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Fruit of the Womb
Fruit of the Womb
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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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  • Amniotic Fluid - 4 - Consequences of Decreased Amniotic Fluid

    In the last three posts, we have reviewed basic aspects of amniotic fluid production and measurement and common causes of decreased amniotic fluid, or oligohydramnios. Now let’s look at reasons decreased amniotic fluid increases the risk for feta...

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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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About the Author

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

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