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Wrapping up Season 11, Cara and Missi dig deep into their fan mail bag to answer questions from listeners spanning clinical practice, education, and professional development. With their characteristic warmth and wisdom, they tackle everything from postpartum mental health screening to specialized pharmacology knowledge that you won't find in textbooks.

The conversation flows through practical clinical topics, starting with the importance of comprehensive mental health screening for postpartum patients.  They share touching feedback from colleagues about creating supportive collaborative practices with physicians, highlighting how direct, respectful communication builds successful interprofessional relationships.

For students and new midwives, the hosts offer a treasure trove of specialized resources. They offer insights to suturing resources, discuss scope of practice questions, and answer questions galore. Pharmacology pearls abound as they discuss innovative approaches to breakthrough bleeding, the exact formulation for All-Purpose Nipple Ointment for treating breast yeast infections, and compounded antiemetic gels for pregnancy nausea.

Before previewing exciting topics for Season 12—including ovarian masses, cancer screening, osteoporosis, fertility treatments, and AI in midwifery—Cara and Missi remind listeners of the best ways to reach them with questions. Their generosity in sharing expertise and resources demonstrates why this podcast has become such a valuable companion for midwives at every career stage.

Email your questions directly to [email protected] or [email protected] to become part of future episodes, and visit deliveredexamprep.com to access the resources mentioned throughout this knowledge-packed finale.

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Are you feeling exhausted, irritable, foggy-brained, or experiencing night sweats that leave you drenched? These symptoms aren't just "part of getting older" – they're signs of hormonal changes that can be effectively treated. In this eye-opening conversation, Dr. Val Schulte joins midwives Missi and Cara to demystify perimenopause and menopause with straightforward, evidence-based information that healthcare providers often miss.

"I can't describe how excited I am about today," says Missi at the start, acknowledging that many midwives received minimal education about menopause, especially after the Women's Health Initiative study created widespread fear around hormone therapy. Dr. Schulte, who transitioned from traditional OBGYN practice to focusing on hormone therapy and lifestyle medicine, shares how her own perimenopausal symptoms sparked her passion for helping women navigate this transition.

The conversation dives deep into practical aspects of hormone testing and treatment options. Dr. Schulte explains how bioidentical progesterone can improve sleep and mood, why testosterone (often overlooked in women) dramatically affects energy and libido, and how proper estrogen therapy protects heart, brain, and bone health. She details the advantages of different delivery methods – from daily creams to pellet therapy that slowly releases hormones over months – and dispels myths about hormone risks.

What makes this episode especially valuable is the real-talk about symptoms many women experience but rarely discuss: brain fog that interferes with work, anxiety that appears out of nowhere, joint pain, changes in body odor, even ridges in fingernails. Dr. Schulte connects these seemingly unrelated issues to hormonal fluctuations and offers solutions beyond the standard "here's an antidepressant" approach many providers default to.

Whether you're approaching perimenopause, in the thick of menopause, or supporting someone who is, this conversation provides clarity and hope. As Missy realizes toward the end, "I do not have to feel this way for another five years." Listen now to discover how you can reclaim your energy, mood, focus, and quality of life through evidence-based hormone therapy and lifestyle approaches.

#EngagEDMidwife #MidwiferyMatters #HormoneTherapy #MenopauseCare #PerimenopauseSupport #WomensHealth #MidlifeHealth #HotFlashesAndHope #ToolsInOurToolbox

@menopause_society @acog_org @drjennsimmons @drrachelrubin @dlberkson @auria.care 

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When is the right time to prescribe antibiotics—and how do you pick the right one? In this episode, Cara and Missi are joined by a clinical pharmacist, Dr. Teresa Ash, to break down the science (and the art) of antibiotic selection in midwifery. From GBS prophylaxis to upper respiratory infections, we explore when antibiotics are essential, when they’re not, and how midwives can be antimicrobial stewards without sacrificing patient safety. Smart, evidence-based, and just a little cheeky—this is the prescription for better practice. #AntibioticStewardship #MidwiferyEducation #WeHeartPenicillin #PerinatalCare #PharmacyAndMidwifery #InfectiousDiseases #MaternalHealth #SafePrescribing #AntibioticAwareness #InterprofessionalTeam 

