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Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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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  • Midtrimester Loss: Preterm Labor vs. Cervical Incompetence

    Below is a sequence of comments between a reader and me related to the unending difficulties we encounter sorting out the cause of midtrimester pregnancy losses: Is it preterm labor, cervical incompetence, uterine infection, fetal chromosomal abn...

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  • ACOG Annual Meeting - San Diego - Why Do Men Have Nipples?

    I am going to take some liberties here, so forgive me (or FIRE me). I know that the title of these web sites has been changed (for the better, because at least someone signing on can now easily find the sites!) to “Health Talk” but Healthline aske...

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  • Understanding 'Rh-disease'

    When antibodies from an Rh-sensitized woman cross the placenta and enter the circulation of an Rh-positive baby, they attach to the Rh-antigens on the fetal red blood cells (RBCs). Once that occurs, the fetal immune system is fooled into believin...

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  • Abnormal First Trimester Screen in a Woman with Chronic Kidney Disease

    Hello Dr. T:I am also new to the whole blogging thing. I am currently 13 weeks 3 days, and was told at my last prenatal appointment that based on my first trimester screening, I have a 1 in 235 chance of having a baby with Downs syndrome. I am onl...

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  • Fever in Pregnancy

    The same reader who asked if obstetrical ultrasound caused babies to be left-handed also wanted to know if fever during early pregnancy could hurt her baby. As is so much in this business, the answer, of course, is not straightforward. The simpl...

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  • "The Road Not Taken..."

    Recently, I was asked to see a very interesting patient in consultation. Although a favorable outcome of her pregnancy is by no means guaranteed at this time, I am fairly sure that the timely request from her physician for a “curbside” consult av...

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  • Amniocentesis is Not Without Risk

    Occasionally, a series of comments are left that leave me feeling quite disturbed. Included below is such a series received over the past few weeks, and to which I responded, that tell a story all by themselves. Please read all the way to the end ...

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  • Chorionic Villus Sampling

    In the last several posts, I have discussed amniocentesis as a means of fetal diagnosis for chromosomal or genetic problems. Amniocentesis is considered to be an ‘invasive diagnostic procedure.’ We actually have to stick a needle through the fetal...

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  • Quintuplet Story - A Physician's Perspective - 2

    On the whole, the pregnancy progressed well. At about 13 weeks, we placed a high cerclage in her cervix. This stitch around the cervix was intended to help prevent subclinical cervical changes leading to early labor as well as a means of providi...

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About the Author

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

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