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In this episode, Cara and Missi discuss some of their favorite gifts for the midwife in your life—from the new graduate, to student, preceptor, partner, or bestie! They share ideas for making the call room comfy, for sporting your favorite advocacy, and for supporting their favorite makers and creators. This might just be one of their favorite episodes! #midwifelife #ourfavoritethings #gifts #happyholidays #holidaycheer #ourfavoritetimeoftheyear #midwifeera #vulva #stanleyasaweapon

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In the episode, Cara and Missi review the uses of progestins in both contraception and hormone replacement. Progesterone is an essential hormone in the menstrual cycle and synthetic progestin has a multitude of benefits as well as side effects. This conversation will help midwives make a decision on how to chose the right progestin for the right situation. #gynecology #progesterone #progestin #hormonereplacement #contraception #androgenic #progestational #intendedeffect

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In this episode, Cara and Missi push rewind on the TERMPROM study. This study, originally published in 1996, has recently bee re-examined in a an interesting secondary analysis. This episode will highlight the new insights into the data to help midwives provide evidence based care for prelabor rupture of membranes in all settings.  #PROM #PPROM #prelabor #intrapartum #management

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In this episode, Cara and Missi shed light and love on how to give difficult news. It's never easy to deliver news of a diagnosis, a problem, or a complications to a patient and this conversation will help provide useful tools to students and practicing midwives. This episode explores several techniques for scripting these encounters, as well as giving guidance on what information to give, how to know if patients can receive, and how to navigate difficult encounters. #difficultconversations #badnews #anticipatoryguidance #scripts #therapeuticpresence 

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In this episode, Cara and Missi dissect the ACOG practice guideline on antepartum fetal surveillance.  Knowing when to test, what tests to use, how often to test are all important factors in competent, holistic care of the pregnant person.  This episode will break down the kinds of test like NST and BPP as well as what conditions require testing and how midwives should approach the care of at risk patients.

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In this episode, Cara and Missi respond to a listener query about rupture of membranes.  This question got the girls thinking about all of the interventions that are done in the intrapartum and how those correlate with the pearls of midwifery.   Tune in and listen to this robust conversation on everything from well timed amniotomy to position changes while interweaving information from the literature and clinical practice.  

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In this episode, Cara and Missi take a deep dive into all things urinary track. Moving beyond just thinking about UTI, this conversation explores incontinence, pelvic floor therapy, and how to better manage your patients with urinary complaints. 

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In this episode, Cara and Missi are joined by Jenna Erickson, CNM, IBCLC for an important clinical update on the 2022 mastitis guidelines from the Institute for Breastfeeding Medicine.  This episode is a must listen to learn to stop the ice, treat the inflammation, feed naturally, and get down to the real causes of mastitis.  Jenna give us her IBCLC take on things to do, not to do, how to care for the breast, and products that we should be recommending to our patients.  

• https://physicianguidetobreastfeeding.org/ 
• https://www.bfmed.org/assets/ABM%20Protocol%20%2336.pdf
• https://www.amazon.com/Improved-Medihoney-Wound-Dressing-Sciences/dp/B007EBRA6A
• https://www.motherlove.com/?gclid=CjwKCAjw4ZWkBhA4EiwAVJXwqRuMkcQNaaQ42eGxLfXlJjP0x_vNkG7G4QXmh_oOhkcVTe6yoqnF1xoCLBwQAvD_BwE

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In this episode, Cara and Missi break down some common conversations between providers and patients. Have you ever wondered how other providers talk to patients? Did you ever want to hear someone else's spiel? This episode will give the practicing midwife some tips and tricks on communicating with patients and things we should always be saying.

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In this episode, Cara and Missi take a look at asthma in primary care and in pregnancy. More than 22 million people in the US are diagnosed with asthma and it accounts for 14.2 million office visits annually.  Asthma management including pharmacologic treatments will be reviewed as well as treatment modalities in pregnancy.