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Diabetes in Pregnancy - 10 - Preconceptional Evaluation of Pregestational Diabetics
Although I have left the discussion of pregestational diabetes until the end of our series on “Diabetes in Pregnancy,” that was not done with the intent of diminishing its significance with regard to maternal and fetal morbidity and mortality. Ev...
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Routine Screening for HIV During Pregnancy
Last week I was asked to represent our hospital system at a conference sponsored by the Centers for Disease Control (CDC) regarding “Implementation of HIV Screening in Acute Care Settings.” Several of the larger hospitals in the southeast were re...
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Readers' Questions - Cervical Dysplasia, Protein S Deficiency, and Recurrent Aneuploidy
These readers' comments/questions touch on a variety of issues of general interest - severe cervical dysplasia in pregnancy, protein S deficiency in a woman who lost a pregnancy at 24 weeks, and recurrent miscarriages associated with different chr...
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Postmortem Postscript: Staphylococcal Pneumonia
About a month ago, I posted a note ("It was the best of times, it was the worst of times...") about a mother's death the day following her delivery. Although she had had a fever in labor and after delivery, and had been started on broad spectrum a...
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Grand Rounds 4.25 at Canadian Medicine
Many thanks to the good folks at Canadian Medicine for including a link back to us at Fruit of the Womb in this week's Grand Rounds 4.25. So what did Jane Austen really die of?!? I suggested acute intermittent porphyria and will defend that possib...
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Anticoagulation Therapy Does Not Mandate Cesarean Delivery
The following comment/question appeared recently on my post Recurrent Early Pregnancy Loss - 7 - Immunologic and Hematologic Causes. Since anticoagulation therapy for recurrent pregnancy loss, as well as genetic and autoimmune thrombophilias, with...
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Cytomegalovirus (CMV): Primary or Recurrent Infection?
Perhaps the hardest part of making the diagnosis of CMV infection during pregnancy in mother and baby is simply suspecting that it might be a problem. Certainly, if the woman develops a prolonged (weeks) febrile illness, resembling infectious mono...
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Heterozygosity for Homocystinuria and Heterotaxia Syndromes?
Although I have had a hard time keeping up with new posts lately because of added responsibilities at the job that feeds my family, I have tried to keep up with my responses to the many comments I have received.. However, today I opened my mailbo...
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No Fault Compensation for "Birth-Related Neurological Injuries?"
Today I went to testify before a State Senate Judiciary Subcommittee that is proposing legislation for a no-fault “Birth-Related Neurological Injuries” bill. Currently such legislation is in place in only two states, Virginia and Florida. The fo...
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Cervical Incomptence and Cerclage - 4 - Diagnosis
As pointed out in our previous posts on this subject, one of the greatest frustrations of cervical incompetence has been to establish its diagnosis in a timely and reliable fashion. Since multiple factors can contribute to cervical incompetence, ...
