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Fruit of the Womb
Fruit of the Womb
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  • Thanks to Jon and the AADT Crew for Grand Rounds Vol. 3 No.12

    Thank you to Anxiety, Addiction and Depression Treatments for including my personal recollections regarding the first HIV patient, who just happened to be pregnant, I ever took care of (too many years ago), even before we had a name and a cause fo...

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  • Diabetes in Pregnancy -3 - Normal Changes in Insulin Sensitivity

    In our second post on diabetes in pregnancy, we gave a simple overview of glucose metabolism and discussed the essential role insulin plays in assuring that glucose gets into the cell. Pregnancy alters the normal balances involved in glucose metab...

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  • Hypertensive Disorders in Pregnancy - 5

    In our last post on this subject, we described an abnormality of placental development, incomplete or abnormal invasion of the maternal spiral arterioles by fetal placental cells (trophoblasts) early in pregnancy, as perhaps the most common senti...

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  • Intrahepatic Cholestasis of Pregnancy - Reprise

    On January 10 and 13, 2007, I wrote a couple of posts related to intrahepatic cholestasis of pregnancy (ICP), otherwise know as 'obstetric cholestasis.' ICP affects 1-2 of every 1000 pregnancies and is more common in certain subpopulations around ...

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  • Near Term Birth: No Place for Complacency

    Late preterm, or “near-term,” birth is defined as delivery between 34 and 36 completed weeks’ gestation. According to National Center for Health Statistics in 2002, approximately 60% of all preterm births were in this category. The increase in nea...

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  • Invasive Diagnostic Testing after Reassuring First Trimester Screening for Aneuploidy?

    Attached is a comment from a reader who has written to me before because of a history of recurrent early pregnancy losses. She is now pregnant, has successfully gotten through first trimester, and has had very reassuring combined risk assessment f...

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  • Preterm Birth: An American Tragedy

    Yesterday, while I was presenting a talk on preterm birth (PTB) to a large family practice group and their 29 residents who practice obstetrics, an FDA advisory panel was reviewing an application from Adeza Biomedical Corporation to bring the drug...

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  • Cervical Incompetence and Cerclage - 8 - Shirodkar vs McDonald Cerclage

    I just realized that since the outset of this series, we have talked about cervical cerclage but we have not explained what that is for the general reader. A cerclage is a ‘stitch’ placed around the cervix in a fashion that will, hopefully, preve...

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  • Cervical Incompetence and Cerclage - 1 - An Introduction

    I have had several readers request information about cervical incompetence and cerclage. These are interrelated subjects in which I have had a keen interest and much personal experience over the years, but they have also been the topics of consid...

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  • Breast Cancer Diagnosis During Pregnancy

    More than 4 million births are expected in the U.S. this year and at current estimated rates, breast cancer will be diagnosed in at least 1300 of these pregnancies. While this constitutes only a small percentage of the total number of cases diagn...

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About the Author

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

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