Thinking About Ob/Gyn

In this episode, we discuss reasons for the falling rates of ovarian cancers and the rising rates of endometrial cancers. We also discuss the impact that endometrial ablation may have on worsening endometrial cancer outcomes in light of other alternatives to hysterectomy, such as IUDs. Finally, we discuss some COVID updates including whether or not pregnant women with COVID should receive anticoagulation. 

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In this episode we discuss the new Jada postpartum hemorrhage device. More importantly, we discuss the process for choosing to utilize new interventions in clinical practice. Then we discuss a recent New York Times article detailing the problem of false positives in the noninvasive prenatal screening tests. 

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In this episode, special guest Scott Guthrie, MD joins us to discuss optimal cord clamping (or what used to be called delayed cord clamping). We discuss the vital benefits of this practice and efforts in Tennessee to make this available to more than 90% of babies born in the next two years. 

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In this episode, we tell the story of the first insulin injection 100 years ago yesterday. Then we discuss the history of pap smear guidelines and the reasons for current recommendations. We also discuss the harms associated with doing too many pap smears. Finally, we discuss the reasons why some practice changes are adopted rapidly by OB/Gyns while others languish for decades. Oh, and Betty White of course. 

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In this episode, we discuss evidence-based Cesarean Delivery technique. Plus, we review the evidence for use of prenatal supplements in multiples and an update on Omicron and new antivirals for COVID. 

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In this episode, we interview Tracy Gilmour-Nimoy, M.S., LMFT, PMH-C who describes her own pregnancy loss and gives us many insights into dealing with patients who have suffered recurrent pregnancy loss, fetal demises, and infertility. 

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In this episode, we discuss some Covid updates. Then we talk about marijuana and CBD use in pregnancy as well as the effects of marijuana use on sperm counts. We talk about the debate of whether sperm counts are becoming lower globally over the last 60 years (and whether breasts are becoming bigger). We talk about how to define normal. Finally, we have three updates about gestational diabetes, including when to perform a 75 gram test and and the value of early diabetes screens in at risk women. 

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In this episode, we discuss the evidence for risks and benefits for progesterone to prevent miscarriage. Then we discuss new evidence about epidural use and long term neonatal and child outcomes, including risks of autism. We also dive into the McClintock Effect and discuss some lunar-Ob myths. 

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In this episode, we discuss birth plans!

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In this episode, we discuss the use of vaginal lasers for vaginal rejuvenation. We discuss the role of metformin in the treatment of PCOS. We discuss new literature about the need for blood transfusion preparedness on L&D. Finally, we discuss the safety of birth at home compared to birth at free standing birth centers. 

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