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This episode has Cara and Missi reminiscing about the old days of learning, in which episiotomies were more common...unfortunately! Thankful for changes in practice and a focus on improving patient outcomes and satisfaction, Missi and Cara discuss types of obstetric lacerations, the history and types of episiotomies, repair techniques, and midwifery skills to "manage" the perineum during birth. #CutItOut #Episiotomy #MidwifeTricks #Intact #Lacerations #ObstetricLacerations #OASIs #Intrapartum #Postpartum #Birth #HandsOn #HandsOff #ProtectTheVulva @midwifenell @midwifece @acog_org

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This episode has Cara and Missi reminiscing about the old days of learning, in which episiotomies were more common...unfortunately! Thankful for changes in practice and a focus on improving patient outcomes and satisfaction, Missi and Cara discuss types of obstetric lacerations, the history and types of episiotomies, repair techniques, and midwifery skills to "manage" the perineum during birth. #CutItOut #Episiotomy #MidwifeTricks #Intact #Lacerations #ObstetricLacerations #OASIs #Intrapartum #Postpartum #Birth #HandsOn #HandsOff #ProtectTheVulva @midwifenell @midwifece @acog_org

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In this episode, Missi and Cara review one of a midwife's least favorite things to encounter in labor and birth--shoulder dystocia. They will provide helpful information on assessing risk, identification, management, and liability reduction when you encounter this obstetric emergency. #ShoulderDystocia #HELPERR #ALSO #MidwifeLife #BePrepared #Intrapartum #Olympics #WatchWomensSports #USA @the_aafp @acog_org @jason.kelce @team_usa_olympics @stephen_nedoroscik @ilonamaher @katieledecky 

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In this episode, Cara and Missi discuss the benefits of group prenatal care, as well as some history, logistics of running a program, and who may benefit the most from this type of care. They are joined by Jessica Shattuck, CNM, a group care midwife, to learn more about this experience from the provider's point of view. #group #prenatal care #Centering #WeBelongToEachOther #CenteringPregnancy #PhoneAFriend 

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In this episode, Missi calls an audible and forces Cara to scramble because there are new things on the playing field! Our hosts share information about a couple of new tests available during pregnancy care to identify risk for hemolytic disease (related to Rh incompatibility) and development/progression of preeclampsia. By using these new screening tests, midwives and other providers can utilize known prevention strategies appropriately--hopefully getting a WIN for our team!  #MidwivesMakeADifference #PregnancyGamePlan #BlackMamasMatter #AnAspirinADay #pregnancygamechangers #newprenataltests #midwifelife #pregnancyjourney #winningatpregnancy #preeclampsiawareness #rhincompatibility #midwifescramble

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For this episode, Cara and Missi take a little detour into personal territory while also reviewing new breast cancer screening guidelines from the United States Preventive Services Task Force. They discuss the emotional toll of abnormal screening results and share insight into patient-centered, holistic care of patients undergoing screening tests for cancer.  #WhenNormalIsNotNormal #BreastCancerScreening #MammogramsSaveLives #USPSTF #Cancer @americancancersociety @acog_org 

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In this episode, Cara and Missi discuss nutrition and vitamin supplements during pregnancy. They cover what is important in a prenatal vitamin, vitamin excess, supplements to avoid, and disciss ways to get the nutrition that pregnant people and fetuses need--whether lactose-intolerant, vegan, or those with other dietary restrictions. They also dispel some of the common food concerns during pregnancy--soft cheeses and fish aren't our enemies. We just have to be wise about our intake and ensure food is prepared safely. #YouAreWhatYouEat #VitaminsForTwo #ExpectingGoodThings #Pregnant #Vitamins #Antepartum #Supplements #Vegetarian

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Cara and Missi are joined for this episode by Dr. Sam Bleull to discuss the use of forceps or vacuum when needed for operative vaginal birth. While midwives may have expanded scope to use vacuum and/or forceps, they often rely on physician colleagues to step in and assist. Indications, contraindications, and sequelae are reviewed. #HelpFromBelow #Collaborate #Intrapartum #PhoneAFriend #CollaborativePractice #CanIGetAnAssist 

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In this episode, Missi and Cara talk about viral illness in pregnancy and how to protect against some of the most common and most harmful respiratory infections. Influenza, COVID, and RSV are reviewed in detail (with a small shoutout to pertussis, whoop whoop!), as these infections not only impact the pregnancy and pregnant person, but may have profound impact on the newborn infant. Vaccine recommendations are provided and a great illness triage algorithm is discussed.  #Viral #Flu #COVID #RSV #VaccinesSaveLives #VaccineSuperHero #VaccinesInPregnancy #ProtectYourself #Illness #Triage #WhoopWhoop 

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For this episode, Cara and Missi are joined by Certified Nurse-Midwife Linda Johnson. Linda is an experienced clinician with over 30 years of practice--she not only shares key management decisions in the care of patients with amniotic fluid embolism, but also highlights the need for clinician preparation/practice for maternal collapse and debriefing when sentinel events occur. Missi and Cara also review managment recommendations and use of the A-OK protocol for this catastrophic OB emergency. #AFE #AOK #BirthTrauma #Simulation #InterprofessionalCare