out in front of her, still sheathed in a lubricated condom, and lightly streaked with old blood. The expression she had on her face is...
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Elective Late Preterm Birth – Why Aren’t Patients and Providers Listening?
In several posts over the past 18 months we have discussed the neonatal (and, to a lesser, though still significant degree, maternal) risks of “late preterm” or “near term” birth especially when this is done ‘electively’ and by cesarean section pr...
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Diabetes in Pregnancy - 7 - Self-Monitoring of Blood Glucose Levels
After discussing the basics and importance of diet, the next step in counseling for the newly diagnosed woman with gestational diabetes mellitus (GDM) revolves around the means of assessing her ‘diabetic control’. The mainstay of management is fr...
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Placenta Accreta: A Growing Problem
Today's post is written in response to the questions raised by the reader below...Anonymous has left a new comment on your post "Hypoplastic Right Heart Syndrome (HRHS): A Reader'...": Dear Dr TI am 40 and pregnant for the 8th time. I have 2 kids ...
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Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 1 - Introduction
In a post at the end of September, we summarized a series of questions from a 26 year old, otherwise healthy, reader who had had recurrent early first trimester pregnancy losses. Her ‘work-up’ to date had been relatively unremarkable, however, sh...
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"In the beginning...": Determining Gestational Age and Due Date
The other day, I repeated a conversation I have had countless times. I was finishing up an early ultrasound on a very young woman and informed her that she was 8 weeks’ pregnant and congratulated her on coming in early for prenatal care. At that p...
