Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Affect of Smoking on PAPP-A Levels in First Trimester Screening for Aneuploidy

    The reader below underwent combined first trimester screening for aneuploidy. The composite result was very reassuring with regard to her risks for Down syndrome and trisomies 18/13, however, she also observed that both her PAPP-A (Pregnancy-Asso...

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  • Comments on Your Comments!

    I have been ill myself (nothing serious, just miserable) for the past week and have had a hard time writing much except to respond to some of your questions. When I can get my brain to work again, I promise to finish up my series on “Hypertensive ...

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  • Grand Rounds 4.27 at Monash Medical Student

    Many thanks to Jeffrey Leow at Monash Medical Student for the hard work in putting together a great collection of Grand Rounds offerings. Thanks also for including a link to my recent post that reviewed Chromosomal Mosaicism Detected at the Time ...

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  • Indications for Doppler Flow Velocimetry During Pregnancy

    Recently, I received a phone call from our billing office reporting that an insurance company had declined to reimburse us for a claim that included charges for Doppler flow velocimetry for the indication of intrauterine growth restriction (IUGR)....

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  • Recurrent Early Pregnancy Loss: To Treat or Not to Treat...

    The readers who sent in the comments below related to recurrent early pregnancy loss (RPL) have what we could consider to be 'borderline' indications for 'treatment' and several questions related to their therapy. But, the fact remains, they have ...

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  • The Human Value of Knowledge

    Since we have been on the subject of aneuploidy screening, let me tell you about a situation that we had on Friday that epitomizes the importance of knowing as much as you can about a baby, including its karyotype (chromosomal status), before deli...

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  • Late Preterm Birth - Patient and Provider Education is Still Needed

    I have spent much of the last year preaching the gospel of “Thou shalt not deliver before 39 weeks, unless thou hast a good indication.” In general, the “word” has been well-received by providers, although many have voiced skepticism of its divine...

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  • Preterm Labor or Cervical Incompetence?: Unclear Diagnoses Complicate Choices for Therapy

    Below are three comments from readers that appeared under my recent post on the safety of 17-hydroxyprogesterone caproate (17P) in the treatment of premature labor. They give us pause to reflect on the fact that the distinction between preterm lab...

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  • 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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About the Author

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

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