Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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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  • 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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  • 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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About the Author

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

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