Missed abortion is a term used to describe a miscarriage that has not yet passed. Prior to the use of routine ultrasound, it was believed that many or most miscarriages occurred suddenly in a pregnancy that was – until the time of the miscarriage – growing normally. However, we now know that most miscarriages happen
Fetal pleural effusion is a rare finding of fluid collections in the fetal chest, outside of the lungs. There are two issues with fetal pleural effusions, namely the etiology of the effusion as well as the effect it has on the developing fetus. Etiology of Fetal Pleural Effusion The cause of pleural effusions is not
During a second trimester serum screen for fetal spina bifida, a patient may have an elevated maternal serum Alpha-Fetoprotein (AFP, or MSAFP) level. Elevated MSAFP is associated with structural fetal anomalies, including neural tube defects, abdominal wall defects, and duodenal atresia. With targeted ultrasounds, abnormalities of the spine, brain, or abdominal wall should be apparent.
Parvovirus B19 (“fifth disease”) is a common childhood infection caused by a small, non-enveloped DNA virus. It infects rapidly dividing cells, and effects the precursors of erythrocytes or red blood cells. Thirty to sixty percent of adults have prior exposure to parvovirus. Parvovirus is diagnosed clinically with antibody testing. Viremia, or the presence of virus
Exercise During Pregnancy in NYC One of the most frequent discussions I have with pregnant patients revolves around their level of physical activity during pregnancy. Usually the woman is used to an active lifestyle involving regular exercise and she is inquiring whether she can continue exercising during pregnancy. Frequently, however, most of the conversation is
Recently, there has been a significant amount of press (and fear) regarding the effects of the Zika virus on pregnant women and the risk of birth defects, most notably microcephaly. Since our understanding of the biology and effects of Zika virus are evolving, there are many questions that remain unanswered. If a women travels to
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