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Quintuplet Story - A Physician's Perspective - 3
...The following day, I had a long discussion with Joy and Andres about what to expect over the next 3-4 weeks, the discomforts, the psychological drain, the ever-present concerns for outcomes and the risks. The uterus is now the size of a term o...
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Recurrent Early Pregnancy Loss - 9 - Evaluation
When I first see a patient in consultation for recurrent early pregnancy loss, I usually spend at least an hour with them. The first part of the appointment is spent in obtaining a detailed history – medical, social, and family. Since many diffe...
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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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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...
