The Vagibonds Podcast

Placentas are cool.  They're the interface between baby and mother.  They are manufactured on demand, and disposed of when they're not needed anymore. Unlike other organs you can eat them even if they're from a human, if that's how you roll, and most will just label you a bit weird and not a cannibal.  Dr. Katee has the scoop on this 'disc-shaped' organ.

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Sometimes, babies get stuck on their trip along the birth canal.  We've covered breech births in a previous episode, but another cause is shoulder dystocia--the baby's shoulder gets caught on the front of the mothers pelvis.  It's a true obstetric emergency, but it's one that Drs. Katee and Corbin have rehearsed and practiced for.

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Drs. Corbin and Katee and their mansplainer Dave have taken a couple months off to get their lives together.  But they're back to drop some knowledge about PPROM (Preterm premature rupture of the membranes).  

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Drs. Corbin and Katee have been promising an episode on emergency contraception, and here it is!  Katee takes us through the options for emergency contraception, what emergency contraception is and what it isn't, the side effects, and why--if you're sexually active and don't want to get pregnant--it's a good idea to have it on hand even if you're already using contraception.  Plus, listener Corbin (awesome name, btw) writes in to ask what she can do while she is in medical school to be competitive for a residency in OG/Gyn.  

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The American Congress of Gynecology has issued a ‘committee opinion’–which OB/Gyns like Drs. Katee and Corbin use to guide their treatment decisions according to the best evidence available.  We discuss what ACOG thinks OB/Gyns should do for their obese patients, including encouraging doctors to avoid implicit biases ag ainst them.  Dave points out Planned Parenthood’s new chatbot Roo, part of their plan to expand their reach to young people and those who don’t have access to high quality information on sexuality, pregnancy and women’s health.

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We got a lovely email from listener Kristin, a first-year medical student who's trying to decide between OB/Gyn and Family Medicine.  So it's pretty lucky that Dr. Katie is married to a family med doc, Dr. Adam Verhoef.  The three docs discuss the areas of overlap, the differences, and the benefits to each specialty as they see them.  And Dave discusses an article that suggests we should stop telling moms that breast feeding is free.

That drug you count on?  It might not always be around. The Vagibonds talk about why shortages of medicines and medical supplies happen and what common items are in short supply right now.  Plus the implant Essure is taken off the market.

E-mail: [email protected]

Twitter: @thevagibonds

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References:

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Dr. Katee, inspired by a Women's Health article she read, discusses the things OB/Gyns want you to know but won't tell you.  Except that she and Dr. Corbin will tell you because that's how they roll.  And Dave puzzles over a thoughtful article in the Atlantic about the so-called sex recession.

The Zika virus caused quite the stir in the news a couple years ago.  It made few people feel sick...but its effects on developing fetuses was horrifying, causing multiple, profound birth defects.  It has receded from the news since then, but it's effects are still being felt, especially in hotter climates...including Corbin's current home, Texas.  So what are the effects of Zika?  How is it prevented? Are there treatments available for its effects? And what do doctors do to support those affected?  

Dr. Corbin takes us on a journey into breech birth, something many are familiar with because of the condition's associate with c-sections (stay tuned for a future show on that).  The term, of course, refers to the fact that the baby is improperly positioned in the uterus at or close to the time of birth.  We'll talk about what kinds of breech positions there are, how obstetricians deal with them, and the potential complications of a breech delivery.