Thinking About Ob/Gyn

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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In this episode, we revisit outcomes in the CHAP Trial and have a general discussion about understanding the difference in the rate of diagnosis and disease. Along the way, we discuss PCOS and inositol, the Bump Studies, HIV tests and several important concepts for clinicians.

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In this episode, we discuss the evidence for the best ways to measure amniotic fluid and diagnose oligohydramnios and polyhydramnios. We also discuss a new study about when to stop magnesium after delivery of patients with preeclampsia and then we discuss the CHAP study that has changed our management of chronic hypertensive patients while pregnant. 

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In this episode, we finish up the Choosing Wisely recommendations relating to OB/GYN. Plus, the new book, Clinical Reasoning is now available! Buy it here: https://square.link/u/V5FKsaD2

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In this episode, we review women's health related recommendations from the Choosing Wisely project.

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In this episode we discuss a several new articles relating to mode of delivery for preterm twins, outpatient cervical ripening with balloons, PCOS, and pessaries for prevention of preterm birth in women with shortened cervixes. We also discuss the lateral tilt at the time of Cesarean. 

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