Fruit of the Womb
Fruit of the Womb
Latest Entries
  • 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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  • Thanks to Odyssees of George for Grand Rounds 4.12

    Thanks to Dr. George at Odyssees of George for this week's colorful Grand Rounds 4.12 and for including a link to my recent post Post-op Dr T. In this post, I relate my own personal (painful, but humorous) experiences as a patient in the post-oper...

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  • Use of Fondaparinux During Pregnancy

    I felt the comment below from a reader deserved a more thorough response than could be accommodated under the post upon which it was left and also might be of interest to other readers and providers who frequent this site. Anticoagulation during ...

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  • Cervical Dysplasia and Cancer in Pregnancy - 1

    Awhile back, a reader asked me to discuss cervical cancer in pregnancy. I had put the topic on the back burner, waiting for a good segue into the subject from a patient care perspective. When it comes right down to it, cervical cancer during pre...

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  • Multiple Gestations - 2 - Placentation in Twins

    Another area of confusion for patients relates to the actual development of the placentas (placentation) of twins. Perhaps this is where the patient mentioned at the outset of our last post had problems understanding – her different gendered babi...

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  • Hypertensive Disorders in Pregnancy - 2

    The term preeclampsia applies to a spectrum of disorders that are pregnancy-dependent, all accompanied (usually) by some degree of hypertension at some point in their evolution. Preeclampsia is subdivided into categories based on the severity of ...

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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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About the Author

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

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