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المحتوى المقدم من Antonia Roberts and Howard Herrell, Antonia Roberts, and Howard Herrell. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Antonia Roberts and Howard Herrell, Antonia Roberts, and Howard Herrell أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
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Thinking About Ob/Gyn
وسم كل الحلقات كغير/(كـ)مشغلة
Manage series 3496984
المحتوى المقدم من Antonia Roberts and Howard Herrell, Antonia Roberts, and Howard Herrell. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Antonia Roberts and Howard Herrell, Antonia Roberts, and Howard Herrell أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
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 more.
108 حلقات
وسم كل الحلقات كغير/(كـ)مشغلة
Manage series 3496984
المحتوى المقدم من Antonia Roberts and Howard Herrell, Antonia Roberts, and Howard Herrell. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Antonia Roberts and Howard Herrell, Antonia Roberts, and Howard Herrell أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
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 more.
108 حلقات
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Thinking About Ob/Gyn
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1 Episode 9.4: Barbs, Birth Control Risks, Maternal Cancers, Aspirin, and More! 1:05:22
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This episode dives into the debate surrounding the efficacy and cost of barbed sutures in surgical practice, questioning whether their time-saving advantages are justified compared to traditional techniques, especially for uterine closure. Additionally, it explores the implications of non-invasive prenatal testing for cancer detection and recent maternal mortality statistics, while advocating for evidence-based practices in both surgical and obstetric care. • Analysis of barbed suture use and cost implications • Discussion of unexpected cancer detection via NIPS • Exploration of maternal mortality statistics and misconceptions • The relative value of baby (a discussion of the perverse economics of pediatric and obstetric care) • Summary of recent findings on aspirin dosages for preeclampsia • Examination of venous thromboembolism risks with hormonal contraceptives 00:00:01 Barbed Suture in OBGYN Surgery 00:09:13 Comparing Surgical Sutures 00:17:11 NIPS Results and Maternal Cancer Detection 00:24:04 Maternal Mortality Trends and Data Analysis 00:38:50 Medical Reimbursements and Healthcare Priorities 00:47:20 Risk Factors in Birth Control Thromboembolism 00:54:37 Birth Control and Thromboembolism Risk Follow us on Instagram @thinkingaboutobgyn .…
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Thinking About Ob/Gyn
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1 Episode 9.3 Obstetric Life Support with Jacqueline Vidosh 52:19
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Join Howard with guest host Jacqueline Vidosh as we explore the challenges of maternal cardiac arrest. This episode emphasizes the urgent need for specialized training in obstetric life support. From discussing causes of maternal mortality to sharing practical tips for first responders, the insights presented aim to enhance awareness and preparedness in critical situations. • Discussing the alarming rise in maternal mortality rates • Identifying common causes of maternal cardiac arrest • The importance of OBLS training and education for healthcare providers • Emphasizing the need for left uterine displacement during resuscitation • Addressing healthcare disparities affecting Black women • Sharing unique physiological adaptations in pregnant patients • Strategies for improving outcomes in maternal cardiac arrest cases • Highlighting the value of simulation training for all healthcare personnel Every healthcare professional plays a role in improving maternal health outcomes. Listen in for tips and insights on how we can enhance readiness for maternal cardiac arrest situations. 00:00:01 Obstetric Life Support 00:03:34 Maternal Mortality and OBLS Training 00:15:23 Maternal Health Disparities and Physiologic Changes 00:27:53 Cesarean Delivery and Post-Delivery Care 00:41:15 History and Implementation of CPR Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 9.2 Circumvallate Placenta, Pregnancy Apps, Oral Meds for GDM, and HPV 1:00:56
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In this episode, Howard and Antonia focuses on the evolving guidelines for HPV screening and the implications for women's health, highlighting its superior effectiveness over traditional Pap smear tests. Additionally, we explore the reliability of pregnancy apps for information and address a listener question about Group B Streptococcus screening and management. • Discusses the transition to HPV testing as primary cervical cancer screening • Reviews a recent study confirming HPV's effectiveness in preventing cervical cancer • Examines the reliability and misinformation in pregnancy apps • Answers listener questions regarding Group B Streptococcus management 00:00:01 Circumvallate Placenta 00:13:51 Evaluating Pregnancy Apps for Accuracy 00:26:56 Evaluating Risks of Pregnancy Apps 00:36:51 Gestational Diabetes Treatment Options 00:45:47 Manage GBS Risk Factors Follow us on Instagram @thinkingaboutobgyn .…
