Thinking About Ob/Gyn

By Antonia Roberts and Howard HerrellMedicine Health & Fitness

Thinking About Ob/Gyn episodes

May 20, 2021 Episode 1.10 Covid, reducing Cesarean rates, birth outside the hospital, surgeon quality, cervical cancer surgery, and unnecessary procedures
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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43 min
May 06, 2021 Episode 1.9 Birth in the Movies, Pieces of a Woman, Ursodiol, and intermittent fetal monitoring
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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51 min
April 22, 2021 Episode 1.8 Exparel and TAP blocks plus the history of insulin and diabetes in pregnancy
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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50 min
April 08, 2021 Episode 1.7 Update on Makena and COVID, emergency contraception, and the relationship between breastfeeding and IQ
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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44 min
March 25, 2021 Episode 1.6 Micro-skills and Competencies in Obstetrics
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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43 min
March 10, 2021 Episode 1.5 Shoulder Dystocia, Kaiser Wilhelm, and the history of the Zavanelli
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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44 min
February 25, 2021 Episode 1.4 Maternal mortality, Canadian Cesareans, and 10 Diamonds
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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43 min
February 10, 2021 Episode 1.3 Does estrogen cause breast cancer? Negative pressures dressings, and more about nuchal translucency
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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33 min
January 28, 2021 Episode 1.2 Makena, the Covid Vaccine and Infertility, and the Australian Open
In this episode we discuss the efficacy of Makena (17-hydroxyprogesterone caproate) for the prevention of recurrent preterm labor in light of the PROLONG Trial. We also discuss myths about the COVID Vaccine and miscarriage or infertility as well as Daphne Akhurst and the Australian Women's Tennis Tournament.
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40 min
January 14, 2021 Episode 1.1 Noninvasive prenatal testing, gender prediction, and COVID 19 vaccines
In this episode, we discuss the latest guidance about screening for fetal abnormalities with cell-free DNA testing, the COVID 19 vaccine for breastfeeding and lactating women, and some true and not so true ways to determine fetal gender.
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38 min

About Thinking About Ob/Gyn

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A fresh and evidence-based perspective of all things related to obstetrics and gynecology. Follow us on Instagram @thinkingaboutobgyn or visit thinkingaboutobgyn.com for show notes and…