Dr. Gina Milone takes us through the pros and cons of post-delivery IUD placement.

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1. Blumenthal, P. D., et al. (2018). "Comparative safety and efficacy of a dedicated postpartum IUD inserter versus forceps for immediate postpartum IUD insertion: a randomized trial." Contraception98(3): 215-219. 
2. Center for Disease Control, U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC), 2016.
3. Eser, A., et al. (2018). "Clinical experience with a novel anchored, frameless copper-releasing contraceptive device for intra-caesarean insertion." Eur J Contracept Reprod Health Care23(4): 255-259.
4. Immediate postpartum long-acting reversible contraception. Committee Opinion No. 670. American College of Obstetricians and Gynecologists. Obstet Gynecol 2016;128:e32-7.
5. Jatlaoui, T. C., et al. (2018). "Intrauterine Device Expulsion After Postpartum Placement: A Systematic Review and Meta-analysis." Obstet Gynecol132(4): 895-905.
6. Kapp, N. and K. M. Curtis (2009). "Intrauterine device insertion during the postpartum period: a systematic review." Contraception80(4): 327-336.
7. Long-acting reversible contraception: implants and intrauterine devices. Practice Bulletin No 186. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;130:e251-69.
8. Optimizing postpartum care. ACOG Committee Opinion No. 736. American College of Obstetricians and Gynecologists. Obstet Gynecol 2018;131:e140-50.
9. Singh, S., et al. (2016). "A Dedicated Postpartum Intrauterine Device Inserter: Pilot Experience and Proof of Concept." Glob Health Sci Pract4(1): 132-140.
10. Unal, C., et al. (2018). "Comparison of expulsions following intracesarean placement of an innovative frameless copper-releasing IUD (Gyn-CS(R)) versus the TCu380A: A randomized trial." Contraception.

We follow-up last months dicsussion of termination by discussing the challenging stories of women who chose to terminate after 24 weeks and then have a great discsussion about embryo adoption.

Dr. Lian joins me to discuss "Opioid use after laparoscopic hysterectomy: prescriptions, patient use, and a predictive calculator" from AJOG.

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Please join Drs. Jillian Kurtz and Heather Link to discuss extended cycle contraception, changes to abortion laws, and the role of OB hospitalists.

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How Abortion Law in New York Will Change, and How It Won’t

FSRH Clinical Guidance: Combined Hormonal Contraception - January 2019

Obstetric hospitalists can screen for postpartum depression

Dr. Oystein Bergoy joins me to discuss the LaPS Study looking at the effect of Zhang's partograph on cesarean deliveries for labor dystocia.

www.obgyn.fm

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The frequency of intrapartum caesarean section use with the WHO partograph versus Zhang’s guideline in the Labour Progression Study (LaPS): a multicentre, cluster-randomised controlled trial

Join us for this special 50th episode where we get together to discuss why we do what we do.

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Dr. Heather Link starts a new series on Maternal Mortality by discussing what that even means and how we get those numbers.

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Maternal mortality is a key indicator of a health system’s strength. Safe Motherhood Week. https://www.safemotherhoodweek.org/maternal-mortality-key-indicator-health-systems-strength/.Published October 30, 2017. Accessed July 19, 2018.

