In this episode, we discuss a new article with some negative findings relating to administration of antenatal steroids to fetuses who go on to deliver at term. Then we revisit the literature that led to the recommendation for antenatal testing in obese patients. Finally, we discuss manipulation of P-values and the American Statistical Association's statements about the use of P-values and the term "statistical significance." 

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In this episode, we discuss some new information about obesity in pregnancy, including the accuracy of BMI, antenatal testing recommendations, and more. We also look at a new study evaluating the safety of higher dose oxytocin regimens in induction. Finally, we discuss the new ACOG/SMFM statement on antenatal testing in pregnancy. 

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In this episode, we discuss two new articles relating to Covid during pregnancy. Then we look at new data regarding the safety of birth at freestanding birth centers. Next we discuss initiatives in California that have led to a reduction in the rate of Cesarean delivery. We also discuss a new study that quantifies the impact that surgeon skill has on patient outcomes and ways to improve surgeon skill. We discuss several unnecessary things done at the time of Gyn surgeries and procedures. Finally, we discuss the role of minimally invasive hysterectomy for cervical cancer. 

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In this episode, we review a recent systematic review of the impact of ursodiol in patients with cholestasis of pregnancy as well as a recent review of the risks and benefits of intermittent fetal monitoring in labor compared to other continuous methods of fetal monitoring. 

Then we take a look at the portrayal of childbirth in movies with a discussion of the new Netflix film, Pieces of a Woman. If you want to skip to the movie reviews, that starts at 13:00.

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In this episode we discuss the use of TAP blocks for Cesarean delivery with and without liposomal bupivacaine or Exparel and discuss issues related to intrathecal morphine and postoperative pain management in the context of the opioid epidemic. Plus, we celebrate the centennial of the discovery of insulin with a quick look at the the history of diabetes in pregnancy.

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In this episode, we discuss some new literature about the effectiveness of progesterone for preterm labor as well as some new evidence implicating 17-hydroxyprogesterone as a possible endocrine disruptor that might cause increased risk of cancer. We also discuss emergency contraception and new studies in that field. Finally, we discuss the relationship between breastfeeding and IQ. 

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In this episode, we discuss several micro-skills that add up  to a lower Cesarean rate, including delivery of breach second twin, external cephalic version, VBAC, and more. We also discuss some tips for placing cervical Foley catheters for induction of labor. 

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In this episode we discuss the risk factors and management strategies for shoulder dystocia. We also discuss the botched birth of Kaiser Wilhelm II and the history of the Zavanelli maneuver. 

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In this episode, we discuss US and international maternal mortality and strategies to reduce the local and global rates of maternal death. We also discuss the rising rates of Cesareans in Canada and 10 clinical diamonds to lower maternal mortality in the United States. 

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In this episode, we discuss a new article about the possible benefits of nuchal translucency screening in women who have undergone cell-free DNA testing and two new articles about using negative pressure dressing systems. Mainly, we focus on the link between estrogen and breast cancer. Does estrogen cause breast cancer? Can women with breast cancer use vaginal estrogen cream? And more.

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