Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Cytomegalovirus (CMV): Common and Confusing

    Let's take a break from the PTB saga which I promise to continue soon. The other day I got a call from a physician in Louisiana who had tracked me down to where I currently live in South Carolina. The call was regarding a woman who had lost a baby...

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  • Obstetrical Ultrasound - A Sinister Cause for Concern?

    A few weeks ago, a patient was sent to me for consultation with the new diagnosis of gestational diabetes detected at the time of routine screening at 26 weeks. After reviewing her history and performing a limited physical exam, I proceeded with ...

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  • Amniotic Fluid - 4 - Consequences of Decreased Amniotic Fluid

    In the last three posts, we have reviewed basic aspects of amniotic fluid production and measurement and common causes of decreased amniotic fluid, or oligohydramnios. Now let’s look at reasons decreased amniotic fluid increases the risk for feta...

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  • Diabetes in Pregnancy - 10 - Preconceptional Evaluation of Pregestational Diabetics

    Although I have left the discussion of pregestational diabetes until the end of our series on “Diabetes in Pregnancy,” that was not done with the intent of diminishing its significance with regard to maternal and fetal morbidity and mortality. Ev...

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  • Routine Screening for HIV During Pregnancy

    Last week I was asked to represent our hospital system at a conference sponsored by the Centers for Disease Control (CDC) regarding “Implementation of HIV Screening in Acute Care Settings.” Several of the larger hospitals in the southeast were re...

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  • Readers' Questions - Cervical Dysplasia, Protein S Deficiency, and Recurrent Aneuploidy

    These readers' comments/questions touch on a variety of issues of general interest - severe cervical dysplasia in pregnancy, protein S deficiency in a woman who lost a pregnancy at 24 weeks, and recurrent miscarriages associated with different chr...

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  • Postmortem Postscript: Staphylococcal Pneumonia

    About a month ago, I posted a note ("It was the best of times, it was the worst of times...") about a mother's death the day following her delivery. Although she had had a fever in labor and after delivery, and had been started on broad spectrum a...

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  • The "Flu" and Pregnancy: Get Smart, Get Vaccinated NOW

    Well, the flu season is underway, and every pregnant woman wants to know, “Should I get the flu shot?” The simple answer is “YES (with few exceptions),” no matter how early or far along you are in your pregnancy, and the optimal time to receive t...

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  • Recurrent Early Pregnancy Loss - 5 - Introduction to Immunologic Causes

    The last two major categories I would like to discuss related to recurrent early pregnancy loss are immunologic and hematological (thrombophilias) abnormalities. These may well be the most common causes, but they are also by far the least well un...

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  • Blogging - Reflection of Eight Months Online at Healthline

    This week’s Grand Rounds 3.35 is going to be hosted by impactEDnurse.com. The challenge to the submitters was to “take a journey back through the narrative of your posts and pick out a story that you consider to be one of your best. Maybe it is a ...

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About the Author

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

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