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Recurrent Early Pregnancy Loss - 8 - Maintaining Hope
We have provided a lot of information over the past two weeks related to recurrent early pregnancy loss. Before we begin to translate that information into the medical evaluation that can be used to try to identify specific problem areas and poss...
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Readers' Questions Regarding Rh-immune Globulin
Like GBS (see our last post), another common source of questions and confusion in uncomplicated pregnancies is the significance of being an Rh-negative woman. It is another one of those things we screen for routinely, and when found, add to our 'p...
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Amniotic Fluid - 5 - Evaluation and Management of Oligohydramnios
Just as the fetal outcome depends on the degree, underlying cause, timing during development and longevity of decreased amniotic fluid, to some extent, so do the management options. When the baby has complete absence of both kidneys (bilateral re...
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ABO Incompatibility
Many babies become 'jaundiced' after birth, primarily, as the result of ABO incompatibility. The reader below had a baby who developed severe complications with the same - fortunately a rare event - but gives us reason to discuss this condition a...
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Recurrent Early Pregnancy Loss - 4 - Anatomic Causes
The next factors for recurrent early pregnancy loss we should discuss are anatomic causes, specifically, uterine abnormalities. Uterine abnormalities probably account for about 10% of the cases of recurrent early pregnancy losses. The most commo...
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Readers Questions About Du Blood Types and Cholestasis of Pregnancy
Below are two great comments/questions that were left on previous posts addressing Implications of a Negative Blood Type and Intrahepatic Cholestasis of Pregnancy which should be of general interest for readers... Tue Sep 11, 07:24:00 AM 2007 beeg...
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Methotrexate - Easy to Use, Easy to Abuse
I received the two comments below from readers and use this opportunity of their tragic experiences to revisit a concern that I raised about two years ago regarding methotrexate therapy for the presumptive diagnosis of ectopic pregnancy….Melissa O...
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How to Interpret a "Positive" First Trimester Screen
A reader left the following comment on a post I wrote regarding "Abnormal First Trimester Screening Results." I have gotten this question repeatedly since we have begun offering this procedure for early aneuploidy (chromosomal abnormalities) scree...
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Grand Rounds 3.30 - Thanks FD!
Many thanks to Fat Doctor for the effort put into Grand Rounds 3.30 and for including a link to my penultimate post on recurrent early pregnancy loss which addresses 'empiric therapy'. Although such an approach might never pass the rigorous revi...