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Discover how cesarean hysterectomy, once a procedure shrouded in fear, has evolved into a life-saving operation with contributions from pioneering figures like Eduardo Porro and Lawson Tate. In this episode, we are joined by gynecologic oncologist Stuart Winkler, who shares invaluable insights into both unplanned and planned cesarean hysterectomies. Explore the primary indications for these critical surgeries, from uncontrollable bleeding in unplanned emergencies to managing known conditions like placenta accreta in planned scenarios. You'll gain a deep understanding of the strategic decision-making required, especially in resource-limited environments, to ensure the best outcomes for patients. Navigate the complexities of performing cesarean hysterectomies under challenging circumstances, particularly when severe hemorrhage threatens patient safety. We delve into surgical tips and techniques, emphasizing the significance of early and careful bladder dissection, effective use of energy sealing devices, and confident decision-making. Our discussion highlights innovative strategies for uterine preservation in placenta accreta spectrum disorders, offering creative solutions when complete resection isn't feasible, and exploring new protocols that balance operative blood loss and patient fertility. Finally, take a journey through the historical evolution of cesarean hysterectomy with us, as we trace its transformation from a fearful, last-resort measure to a cornerstone of modern obstetric care. Learn about the pivotal technological advancements that have shaped current practices, such as preoperative arterial occlusion techniques, equipping today's surgeons with a wide array of tools to tackle even the most complex cases. This episode promises a comprehensive blend of historical insights and practical advice, making it an essential listen for both seasoned professionals and those new to the field. 00:00:01 Cesarean Hysterectomy 00:09:14 Surgical Tips for Cesarean Hysterectomy 00:17:42 Advanced Techniques in C-Hysterectomy 00:23:56 Surgical Tips for Planned C-Hysterectomy 00:31:36 Surgical Techniques for Hemorrhage Control 00:41:38 Uterine Preservation in Spectrum Placenta 00:53:37 Evolution of Cesarean Hysterectomy Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.13 Flagyl, GBS, DUTCH, Jada, Quickening and More! 1:00:00
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Challenge preconceived notions in obstetrics and gynecology with our latest episode, where we dismantle myths that have long influenced medical practices, even in the absence of scientific backing. From unraveling the misunderstood reaction between alcohol and metronidazole to examining the overlooked risks of clindamycin cream, we'll look at how these misconceptions take root in medical culture. We continue with a critical analysis of intrapartum GBS prophylaxis, correcting widespread misunderstandings around its purpose and timing during labor and how it affects labor management. We address the rise of dubious hormone tests, like the DUTCH Test, marketed to consumers, painting a cautionary picture of how social media amplifies these unvalidated products. We highlight the importance of consulting healthcare professionals while discussing the potential paradigm shift that self-collected HPV testing could bring to cervical screening, as recommended in the coming cervical cancer screening guiudelines. This new approach might revolutionize screening rates and quality of care, especially for underserved populations, all while realigning healthcare providers' focus on more pressing medical needs. Prepare for an engaging conclusion as we scrutinize the comparative effectiveness of postpartum hemorrhage devices Jada and Bakri, emphasizing the ethical implications of cost versus efficacy. We'll take you on a historical journey through the concept of "quickening" in pregnancy, reflecting on its cultural significance and evolution with modern science. Plus, changes for next season! 00:00:02 Metronidazole and Alcohol 00:13:03 Intrapartum GBS Prophylaxis Guidelines Clarified 00:24:54 Hormone Testing and Cervical Screening 00:31:07 HPV Self-Collect Screening Implications 00:42:54 Comparative Efficacy of Postpartum Hemorrhage Devices 00:51:29 Historical Perspectives on Fetal Development Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.12 Four Tips for Paps, OB Unit Closures, and the Importance of Hospital Based Obstetrics 1:03:10
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In this episode, we give four simple tips for performing a Pap smear. Then we dive into the complicated problem of obstetric units closing across the United States and actions we need to take to stop this dangerous trend that threatens the safety of pregnant women and newborns. Also, we highlight the important of hospital based obstetric programs and the history of why births moved into the hospitals in the beginning of the 20th Century and the 99% decline in maternal and neonatal mortality that followed. 00:00:02 Cervical Cancer Screening Tips 00:14:13 Hospital Closures Affect Obstetric Care 00:37:27 Rural Obstetric Units Closing Challenges 00:44:53 Hospital vs. Home Birth Safety 00:49:40 Healthcare Disparities for Women and Children 00:55:08 Evolving Birth Settings in America 01:02:28 Email Advocacy for Healthcare Reform Follow us on Instagram @thinkingaboutobgyn .…
