Thinking About Ob/Gyn
About Thinking About Ob/Gyn
In this episode, we review the literature regarding the use of magnesium sulfate for neuroprotection to prevent CP in preterm infants. 00:00:02 Magnesium Sulfate for Neuroprotection 00:11:00 The Controversy Surrounding Magnesium Sulfate 00:36:37 Research Study Mistakes and Bias 00:46:33 Magnesium Sulfate's Effects on Preterm Birth 00:52:24 Magnesium for Fetal Neuroprotection Reevaluated
In this episode, we discuss neonatal circumcision and the pros, cons, and ethics. Prepare for controversy. We also discuss the utility of labs for fetal growth restriction. 00:00:02 Circumcision Controversy 00:05:00 Labs for Fetal Growth Restriction 00:15:31 Global Perspectives on Male Circumcision 00:26:17 Significance of Male Circumcision in History 00:33:52 The Arguments for and Against Circumcision 00:53:44 Ethical Considerations of Circumcision
In this episode, we speculate about the near future of advancement of obstetrics, including new vaccines, new uses for cell-free DNA screening, advancement in diabetes monitoring, the use of artificial intelligence and remote monitoring in obstetrics, and artificial womb technology. Also, do you need to stick the GBS swab in you know where? 00:00:02 GBS Swab Technique 00:10:09 Emerging Innovations in Obstetrics 00:18:35 Advancements in Vaccines and Prenatal Care 00:27:49 Diabetes Management and Assisted Birth Advances 00:39:06 AI, Prenatal Care and Fetal Monitoring Advances 00:53:20 Advancements in Artificial Womb Technology
In this episode, we discuss the utility of repeat antibody testing at 28 weeks. Plus, new evidence about early screening for GDM, the concept of tension in the pelvic floor, the evidence about vaginal prep at the time of unplanned Cesarean, new literature about interventions for preterm birth, and the safety of Mayo (or raw eggs) during pregnancy. 00:00:02 Repeating Type and Screen for RH-Negative Pregnant Women 00:13:54 Evaluating Early Screening for Gestational Diabetes 00:19:24 Discussing Outcomes of Gestational Diabetes Study 00:27:17 Pelvic Therapy and Vaginal Cleansing 00:37:30 The Controversy Surrounding Preterm Birth Interventions 00:50:58 UK and US Egg Safety Standards
In this episode we welcome back Stuart Winkler to discuss over-consulting in OB/GYN and how to improve surgical eduction in our training programs and how to balance generalists vs subspecialists. Plus, colace! 00:00:02 Misuse of Docusate Sodium 00:09:24 Appropriate Specialty Referrals in Gynecology 00:20:51 Considerations for EIN Management and Referrals 00:33:57 Endometrial Ablation in Gynecologic Surgery 00:41:53 Practice, Mentorship, Surgical Coaching Importance 00:51:04 Speed and Surgical Competence 00:57:59 Teaching and Expectations in OBGYN
In this episode we discuss the evolution and evidence behind vaginal delivery techniques. Plus, we discuss the importance of the golden hour after birth for the mother and baby. 00:00:02 Golden Hour Care After Birth 00:09:23 Traditional Practices in Vaginal Deliveries 00:20:54 Optimal Practices for Labor Management 00:26:10 Monitoring and Positions in Labor 00:30:52 Labor Positions and Pushing Techniques 00:36:30 Episiotomy and Preventing Perineal Tears 00:49:54 Third Stage and Cord Clamping Guidelines
In this episode, we discuss guidelines about bulb suctioning at the time of delivery. Then we discuss the nearly 100 year old schedule of prenatal visits and how these can be modernized. Finally, we discuss the next Eat, Sleep, Console approach for neonatal abstinence. 0:02 Neonatal Suctioning 11:33 Reforming Prenatal Visits and Outdated Recommendations 21:41 Streamlining Prenatal Visits and Remote Monitoring 28:47 The Controversy Surrounding Home Dopplers 33:36 Efficiency and Effectiveness of Prenatal Visits 40:48 Prenatal Care and Biomarkers for Preeclampsia 51:27 Comparing Methods of Diagnosing NAS
In this episode, we discuss screening for BV to prevent preterm birth. Then new data about the safety of obstetric care in rural vs urban hospitals of different sizes. Plus, new evidence that prophylactic salpingectomy is working and new data about vaginal cuff dehiscence and the analogy between clinical studies and lab tests. 0:02 Treating Bacterial Vaginosis in Pregnancy 10:12 Morbidity Rates in Rural and Urban Hospitals 20:43 Hospital Size and Patient Care Impact 32:56 Maternity Deserts 37:04 Salpingectomy for Ovarian Cancer Prevention 44:10 Analogy of Clinical Trials 49:53 Vaginal Cuff Dehiscence
In this episode, we discuss current evidence about potential cross-reactivity for patients with penicillin allergy who receive a cephalosporin. Then we discuss the safety of antidepressant medications in pregnancy.
In this episode, we discuss the practice of IV hydration for preterm contractions. Then we take a look at the ARRIVE trial and some recent studies about this controversial study. Plus, we look at several articles from the Labor and Delivery special edition of the Gray Journal.
In this episode, we discuss several new articles, including evidence about operative delivery in obese women, lactation, cookies, propranolol for labor arrest. We also discuss virgin birth in America, whether to place IUD's early in women who have had chorioamnionitis, and the history of hand-washing. Featuring guest co-host Jamie Perry, MD.
In this episode, we discuss a variety of commonly ordered prenatal labs that are unnecessary. We also discuss new studies that affect both surgical and medical management of miscarriage. Finally, we debunk a new study that claims that induction of labor leads to lower test performance in children.
In this episode, we discuss the repair of cystotomies along with the scope of general OB/GYN. Plus, COVID and maternal mortality updates. Then some new literature including an update on Clomiphene vs Letrozole and Azithromycin for vaginal birth. Finally, the best female eponym ever and the removal of Makena from the market.
In this episode, we discover three more female eponyms, plus we review the utility of premedication for IUD placement. We review new literature about maximum dose of oxytocin in labor, surgery vs pessary for pelvic organ prolapse, buprenorphine vs methadone for management of addiction in pregnancy, new guidelines for male infertility evaluation, fasting for the glucose challenge, increasing VBAC rates, delayed pushing, and a poem!