Fruit of the Womb
Fruit of the Womb
Latest Entries
  • The Best Prenatal Care Begins Before Conception

    I was talking with a reporter the other day about routine pregnancy care and the first question she asked me was, “When in pregnancy is it best to make your first doctor’s appointment?” She was quite caught off guard when I told her, “That’s easy...

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  • Another Reader's Questions Regarding First Trimester Screening for Aneuploidy

    Anonymous has left a new comment on your post "Abnormal First Trimester Screening Results":I received my screening results and was given a 1:86 chance of having a baby with Down syndrome (trisomy 21). I am 35 years old. Only my hCG levels were e...

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  • Congenital Sebaceous Cysts and Familial Adenomatous Polyposis?

    The comments and questions below recently left by one of our readers are interesting because they raise the possibility (again) that the congenital conditions with which all three of her children (and perhaps even the one she is currently carrying...

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  • When to Start Anticoagulation Therapy for Recurrent Early Pregnancy Loss

    For many years now, we have placed women with recurrent early pregnancy loss on low-dose aspirin (81 mg) and heparin, or low molecular-weight heparin such as lovenox, to help them improve their prospects for pregnancy outcome. In some instances t...

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  • MedSkool Grand Rounds 3.36- Thanks!

    Many thanks to the folks at MedSkool for including my post on "Contraception - A Basic Human Right" in this week's Grand Rounds 3.36 offering. Time has proven that neither abortion nor "just saying No" to sex is an acceptable solution to unplanne...

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  • Diabetes in Pregnancy - 8 - Basic Approach to Insulin Therapy

    In our last two posts on diabetes in pregnancy, we discussed the importance of diet and exercise and the value of self-monitoring as the foundations of blood sugar control. If these measures fail to achieve normalization of blood sugars (fasting ...

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  • "To B or not to B...": Comments on FDA Approval of Plan B

    In my last post, I discussed the high rates of maternal mortality related mostly to complications of bleeding and infection in the U.S. prior to the era of modern care that really began in the 1940’s with the availability of antibiotics and blood ...

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  • Recurrent Pregnancy Loss and PAI-1: Thrombosis vs. Hypofibrinolysis as the Pathogenic Mechanism?

    Well hello again readers! It appears that the 'comment screening' process has been rejuvenated and we are back in business. As feared, however, now I've got to respond to the 50 comments that miraculously appeared in my mailbox yesterday after a...

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  • Grand Rounds Thanks to Inside Surgery

    Many thanks to the team at Inside Surgery for including my first (of three) posts related to the possible association of abnormalities in folate metabolism and methylation with risk for Down syndrome in Grand Rounds 3.37. My series on this subject...

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  • Prothrombin G20210A Mutation

    As we have written about on several occasions, pregnancy loss is a very traumatic experience for many couples and their families – especially when there are recurrent episodes of loss. It is a basic human need to seek an explanation for such even...

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About the Author

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

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