The EngagED Midwife

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In this episode, Missi and Cara are discussing birth injuries--what is common? what is rare? what are the risk factors? While we can't always anticipate which babies might have birth injuries, we can use good assessment skills, identify birth injuries, and arrange for appropriate follow up. This episode will also dive a bit into risk management and documentation for births that don't always go as smoothly as we would like. #NewbornCare #BirthInjuries 

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In this episode, Cara and Missi talk with Dr. Christy Evers, a midwifery educator that is experienced in working with OB/GYN residents in a large community-based hospital. Christy and Missi compare and contrast the various teaching roles that they've had in working with medical students and residents. From learning the language of academia...to sharing midwifery tips and tricks...to best practices in debriefing--we hope this episode inspires more midwives to work with learners. And, of course, we hope that physicians are inspired to work with midwives. It takes a collaborative team and we love highlighting the people and places that are doing it right! This epidsode also contains BONUS content with Missi and members of the the VUMC OBGYN resident team. #AcademicMidwife #MidwifeLife #OBsAndMidwives #PracticeReady #Residency #AlphabetSoup #Interprofessional #TeamTraining 

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**Trigger: This episode covers mental health disorders and discussion of suicide.* In this episode, Missi and Cara discuss perinatal mental health, including mood and anxiety disorders. These PMADs include OCD, posttraumatic stress disorder, and bipolar disease. Cara and Missi share screening recommendations, signs and symptoms, risk factors, and basic treatment modalities. Unfortunately, suicide is the leading cause of death in the perinatal period--during pregnancy and up to 1 year after birth. The aim of this episode is to support providers in screening, assessing, diagnosing, and treating PMADs, as well as knowing when to seek expert clinical care. Resources from Postpartum Support International are also shared. #PMAD #PPD #OCD #Postpartum #MentalHealthMatters #PSI #PostpartumSupport #PerinatalMentalHealth #PerinatalCare #EPDS @postpartumsupportinternational 

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In this episode, Cara and Missi are joined by Dr. Krsyta Ramirez Henry, a Certified Nurse-Midwife that works in a recently developed OB emergency department at a high-volume community hospital. Krysta and Missi compare and contrast the various triage presentations, protocols, and interprofessional communication that takes place in a busy triage unit. #MidwifeLife #ScopeOfPractice #InterprofessionalCare #PatientTeaching #EveryWomanDeservesAMidwife #TeamBasedCare

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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