In this episode we discuss the history of Queen Elizabeth's birth and the the birth of her children - which includes home Cesareans and home VBACs. Plus, we discuss checking IUD strings, rising blood pressure rates, and draining the placenta after birth. 

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In this episode, we catch up on a lot of recent literature including differences in surgical outcomes by gender,  preferences for race of obstetrician, a new study about cut-offs for gestational diabetes screening, suture vs staples for Cesarean, and vitamin D screening and treatment. Plus, we discuss the evidence for fetal kick count recommendations. Oh, and Howard apologizes for being offensive!

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In this episode, we finish up our dive into fertility issues with a discussion of basic fertility treatments and answer several fundamental questions with current evidence. Also, 36-37 weeks routine ultrasounds: yea or nay? 

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In this episode, we continue our discussion of fertility with a discussion of the basic fertility evaluation. Plus, should you sound before placing an IUD? Or use a tenaculum? 

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In this episode we discuss the evidence behind stress dose steroids. Then we discuss scientific ways of optimizing natural fertility (and debunk some myths as well). TLDR: save your money on those Facebook fertility testing gimmicks. 

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In this episode, we discuss routine use of LDH and uric acid in evaluation of hypertension. Plus, new studies about caffeine use during pregnancy, the efficacy of home visits to pregnant patients, and the declining value of mammography. We also discuss emergency contraception and birth control in a world post Dobbs and how many women died of illegal abortions before Roe. Finally, we discuss forced sterilization of Native American women as depicted in Dark Winds and Adam Kay's book, This Is Going to Hurt. 

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In this episode, we discuss appropriate use of internal fetal monitors. Then an update on abortion legislation, thoughts about lawsuits, and a discussion of why the US actually has the best maternal and infant care system in the world, not one of the worst. Plus, how abortion restrictions affect our rates of maternal and infant mortality. And a lot about Finland, for some reason. 

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In this episode, we discuss the Second Victim Syndrome and Just Culture. We also discuss progesterone levels and vaginal progesterone for prevention of preterm labor, a new study about Exparel, the ARRIVE trial and news of a lower primary Cesarean rate, piercings and surgery, and whether we should include the endometrium in the closure of Cesareans. 

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In this episode, we discuss the science of fundal heights, a captivating new article about the science of continuous electronic fetal monitoring, and other whatnots, including the formula shortage, SIDS breakthrough, the optimal age of prophylactic oophorectomy, overdose deaths in America, and few other things (including calcium!). 

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In this episode we discuss some hits and misses at the ACOG Annual Clinical Meeting, including the Prevena incision management system, as well as other products and how they are marketed to Ob/Gyns. Plus, we discuss the implications for practice of a total abortion ban. 

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