In this episode, we discuss several new articles related to treatment of vaginal atrophy or genitourinary syndrome of menopause, including literature that clarifies the role of vaginal estrogen cream. Plus, we discuss the role of washings at the time of management of adnexal masses. We also discuss new literature about the true impact of oxytocin on postpartum hemorrhage risk and examine a paper that claim that female gynecologists receive lower patient satisfaction scores than males. Finally, we discuss the true rate of pregnancy loss.
 
00:00:02 Peritoneal Washings in OBGYN Surgery
00:21:16 Oxytocin and Postpartum Hemorrhage Connection
00:28:23 Comparing Therapies for Menopausal Symptoms
00:42:54 Female Gynecologists and Patient Satisfaction
00:52:11 The True Rate of Pregnancy Loss

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In this episode, we review the literature regarding the use of magnesium sulfate for neuroprotection to prevent CP in preterm infants.

00:00:02 Magnesium Sulfate for Neuroprotection
00:11:00 The Controversy Surrounding Magnesium Sulfate
00:36:37 Research Study Mistakes and Bias
00:46:33 Magnesium Sulfate's Effects on Preterm Birth
00:52:24 Magnesium for Fetal Neuroprotection Reevaluated

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In this episode, we discuss neonatal circumcision and the pros, cons, and ethics. Prepare for controversy. We also discuss the utility of labs for fetal growth restriction.
 
00:00:02 Circumcision Controversy
00:05:00 Labs for Fetal Growth Restriction
00:15:31 Global Perspectives on Male Circumcision
00:26:17 Significance of Male Circumcision in History
00:33:52 The Arguments for and Against Circumcision
00:53:44 Ethical Considerations of Circumcision

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In this episode, we speculate about the near future of advancement of obstetrics, including new vaccines, new uses for cell-free DNA screening, advancement in diabetes monitoring, the use of artificial intelligence and remote monitoring in obstetrics, and artificial womb technology. Also, do you need to stick the GBS swab in you know where?

00:00:02 GBS Swab Technique
00:10:09 Emerging Innovations in Obstetrics
00:18:35 Advancements in Vaccines and Prenatal Care
00:27:49 Diabetes Management and Assisted Birth Advances
00:39:06 AI, Prenatal Care and Fetal Monitoring Advances
00:53:20 Advancements in Artificial Womb Technology

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In this episode, we discuss the utility of repeat antibody testing at 28 weeks. Plus, new evidence about early screening for GDM, the concept of tension in the pelvic floor, the evidence about vaginal prep at the time of unplanned Cesarean, new literature about interventions for preterm birth, and the safety of Mayo (or raw eggs) during pregnancy.

00:00:02 Repeating Type and Screen for RH-Negative Pregnant Women
00:13:54 Evaluating Early Screening for Gestational Diabetes
00:19:24 Discussing Outcomes of Gestational Diabetes Study
00:27:17 Pelvic Therapy and Vaginal Cleansing
00:37:30 The Controversy Surrounding Preterm Birth Interventions
00:50:58 UK and US Egg Safety Standards

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In this episode we welcome back Stuart Winkler to discuss over-consulting in OB/GYN and how to improve surgical eduction in our training programs and how to balance generalists vs subspecialists. Plus, colace!

00:00:02 Misuse of Docusate Sodium

00:09:24 Appropriate Specialty Referrals in Gynecology

00:20:51 Considerations for EIN Management and Referrals

00:33:57 Endometrial Ablation in Gynecologic Surgery

00:41:53 Practice, Mentorship, Surgical Coaching Importance

00:51:04 Speed and Surgical Competence

00:57:59 Teaching and Expectations in OBGYN

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In this episode we discuss the evolution and evidence behind vaginal delivery techniques. Plus, we discuss the importance of the golden hour after birth for the mother and baby.

00:00:02 Golden Hour Care After Birth

00:09:23 Traditional Practices in Vaginal Deliveries

00:20:54 Optimal Practices for Labor Management

00:26:10 Monitoring and Positions in Labor

00:30:52 Labor Positions and Pushing Techniques

00:36:30 Episiotomy and Preventing Perineal Tears

00:49:54 Third Stage and Cord Clamping Guidelines

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In this episode, we discuss guidelines about bulb suctioning at the time of delivery. Then we discuss the nearly 100 year old schedule of prenatal visits and how these can be modernized. Finally, we discuss the next Eat, Sleep, Console approach for neonatal abstinence. 

0:02

Neonatal Suctioning

11:33

Reforming Prenatal Visits and Outdated Recommendations

21:41

Streamlining Prenatal Visits and Remote Monitoring

28:47

The Controversy Surrounding Home Dopplers

33:36

Efficiency and Effectiveness of Prenatal Visits

40:48

Prenatal Care and Biomarkers for Preeclampsia

51:27

Comparing Methods of Diagnosing NAS

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In this episode, we discuss screening for BV to prevent preterm birth. Then new data about the safety of obstetric care in rural vs urban hospitals of different sizes. Plus, new evidence that prophylactic salpingectomy is working and new data about vaginal cuff dehiscence and the analogy between clinical studies and lab tests. 

0:02

Treating Bacterial Vaginosis in Pregnancy

10:12

Morbidity Rates in Rural and Urban Hospitals

20:43

Hospital Size and Patient Care Impact

32:56

Maternity Deserts

37:04

Salpingectomy for Ovarian Cancer Prevention

44:10

Analogy of Clinical Trials

49:53

Vaginal Cuff Dehiscence

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In this episode, we discuss current evidence about post-surgical activity restrictions. Plus, we explore probiotics for GBS prevention, vaginal seeding, barbed sutures, disposable staples, and how to be faster during surgery. 

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