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

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  • 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...

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  • 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...

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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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  • Elevated FSH and Aneuploidy?

    The reader whose comments are featured below has had two miscarriages associated with chromosomally abnormal babies. She also has several medical problems that may or may not decrease her chances for a successful pregnancy. I thought her question...

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  • Amniotic Fluid - 7 - Complications Related to Polyhydramnios

    When excessive amniotic fluid (polyhydramnios or, simply, hydramnios) is present, there are increased risks of complications for both mother and baby. Some of the risks to the baby are obvious if there is an identifiable etiology for the hydramni...

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About the Author

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

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