Thinking About Ob/Gyn

In this episode, we discuss the utility of amnioinfusion for both variable decelerations and meconium stained fluid. Plus, how fast do we need to go when doing a Cesarean under general anesthesia. Then we talk about how Braxton-Hicks is still relevant today. Finally, new studies about TikTok and the placebo effect in menopause treatments. 

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In this episode, we discuss the pros and cons of iron supplementation during pregnancy. We take a big of a dangerous dive into chauvinism and sexism in OB/GYN. Then, we discuss rethinking the postpartum visit(s) to better serve patients. 

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In this episode, we discuss management of soft markers of aneuploidy on ultrasound. Also, on update on Makena's potential withdrawal by the FDA. And finally, we discuss value based care for vaginal induction and delivery, including methods of inductions, routine labs, methods of hemorrhage control, sterilization, etc. 

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In this episode, we discuss the value of eating fish during pregnancy and the potential harm of warning women about fish. Plus, we discuss factors driving an increase in maternity deserts in the US and discuss value based care in obstetrics and how that may reverse this dangerous trend. In Part 1 of this discussion, we discuss value decisions at the time of Cesarean, including the Alexis O retractor, the fetal pillow, routine gases and labs, methods for salpingectomy, appropriate lengths of stay, and lots more. 

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In this episode, we discuss the utility of cord blood gases. Then we discuss the impact of THC exposure during pregnancy. Plus, new studies about cord milking, tighter glycemic control during pregnancy, the effects of maternal infection on the development of autism, appropriate dosing of Lovenox after Cesarean, dermatoses of pregnancy, and the metabolomic profile of hormonal IUDs. 

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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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