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Ultrasounds offer essential insight into maternal and fetal health—but interpreting the findings and knowing what to do next can feel overwhelming for midwifery students and new graduates. In this episode of The EngagED Midwife, Cara and Missi take a deep dive into the most common (and most confusing) ultrasound findings in OB/GYN practice. Whether it’s a low-lying placenta, a thickened nuchal fold, or an unusual fetal measurement, we’ll break down what it means, when to consult, and how to manage it. Practical, focused, and rooted in real clinical scenarios—this is your go-to guide for making confident, evidence-based decisions in practice. #TheEngagEDMidwife #UltrasoundInPractice #MidwiferyEducation #OBGYNultrasound #NewGradMidwife #ClinicalConfidence

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What happens when midwives and labor & delivery nurses sit down to get real about collaboration, communication, and mutual respect? In this episode, Cara and Missi welcome a seasoned L&D nurse to unpack what nurses really want to know about the midwifery model—and what they wish midwives better understood about the nursing role in the birthing space. With stories from the floor, candid reflections, and practical tips, this is a must-listen for anyone striving to strengthen interprofessional relationships and improve maternity care outcomes. Whether you're a nurse, midwife, student, or educator, you'll leave with new insights and renewed respect for the people standing beside you during one of life’s most powerful moments: birth. #TheEngagEDMidwife #LDRNurse #MidwifeLife #NurseMidwifeCollab #BirthTeam #MaternityCare #InterprofessionalTeamwork #DreamTeam #TeamworkMakesTheDreamWork 

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Thinking about when to take your midwifery boards? Cara and Missi dive into the art of timing on this episode. They cover essential exam prep strategies, discuss the importance of self-assessment, and help you determine if you're truly ready to showcase your skills. From managing test anxiety to understanding the nuances of exam readiness, Missi and Cara help you make the best decision for your journey to certification. #DeliverEDExamPrep #ReadySetTest #AsSoonAsYouAreReady #IndividualizED #GuidED #ReviewED #TSwift

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Ever wondered what's really the best way to help patients care for their vagina and vulva? This week, Cara and Missi are cutting through the noise and providing you with the essential guide to keeping things healthy and comfortable. From gentle cleansing to debunking common myths, we're covering all the basics (and maybe a few things you didn't know!). Tune in for practical tips and empowering information about the vagina and vulva. #Vagina #Vulva #LoveYourV #TheCareAndKeepingOfYou #Perimenopause #Moist #SmellsGoodTastesGoodOrTingles #AmericanGirl @nglwithkylie @kykelce @americangirlbrand

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Ever feel like fetal heart rate tracings are speaking a language you don't quite understand? In this episode, Missi and Cara are here to translate--they are diving deep into the world of FHR tracings, breaking down the physiology and naming those tricky patterns. They'll also share their go-to interventions and actionalble steps for non-reassuring tracings, and, of course, there will be plenty of those *asterisk* moments—because, let's face it, those little side notes are like sparklers of wisdom! Cara and Missi will also have you ready to take on certification in EFM for career advancedment and professional development--tune in for a lively discussion that will have you feeling confident and ready to interpret those squiggles like a pro. #EFM #EFMC #NCC #Certification #HiImTheProblemItsMe #Asterick #Fireworks #TalkNerdyToMe #ReviewED #deliverEDExamPrep #EFMCReviewED #DroppinAcidBase #Uteroplacental #AsEasyAsABC123 #OxygenationIsTheGoal #Sparklers #Fireworks #LikeAFirework @ncccertification @bluelaundrydesign

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In this episode, Missi and Cara dive deep into the world of infant growth curves, normal feeding patterns, and how to identify potential concerns. Newborn feeding and growth can be a source of anxiety for many parents (and midwives). They'll empower you with the knowledge you need to understand newborns and make appropriate management decisions about their care. Tune in to gain confidence and clarity on all things newborn growth and feeding. #Newborn #Growth #FailureToThrive #Breastfeeding #PeesAndPoos 

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To kick off season 11 of The EngagED Midwife podcast, Cara and Missi dive into the high-stakes world of umbilical cord prolapse—because sometimes, the cord just can’t wait for its grand entrance. They break down risk factors, recognition, and rapid interventions with their signature blend of clinical expertise and witty banter. Tune in for a conversation that’s equal parts informative and entertaining—because when the cord drops, you’ve got to move fast (but you can still have a sense of humor about it) #CordProlapse #RideTheBed #UmbilicalCord #Funic #Emergency #Elevated #UnderTheDrapes #AreYouOkayUnderThere