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Anogenital Warts (Condylomata acuminata) and Pregnancy
I recently completed a seven-part series on cervical dysplasia and cancer in pregnancy. The incentive to begin that series came from a young patient who had a mildy abnormal Pap test and extensive involvement of her vagina, vulva, and perianal are...
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Assessing Fetal Lung Maturity - 2
The fetal lungs are the last organ system to “mature” so that survival outside the womb is possible. Maturity involves several components. First, there must be sufficient surface area within the lung to allow sufficient exchange of gases (oxygen...
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Implications of a "Negative" Blood Type
Recently, a reader, Lynda, became pregnant and found out that her blood type is “Rh-negative” and was concerned about what that meant - ”I am really worried and no one has explained it to me.” Well, Lynda, let me explain that to you in a way I ho...
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Post-op Dr T!
Well, it has been exactly a week since my shoulder surgery and let me tell you how much I am NOT enjoying being a patient. I am also not a very good one. Things went pretty much as expected. After placing a ‘scalene block’ in the shoulder, the ...
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Assessing Fetal Lung Maturity - 3 - L/S Ratios and Phosphatidylglycerol
In our last two posts we explained the rationale for assessing fetal lung maturity – minimizing the risks for fetal complications related to respiratory distress syndrome (RDS). This has become increasingly important as we try to reduce the morbi...
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More Highlights from the 2007 SMFM Meeting in San Francisco
Over the past several days there have been many more fascinating presentations at this year’s SMFM Meeting. In all the time I have attended this meeting, I have not seen research at this level presented. Unfortunately, much of the information wo...
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"A Stitch in Time..."
Today, let’s take a break from my ‘lecture series’ on preterm birth and present a real-life patient who illustrates a scenario in which experience, technology, and timely intervention averted a tragic pregnancy outcome from PTB…Recently, we helped...
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Experience Grand Rounds 3.15 at Musings of the Distractible Mind!
Thanks to Rob Lamberts and the Musings of a Distractible Mind website for including a link to my post "Poop is Part of Parturition" in his pyrotechnically correct and highly entertaining edition of the New Year's Grand Rounds 3.15. Glad I could c...
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Breast Cancer in Pregnancy: Considerations for Therapy
In addition to establishing the tissue diagnosis of breast cancer, typically, your treating physicians will want to determine the molecular characteristics of the tumor cells. This information helps in counseling with regard to prognosis and, als...
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Celiac Disease and Pregnancy
In our last post, we responded to several questions from a reader named Kate concerning the implications of low PAPP-A levels detected during the course of first trimester screening for aneuploidy. Not addressed in our last post were her two othe...
