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Fruit of the Womb
Fruit of the Womb
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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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  • Plasminogen Activator Inhibitor-1 (PAI-1): Role in Adverse Pregnancy Outcome? - 5 - Implantation and Placentation

    Things have been so busy at work the last few weeks that it has been hard to find the time to write here, but I would like to finish up the series we started on plasminogen activator inhibitor-1 (PAI-1) and role in pregnancy outcome and recurrent ...

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  • Letter to My Readers

    Dear Readers,A week or so back I received the comment below buried under one of my posts. It troubled me a lot, but it came at a good time, because it made me focus on some of the concerns I have had regarding my role on this site and your expec...

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  • Fetal Nasal Bone Assessment in First Trimester Screening for Aneuploidy

    The reader below underwent combined first trimester screening for aneuploidy and during the process, the baby was found to have an absent nasal bone. Due to the difficulty in routinely obtaining a definitive assessment of the nasal bone, and its c...

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  • Thanks Kim at Emergiblog!

    Thanks Kim for mentioning my recent post “The "Flu" and Pregnancy: Get Smart, Get Vaccinated NOW” in your weekly Emergiblog Grand Rounds. Honored to be included among the contributors and love your format. Tall Chocolate though, I'm not! Maybe a...

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  • Low PAPP-A in Presence of Low Risk for Fetal Aneuploidy

    Below are comments from a woman aged 44 who is carrying a pregnancy conceived by in vitro fertilization (IVF) using a ‘donor egg’ from a 21 year old woman. She had combined first trimester screening done with composite results that were very reas...

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  • Diabetes in Pregnancy - 5 - Diagnosis of Gestational Diabetes

    In our last post, we discussed the basic differences between type 1 and type 2 diabetes and concluded with the characterization of gestational diabetes mellitus (GDM), diabetes that is first expressed (or detected) as the result of pregnancy, as f...

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About the Author

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

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