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Poop is Part of Parturition
I was reading a post by another blogger today that addressed the delicate issue of feces in the delivery room. I sort of chuckled at the report of the writer’s (a neonatologist’s) repulsion with the situation (guess most babies in the NICU don’t ...
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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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Thanks to Over!My!Med!Body! - Grand Rounds 3.41
Thanks to the folks at Over!My!Med!Body! for including the final post in my series on Hypertensive Disorders in Pregnancy - 8 (9 and 10!) in this week's Independence Day Grand Rounds 3.41. I know it didn't quite meet with the theme, but for those...
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Fetal Cystic Hygromas in First Trimester
Today I received another comment to a post I wrote awhile back on aneuploidy (chromosomal abnormality) from a reader who has a first trimester baby that was found to have a cystic hygroma. With the growing acceptance of first trimester screening f...
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Time to Reevaluate Cesarean Section Techniques
The other day I attended a session entitled “Myths and Truths of Cesarean Delivery Technique” presented by Dr. Aviva Lee-Parritz from Boston Medical Center. The discussion critically evaluated the surgical techniques commonly employed to accomplis...
