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Reforming Prenatal Visits and Outdated Recommendations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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In this episode, we discuss current evidence about potential cross-reactivity for patients with penicillin allergy who receive a cephalosporin. Then we discuss the safety of antidepressant medications in pregnancy. 

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In this episode, we discuss the death of Tori Bowie and new data about maternal mortality and the closing gap of black to white mortality in hospital birth. Plus, we discuss pelvic rest after childbirth. 

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In this episode, we discuss the practice of IV hydration for preterm contractions. Then we take a look at the ARRIVE trial and some recent studies about this controversial study. Plus, we look at several articles from the Labor and Delivery special edition of the Gray Journal. 

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In this episode, we discuss data about the methods of breech vaginal delivery, including new studies describing the forces with different maneuvers and the ideal position for maximizing pelvic side. Plus, can pregnant women eat sushi?

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