Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Rh-isoimmunization

    In our last post we discussed what it means to be 'Rh-negative' in response to a patient’s concern that she is. We also mentioned that complications related to being Rh-negative have been greatly reduced over the past 40 years by the prophylactic...

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  • Chromosomal Abnormalities and Multiple Gestations - 1

    In our practice, we see many cases of multiple gestations (mostly twins and not more, thank goodness) that come about as the result of the success of our colleagues in Reproductive Endocrinology and Infertility (REI). In general, these patients t...

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  • Tales of Two Thrombophilias

    Although we strive to practice “evidence-based medicine” when the evidence is good and the practice is sensible, there are many times when personal experience still plays a role in patient care activities. Nowhere does this seem to be more true i...

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  • Chromosomal Mosaicism Detected at the Time of Chorionic Villus Sampling

    Since the widespread acceptance of first trimester screening for fetal chromosomal abnormalities (aneuploidy), and following the recommendations that this should be offered to all pregnant women, not just those considered to be ‘at risk’ for indic...

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  • What is Aneuploidy Screening?

    Patients have a hard time understanding the differences between screening tests and diagnostic tests. The most misunderstandings or misconceptions that seem to arise during pregnancy revolve around screening for aneuploidy (fetal chromosomal abno...

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  • Multiple Pterygium Syndrome - A Rare Cause of Recurrent Pregnancy Loss

    The following comment and query was recently left on my post "Grand Rounds 3.52 - Thanks Kerri!" Although it had nothing to do with the subject of my Grand Rounds offering, it is still a fascinating condition most worthy of a post all its own – mu...

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  • Return of Dr. T

    It has been several months since I have written and I have missed all of you. I was a little burned out by trying to keep up with my interim Chair and clinical responsibilities as well as the blog, but the greatest reason was that ‘Blogger’ was m...

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  • Groundrules for Comments and Communication

    As some of our regular readers already know, about 6 months ago I took on the role of interim Chair in our Department of OB/GYN. The added responsibilities have drastically cut into the time and energy I have had to devote to this site, although ...

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  • Amniotic Fluid - 3 - Oligohydramnios: Causes of Too Little Amniotic Fluid

    Having discussed where amniotic fluid comes from and how we assess amniotic fluid volume, let’s address the most common amniotic fluid abnormality – too little fluid or oligohydramnios. There are 3 primary reasons why there is too little amniotic...

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  • Recurrent Early Pregnancy Loss - 7 - Immunologic and Hematologic Causes

    Our blood clotting system helps prevent us from bleeding and also may potentiate an immune response since it is ‘activated’ by tissue damage. Blood clotting (coagulation or thrombosis) and the breaking down of blood clots (fibrinolysis or thrombo...

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About the Author

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

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