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Fruit of the Womb
Fruit of the Womb
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  • A Poignant Story

    Maternal-Fetal Medicine can be a rough business sometimes. The highs are great, but the lows can keep you down for days. I have always tried to abide by the admonition in the House of God that one should always remember “the patient has the dise...

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  • Symptoms Accompanying Methotrexate Therapy for Ectopic Pregnancy

    Below is a comment with questions from a reader who is undergoing methotrexate therapy for a tubal ectopic pregnancy. Ectopic pregnancy has been on the rise over the past 30-40 years and current rates are in the range of 1-2 per 1000 pregnancies....

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  • Diabetes in Pregnancy -6 - Diet and Exercise as the Foundation for Management of GDM

    Once we have established the diagnosis of gestational diabetes mellitus (GDM), the first step in management is to counsel the patient regarding the diagnosis, management options, potential risks to the pregnancy, antepartum assessment of the baby,...

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  • Multiple Gestations - An Introduction

    Not long ago I was attending at a twin delivery – one boy and one girl. The mother knew from about 16 weeks into the pregnancy that she had one of each gender. Yet, at the time of the delivery, despite the fact that there really was one of each,...

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  • Choroid Plexus Cysts - Again!

    The following comment was left on my last post in which we responded to a patient's concern that she should have an amniocentesis done because her baby might have a chromosomal abnormality due to her age alone risk despite the fact that she also h...

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  • Management of an Rh-Isoimmunized Pregnancy

    In my last three posts we have set the groundwork for understanding complications related to maternal Rh-isoimmunization and fetal Rh-disease. Now let’s use a real-live patient to focus our discussion on the medical management of this condition…W...

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  • The Happy Hospitalist Hosts Grand Rounds 4.37

    Thanks to The Happy Hospitalist for the effort and the humor put into this week's rendition of Grand Rounds. I am thankful and quite grateful that he chose to include my recent post on "Teen Pregnancy: We ARE Failing Our Children."As pointed out ...

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  • Thanks MedHelp for an Awesome Grand Rounds Selection!

    Many thanks to Enoch Choi, MD at MedHelp for a full-plate of nourishing offerings (gotta get into the Holiday spirit a little bit now that we've finally digested, though not worked off, Thanksgiving dinner) and a lot of hard work at this week's ed...

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  • Recurrent Early Pregnancy Loss - 2 - Hormonal Causes

    To begin our discussion of actual causes of recurrent early pregnancy loss, let’s start with the one that is probably the most commonly touted, though still the least well-understood (and to me the MOST confusing) – HORMONAL CAUSES. Now, let me a...

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  • Group B Streptococcus (GBS) in Pregnancy: Hold the Vancomycin?

    Group B Streptococcus (GBS) is a bacterium that colonizes the vagina and lower gastrointestinal tract in as many as one-third of all healthy reproductive age women. It is the leading cause of serious bacterial infection in newborns. Most babies ...

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About the Author

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

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