Pro-PA Podcast

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, explores Uterine Leiomyoma, also known as fibroids—the most common benign tumors of the uterus. We’ll discuss their estrogen-sensitive nature, classic symptoms like heavy menstrual bleeding (menorrhagia), pelvic pressure or pain, and reproductive implications. You’ll also learn how fibroids are diagnosed via pelvic ultrasound and managed based on symptom severity and fertility goals, including medical therapy, uterine artery embolization, and surgical options like myomectomy or hysterectomy.

#Fibroids #UterineLeiomyoma #Menorrhagia #PelvicMass #WomensHealth #ObGyn #PAstudent #WOMENSHEALTH101

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, breaks down Endometriosis—a chronic, estrogen-dependent condition where endometrial-like tissue grows outside the uterus. You’ll learn the classic triad of cyclic pelvic pain, dysmenorrhea, and infertility, along with other symptoms like dyspareunia and painful bowel or bladder movements. We’ll also review key physical exam findings, diagnostic tools like laparoscopy, and treatment options ranging from NSAIDs and hormonal therapy to surgical intervention.

#Endometriosis #PelvicPain #WomensHealth #Infertility #ObGyn #PANCEprep #PAstudent #WOMENSHEALTH101

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, covers Sexual Trauma in Pregnancy, addressing the physical, emotional, and psychological implications for both patient and provider. We explore how a history of sexual assault can affect a patient’s experience during prenatal visits, labor, and delivery—potentially triggering flashbacks or distress. You’ll learn trauma-informed approaches to communication, consent, and exam techniques, along with strategies for building trust and referring to mental health support when needed.

#SexualTrauma #PregnancyCare #TraumaInformedCare #Obstetrics #WOMENSHEALTH101 #PAstudent #PANCEprep

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, explores Psychological Trauma in Pregnancy, a critical yet often overlooked aspect of maternal care. We discuss the impacts of intimate partner violence (IPV), adverse childhood experiences (ACEs), and perinatal PTSD on both maternal and fetal outcomes. You’ll learn how trauma can influence prenatal behaviors, increase risks for preterm birth, and complicate bonding. We also review screening tools, trauma-informed care principles, and when to involve behavioral health support.

#MaternalMentalHealth #PsychologicalTrauma #PregnancyCare #IPV #PANCEprep #WOMENSHEALTH101 #PAstudent #PerinatalHealth

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, explores Physical Trauma in Pregnancy—a vital topic as trauma is a leading cause of non-obstetric maternal death. We cover common causes such as motor vehicle accidents, falls, and intimate partner violence, and how physiological changes in pregnancy impact trauma response and management. Sharon discusses the importance of the primary and secondary surveys, fetal monitoring, and when to consider Rh immunoglobulin. Special considerations for imaging, perimortem C-section, and maternal stabilization are also highlighted.

#traumainpregnancy #maternaltrauma #obemergencies #PAstudent #WOMENSHEALTH101 #PANCEprep

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, walks you through Umbilical Cord Prolapse—a true obstetric emergency that occurs when the umbilical cord slips below the presenting part after membrane rupture. This can lead to fetal bradycardia due to cord compression and compromised oxygenation. Sharon reviews the risk factors (like malpresentation and polyhydramnios), key signs on fetal monitoring, and critical management steps, including maternal positioning and immediate cesarean delivery. Recognizing and acting swiftly on this diagnosis can be lifesaving.

#umbilicalcordprolapse #obemergencies #WOMENSHEALTH101 #PANCEprep #PAstudent #womenshealth

Shoulder dystocia is an obstetric emergency where the fetal anterior shoulder becomes impacted behind the maternal pubic symphysis after head delivery—often noted by the “turtle sign.” Risk factors include fetal macrosomia, maternal diabetes, and a prior history of shoulder dystocia. First-line management includes the McRoberts maneuver with suprapubic pressure; advanced techniques may be required if initial maneuvers fail. Timely intervention is critical to reduce risks like brachial plexus injury and postpartum hemorrhage.

#shoulderdystocia #obemergencies #PAstudents #womenshealth #propa #PANCEprep

In this episode of WOMENSHEALTH101, guest host Sharon Machner, MPAS, PA-C, breaks down the essentials of Rh incompatibility, a potentially serious condition that can affect pregnant individuals and their unborn babies. Learn what happens when an Rh-negative mother is carrying an Rh-positive fetus, how maternal sensitization occurs, and why this can lead to hemolytic disease of the newborn in future pregnancies.

We’ll cover:

• When and how Rh incompatibility is detected (hint: indirect Coombs test).

• The critical role of Rho(D) immune globulin (RhoGAM) administration at 28 weeks and postpartum.

• Situations that increase risk of fetal blood mixing (amniocentesis, trauma, delivery).

• Management strategies to prevent alloimmunization and protect future pregnancies.

#RhIncompatibility #RhoGAM #MaternalFetalMedicine #Obstetrics #WomensHealth #PANCEprep #PAstudent #WOMENSHEALTH101

In this episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, walks you through Prelabor Rupture of Membranes (PROM)—when the amniotic sac breaks before the onset of labor. We clarify the difference between term PROM and preterm PROM (PPROM) and review the common causes, including infections, cervical insufficiency, and prior preterm birth. You’ll learn the classic presentation (sudden gush or steady leakage of fluid), how to confirm diagnosis using speculum exam, nitrazine, and fern tests, and how to manage based on gestational age and infection risk. We’ll also cover complications like chorioamnionitis and cord prolapse and when delivery is indicated.

#PROM #PPROM #Obstetrics #WomensHealth #PANCEprep #PAstudent #WOMENSHEALTH101

In this foundational episode of WOMENSHEALTH101, host Sharon Machner, MPAS, PA-C, breaks down the critical components of preconception and prenatal care. We discuss the importance of optimizing maternal health before conception—addressing folic acid supplementation, chronic disease management, immunizations, and lifestyle changes. Once pregnancy is confirmed, we review the timeline of prenatal visits, routine screenings (e.g., blood type, Rh status, anemia, STIs), genetic counseling, ultrasound milestones, and key labs during each trimester. This episode prepares listeners to deliver compassionate, evidence-based care that promotes healthy pregnancy outcomes.

#PrenatalCare #PreconceptionCounseling #Obstetrics #PAEducation #WomensHealth #PANCEprep #WOMENSHEALTH101