Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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...

    Read more »

  • 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...

    Read more »

  • 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...

    Read more »

  • Amniotic Fluid - 2 - Assessment of Amniotic Fluid Volume

    We closed our last post with the comment that BOTH too much fluid (polyhydramnios, otherwise termed hydramnios) or too little fluid (oligohydramnios) are associated with fetal abnormalities and/or poor perinatal outcome. In fact, the greater the ...

    Read more »

  • Grand Rounds 3.32 - Thanks to MyThreeShrinks

    Thanks to MyThreeShrinks at Shrink Rap for including a link to my post "Second Verse Different from the First" in this week's Grand Rounds 3.32. This contribution addresses the care of an OB patient who had a tragic pregnancy outcome, followed by ...

    Read more »

  • Thanks to Prudence, M.D. for GrandRounds 4.10!

    Many thanks to Prudence, M.D. for the time and effort placed into putting together this week's Grand Rounds 4.10. And, thank you so much for including my post "Cytomegalovirus (CMV) Reprise" written in response to a reader's query regarding the as...

    Read more »

  • Assessment of Fetal Lung Maturity - 1

    On this site we have been firm advocates of preventing complications related to iatrogenic prematurity and, particularly, “late preterm births.” Indeed, in our own medical community, it appears the message has had a clear impact, particularly, ove...

    Read more »

  • Thank you Dr. Anonymous

    Dr. A,Thank you for including my Poignant Story post in your Grand Rounds this week. Mine wasn't the only 'poignant story' and the overall impact of this weeks' content is a refreshing change of pace. My compliments on the format and for trying so...

    Read more »

  • Risk of Amniocentesis

    Today I saw a 38 year old woman who came for genetic counseling and possible amniocentesis to rule out a fetal chromosomal abnormality. She was right at 16 weeks’ gestation. Her last pregnancy was 18 years ago and the 47 year old father of the cur...

    Read more »

  • Intrahepatic Cholestasis of Pregnancy - A Bitch of an Itch

    Recently, we had a woman diagnosed late in pregnancy with intrahepatic cholestasis of pregnancy, or obstetric cholestasis (OC). Despite reassuring fetal heart rate testing, the baby died in utero awaiting induction of labor that had been schedule...

    Read more »

Advertisement

About the Author

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

Advertisement