Thinking About Ob/Gyn

In this episode, we discuss routine bacterial vaginosis screening in patients with preterm labor symptoms. Then, we discuss some dietary and other less-discussed findings from the Women's Health Initiative. We also discuss a new review article about first trimester anatomic ultrasounds. Finally, we answer a listener question about implementing postpartum sterilization routinely into unsupportive hospitals.

00:00:02 Testing for BV in Preterm Labor

00:12:28 Clinical Diagnosis of Bacterial Vaginosis

00:21:14 First Trimester Ultrasound in Women's Health

00:34:12 First Trimester Ultrasound Anomalies and Costs

00:38:29 The Cost-Effectiveness of Early Ultrasounds

00:46:32 Improving Postpartum Sterilization Access

00:55:32 Strategies for Postpartum Sterilization Procedures

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In this episode, we discuss four tips for IUD insertion. Then we discuss the qualities of good teachers and the important of teaching students and residents, with some practical advice thrown in as well. Finally, we discuss the history of blood transfusion.

00:00:02 IUD Insertion Techniques and Anxiety Management

00:23:04 Qualities of a Great Teacher

00:35:16 The Benefits of Teaching in Medicine

00:45:42 Teaching Strategies for Clinical Preceptors

00:52:33 History of Blood Transfusion & Obstetrics

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In this episode, we discuss the risks and counseling related to higher numbers of Cesareans. Then, we finish our discussion about vaginal hysterectomy with tips and tricks for some common problems. Finally, we answer a listener question about external cephalic version.

00:00:02 Considerations for Multiple Cesarean Deliveries
00:08:13 Risks and Outcomes of Cesarean Hysterectomies
00:16:09 Uterine Dehiscence and Vaginal Hysterectomy
00:24:01 Tips for Vaginal Hysterectomy Assistants
00:35:24 Mastering the Anterior Colpotomy Technique
00:44:01 Vaginal Hysterectomy Tips and Techniques
00:55:36 Teaching Vaginal Hysterectomy Techniques
00:57:55 Listener Question about ECV

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In this episode, we discuss four tips for managing the deeply impacted fetal head at the time of Cesarean. Then we discuss the optimal route of hysterectomy (hint: its a vaginal hysterectomy). Finally, we discuss the obstetric history of the Taj Mahal.

00:00:02 Four Tips For Deeply Impacted Head at Cesarean

00:13:53 Advantages of Vaginal Hysterectomy

00:25:16 Optimizing Vaginal Hysterectomy Techniques

00:31:53 Advancing Skills in Minimally Invasive Surgery

00:40:24 Advancements in Vaginal Hysterectomy Technique

00:49:20 Debating the Merits of v-Notes

00:58:06 Taj Mahal and Maternal Mortality

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In this episode, we discuss the latest recommendations for treatments for osteopenia and osteoporosis, including vitamin D and calcium, as well as bisphophonates and other medications.

Then we discuss new literature about best methods for induction of labor and risks factors for uterine rupture during a trial of labor after Cesarean. We also discuss a new trial about late preterm antenatal steroids.

Also we talk about a new article about mammalian menopause the evolutionary rolls of menopause and concealed ovulation (fun people, we know!) 

Finally, we answer a listener question about bleeding during surgery.

00:00:02 Treatment of Osteopenia and Osteoporosis

00:14:40 Vaginal Birth After Cesarean Recommendations

00:24:05 Effectiveness of Late Preterm Steroids

00:35:49 Menopause and Evolution in Mammals

00:41:05 Concealed Estrus and Weight Gain Recommendations

00:47:56 Managing Surgical Hemostasis and Bleeding

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In this episode, Dr. Stuart Winkler returns to discuss new evidence about the risks and benefits of radical hysterectomy for cervical cancers. Also, for fun, we torture a Gyn-Onc with a four tips for managing cord prolapse.  Also, we discuss a new commentary on activity restriction after gynecologic surgery.

00:00:02 Management of Cord Prolapse in Labor

00:11:01 History and Evolution of Radical Surgery

00:25:03 Recent Trials on Cervical Cancer Surgery

00:48:33 Activity Restrictions in Surgical Practice

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In this episode, we discuss which laparoscopic ports need to be closed and how. Plus, we discuss more evidence that the current narrative about maternal mortality in the US is false. Finally, we answer listener questions about oxytocin protocols and the history and utility of the Bishop's Score.

00:00:02 Closing Laparoscopic Ports
00:13:32 The Maternal Mortality Rate Debate
00:21:04 Maternal Mortality Misconceptions and Progress
00:30:30 Maternal Mortality Misconceptions and Data Accuracy
00:39:27 The Bishop's Score
00:45:41 Debating Oxytocin and Labor Policies

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In this episode, we discuss four tips for breech vaginal delivery.  Then, we respond to the Alabama Supreme Court's decisions about embryos and the impact on IVF and reproductive rights. Finally, we discuss the best methods for initial laparoscopic entry and discuss the history of laparoscopy.

00:00:02 Four Tips for Vaginal Breech Deliveries

00:13:17 Alabama Supreme Court and IVF

00:29:15 Initial Laparoscopic Entry

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In this episode, we discuss the use of supplemental oxygen for fetal decelerations. Then we get into part 2 of our discussion of interpreting clinical studies and when to adopt new interventions into practice, including a discussion of intranasal metoclopramide, elagolix, and a new study about an app based doula service. Finally, we answer user questions about surprise billing at the time of annual exams and the pros and cons of egg freezing.

00:00:02 Oxygen Supplementation in Labor

00:11:00 Interpreting studies part 2: intranasal metoclopramide

00:22:07 Evaluating Efficacy of Elagolix for Endometriosis

00:38:23 Doulas and Birth Outcomes

00:44:32 Listener Question: Surprise Billing

00:51:30 Listener Question: Egg Preservation

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In this episode, we discuss four tips for external cephalic version. Then we dive into the basics of interpreting scientific studies. Finally, we discuss the pregnancy history of Jackie Kennedy.

00:00:20 Tips for External Cephalic Version

00:17:10 Evaluating Clinical Studies

00:53:13 Jackie Kennedy's Impact on Cesarean Deliveries

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