1. Organization WH, Others. WHO guidance for measuring maternal mortality from a census. 2013. http://apps.who.int/iris/handle/10665/87982.
2. Knight M, Kenyon S, Brocklehurst P, et al. Saving Lives, Improving Mothers’ Care Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009-2012. 2014. http://discovery.ucl.ac.uk/1464330/.
3. Humphrey MD, Bonello MR, Chughtai A, Macaldowie A, Harris K & Chambers GM. Maternal Deaths in Australia 2008–2012. Maternal Deaths Series No. 5. Canberra: AIHW.; 2015. http://apo.org.au/system/files/55131/apo-nid55131-20636.pdf.
4. Pregnancy Mortality Surveillance System | Maternal and Infant Health | CDC. https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-mortality-surveillance-system.htm.Published August 7, 2018. Accessed August 27, 2018.
5. New York State Maternal Mortality Review Report. https://www.health.ny.gov/community/adults/women/docs/maternal_mortality_review_2012-2013.pdf.
6. Maternal mortality ratio (MMR) — MEASURE Evaluation. https://www.measureevaluation.org/prh/rh_indicators/womens-health/sm/maternal-mortality-ratio-mmr.Published November 23, 2010. Accessed October 8, 2018.
7. Division of Reproductive Health, Family and Reproductive Health. The Sisterhood Method for Estimating Maternal Mortality. World Health Organization ; 1997. http://apps.who.int/iris/bitstream/handle/10665/64007/WHO_RHT_97.28.pdf;jsessionid=ACC253E82A5392CD768522ABE2716AA7?sequence=1.
8. Wilmoth JR, Mizoguchi N, Oestergaard MZ, et al. A New Method for Deriving Global Estimates of Maternal Mortality. Stat Politics Policy. 2012;3(2). https://www.ncbi.nlm.nih.gov/pubmed/24416714.
9. Maternal mortality - UNICEF DATA. UNICEF DATA. https://data.unicef.org/topic/maternal-health/maternal-mortality/.Accessed October 30, 2018.
10. WHO, Department of Reproductive Health and Research. Trends in Maternal Mortality: 1990 to 2013. Estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division. World Health Organization ; 2014. http://apps.who.int/iris/bitstream/handle/10665/112697/WHO_RHR_14.13_eng.pdf;jsessionid=435F8C2D8482EF587423E845839727BC?sequence=1.
11. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Soc Sci Med. 1994;38(8):1091-1110.
12. Montagu D, Yamey G, Visconti A, Harding A, Yoong J. Where do poor women in developing countries give birth? A multi-country analysis of demographic and health survey data. PLoS One. 2011;6(2):e17155.
13. Somé DT, Sombié I, Meda N. How decision for seeking maternal care is made--a qualitative study in two rural medical districts of Burkina Faso. Reprod Health. 2013;10:8.
14. Scott S, Chowdhury ME, Pambudi ES, Qomariyah SN, Ronsmans C. Maternal mortality, birth with a health professional and distance to obstetric care in Indonesia and Bangladesh. Trop Med Int Health. 2013;18(10):1193-1201.
15. Hanson C, Cox J, Mbaruku G, et al. Maternal mortality and distance to facility-based obstetric care in rural southern Tanzania: a secondary analysis of cross-sectional census data in 226 000 households. Lancet Glob Health. 2015;3(7):e387-e395.
16. Lori JR, Starke AE. A critical analysis of maternal morbidity and mortality in Liberia, West Africa. Midwifery. 2012;28(1):67-72.
17. Gwilliam F, Archondo-Callao B-G, Nogales S. Roads in Sub-Saharan Africa. Africa Infrastructure Country Diagnostic AICD. 2008. http://documents.worldbank.org/curated/en/938171468194345853/pdf/551050WP0p109210Box349439B01PUBLIC1.pdf.
18. Amdd WUU. Monitoring Emergency Obstetric Care: A Handbook. World Health Organization; 2009. http://apps.who.int/iris/bitstream/handle/10665/44121/9789241547734_eng.pdf;jsessionid=8894BA499197FB974E66D8624AFCDFEF?sequence=1.
19. UNICEF, Ministry of Health -Puntland. EmONC Needs Assessment in Selected Health Facilities in NEZ, Puntland- September 2011. UNICEF European Commission; 2011. https://www.unicef.org/somalia/EmONC_needs_Assessment_Report_-_Puntland_Oct._2011.pdf.
20. Mony PK, Krishnamurthy J, Thomas A, et al. Availability and distribution of emergency obstetric care services in Karnataka State, South India: access and equity considerations. PLoS One. 2013;8(5):e64126.
21. Rosindale L. Rural Maternal Mortality. Am J Nurs. 2018;118(12):10.
22. Alkema L, Chou D, Hogan D, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387(10017):462-474.
23. Sustainable Development Goals | UNDP. UNDP. http://www.undp.org/content/undp/en/home/sustainable-development-goals.html.Accessed December 1, 2018.
24. WHO | Projections of mortality and causes of death, 2016 to 2060. November 2018. https://www.who.int/healthinfo/global_burden_disease/projections/en/.Accessed December 1, 2018.

Drs. Lian and Blaber join me to discuss "Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer" from NEJM.

https://www.nejm.org/doi/full/10.1056/NEJMoa1806395

https://journals.lww.com/greenjournal/Fulltext/2018/10000/Noninferiority_Complex.5.aspx

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Drs. Sara Kim and Vai Umesh join me to discuss sexism in medicine.

https://creogsovercoffee.com

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I speak with Dr. Cathy Cluver about her article in the October issue of American Journal of Obstetrics and Gynecology. https://www.ajog.org/article/S0002-9378(18)30606-9/fulltext [email protected] www.obgyn.fm