Fruit of the Womb
Fruit of the Womb
Latest Entries
  • Oral Contraceptives and Infertility?

    Hello to all my readers and Happy Thanksgiving! It has been about a month since I have managed to get any of your comments in my mailbox and I am afraid ‘Blogger’ is still having problems in that I cannot respond to about half of the questions I ...

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  • Affect of Smoking on PAPP-A Levels in First Trimester Screening for Aneuploidy

    The reader below underwent combined first trimester screening for aneuploidy. The composite result was very reassuring with regard to her risks for Down syndrome and trisomies 18/13, however, she also observed that both her PAPP-A (Pregnancy-Asso...

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  • Comments on Your Comments!

    I have been ill myself (nothing serious, just miserable) for the past week and have had a hard time writing much except to respond to some of your questions. When I can get my brain to work again, I promise to finish up my series on “Hypertensive ...

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  • Grand Rounds 4.27 at Monash Medical Student

    Many thanks to Jeffrey Leow at Monash Medical Student for the hard work in putting together a great collection of Grand Rounds offerings. Thanks also for including a link to my recent post that reviewed Chromosomal Mosaicism Detected at the Time ...

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  • Cervical Dysplasia and Cancer in Pregnancy - 6

    Our last post detailed the management of a pregnant woman who was found to have multifocal carcinoma in situ and microinvasive squamous cell carcinoma of the cervix early in pregnancy. Although she had a successful outcome from the management appr...

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  • Comment Regarding Prednisone Therapy for Recurrent Pregnancy Loss

    Below are excerpts from a comment/query that appeared recently on my post Recurrent Early Pregnancy Loss -6- A Special Patient. In this post, I recount my first experiences with a woman who had pregnancy complications (miscarriages and severe pree...

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  • Hypertensive Disorders of Pregnancy - 6

    Well, I was away again this weekend. Drove to Indianapolis for my niece’s wedding. That area, like so much of the rest of the country, has been suffering from a drought, but it decided to come to an end this weekend. Of course, the wedding rehears...

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  • Diabetes in Pregnancy - 9 - Use of Oral Hypoglycemic Agents

    Gestational diabetes mellitus (GDM) and type 2 diabetes comprise more than 95% of the diabetes complicating pregnancy. Both are characterized by a relative (not absolute) deficiency in insulin as the result of inadequate production/secretion, pe...

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  • Recurrent Early Pregnancy Loss - 1 - Implantation

    In our last post we discussed the high frequency of early pregnancy losses in first conceptions that probably results from a naive maternal immune response to the fetal tissues; and also the high frequency of chromosomal abnormalities as the most ...

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  • Chromosomal Abnormalities and Multiple Gestations - 2

    …After talking with one of our genetic counselors, I went back into the room (see previous post). By this time, they had both used some tissues and were ready to talk more. They agreed to see the counselor and we walked across the hall to her of...

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About the Author

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

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