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Hypoplastic Right Heart Syndrome (HRHS): A Reader's Query
Before I respond to the reader below, I wanted to explain why you have not seen much of me lately at “Fruit of the Womb.” Those of you who have followed this blog for awhile may know that I had some medical problems of my own dating back the last...
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Uterus Transplant?: Whatever!!!!!
It was recently announced that a New York hospital is making plans to perform the first uterus transplant. The press release announced that "the hospital's ethics board has conditionally approved the plans." The physicians involved in the project...
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Recurrent Early Pregnancy Loss - 11 - Therapeutic Interventions
Our patient with recurrent early pregnancy loss has come to us desperately wanting to know” Why? What’s wrong with me? What can be done to help?” She is at the point where she needs more than simple reassurances, although that is still an importa...
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Maternal Mortality Rates Rise
Within the past week the National Center for Health Statistics released its annual report on mortality in the U.S. for the year 2004 (National Vital Statistics Reports. 2007. 55;19) Buried as the last area of comment in the report were the materna...
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Down Syndrome and Folate Metabolism - 3
In my last two posts (prompted by a query from Sheila, a woman who is homozygous for the MTHFR C677T polymorphism and had a baby with Down syndrome) we have tried to make a case for an association of abnormalities in folic acid/methylation metabol...
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Molar Pregnancy vs. Hydropic Degeneration
As detailed in the reader's comment below, she had an early pregnancy loss and her doctors were concerned that she had a molar pregnancy. Sometimes it is very difficult to differentiate by ultrasound a true molar pregnancy from simple 'hydropic de...
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Case of Elevated Inhibin with a Midtrimester Maternal Serum Screen
I have spent most of my free time this week, the little I seem to have anymore, catching up with all of the readers' comments that accumulated while I took my vacation. One thing that seems to be a constant in medicine is that you can turn off yo...
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"It was the best of times, it was the worst of times..."
Yesterday, shortly after rounds with our residents, I was called urgently to the postpartum floor because a patient of ours was “coding” (cardiopulmonary arrest). She was a 31 year old woman who had just delivered her sixth child the day before....
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Infection and Preterm Birth: A General Overview
For those of you who are just joining us, I have been posting a series on preterm birth (PTB) because of the magnitude and epidemic growth of the problem in the U.S. today. In the last post, we began a discussion of broad categories of risk factor...
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Thanks Adam for Grand Rounds 4.04!
Thanks to Adam at NY Emergency Medicine for hosting this week's Grand Rounds 4.04. Love the pictures! And, no, the handsome guy next to the paragraph with my link is not me! If I looked that good, I'd be impossible to live with. While we are on su...