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Thinking About Ob/Gyn
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1 Episode 8.11 Catheters in Labor, Occiput Posterior Fetuses, and Cesarean Scar Disorder 1:02:18
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Do patients in labor need continuous bladder drainage? We will review the literature comparing intermittent to continuous drainage. Next, we venture into the art and science of manual rotation for persistent posterior fetal presentations, a skillful maneuver that might just hold the key to lowering cesarean rates. Drawing from comprehensive reviews and trials, including the TURN-OUT trial and studies from UCSF, we debate the efficacy and applicability of manual rotation in various clinical settings. From ultrasound-guided techniques to hands-on learning, gain a nuanced understanding of how this practice might enhance delivery outcomes and reduce interventions. Finally, we learn about Cesarean Scar Disorder, a relatively new diagnosis with important clinical ramifications. 00:00:10 Urinary Catheterization in Labor Management 00:16:10 Manual Rotation of the OP Fetus 00:49:32 Effectiveness of Labor Positioning Techniques 00:58:03 Cesarean Scar Disorder Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.10 Birth Control Counseling, MOC Article Highlights, and Feminine Forever 1:05:08
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In this episode, we discuss four tips for effective birth control counseling. By dissecting communication techniques, we highlight how striking a balance between relational and task-oriented approaches can maximize patient interactions and ensure comprehensive, evidence-based care regarding birth control choices. Then we delve into several studies from the recent ABOG MOC cycle that we found interesting or curious and point out several informative nuggets. Finally, we discuss the book "Feminine Forever" and its impact on estrogen replacement therapy perceptions. 00:00:02 Communication Strategies for Birth Control Counseling 00:11:56 Effective Communication of Birth Control Risks 00:21:08 PAS After Myomectomy 00:23:03 Risk-Reducing Surgery Adherence Discussion 00:30:33 Issues With Modern Labor Curves 00:38:49 Stopping ASA Early 00:42:17 Prophylactic Slings 00:46:01 Clinical Updates on UTIs 00:51:34 Mental Health Guidelines and Other Articles 00:55:51 Feminine Forever Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.9 Intrapartum Fentanyl, IUDs and Breast Cancer, Pretrm Test and Bias in Studies 56:15
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Can IV fentanyl use during labor actually be safe for mothers and newborns beyond six centimeters of dilation? Join us as we unpack a pivotal 1989 study and question the stereotypes surrounding fentanyl use in labor. Our second segment tackles sensational claims about IUDs and breast cancer, as we dissect a Danish study recently published in JAMA. Listen as we unpack the methodological nuances and confounders that mainstream publications have overlooked, and explore the media's role in shaping public perception with incomplete or skewed interpretations of data. This episode closes with an in-depth look at the biases that pervade pharmaceutical research, particularly when funding sources have a vested interest in outcomes. By examining the "sponsorship effect" and its implications on research validity, we highlight the need for rigorous, unbiased scientific inquiry. We examine the evidence for the new Pretrm Test for preterm labor risk. Learn about the challenges of implementing biomarker testing for predicting preterm births and why high-quality evidence must remain the cornerstone of clinical practice. As we celebrate our 100th episode, we discuss the need for truth and transparency in scientific research—creating a future where clinical practices are driven by reliable, evidence-based insights. 00:00:02 Navigating IV Fentanyl Use in Labor 00:07:56 Debunking Misconceptions About IUDs and Breast Cancer 00:22:17 Evaluating Biomarker Testing for Preterm Birth: The PreTRM test 00:38:50 Conflicts of Interest in Medical Research 00:45:15 Biased Influence in Medical Research Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.8 Finding Clinical Answers, Iron, Fetal Testing, and Steroids 57:06
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In this episode, we discuss four tips for finding evidence based answers quickly. Then we discuss some new literature about pap smears and new guidelines regarding iron supplementation in pregnancy. We also discuss the history of corticosteroids for fetal maturity and the hype cycle in medicine. 00:00:02 Finding Evidence-Based Clinical Answers Quickly 00:13:36 Understanding Evidence-Based Clinical Practice 00:23:30 Cervical Cancer Screening During Pandemic 00:33:51 Optimal Timing for Cervical Cancer Prevention 00:40:12 Iron Supplementation in Pregnancy 00:47:13 Corticosteroids and Hype in Medicine Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.7 One Layer or Two? Endometrium or Serosa? And Minimally Invasive Surgery 1:04:07
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In this episode, we discuss the evidence behind one layer and two layer Cesarean closures with an emphasis on inclusion of the endometrium and the risk of cesarean scar ectopics and placenta accreta spectrum disorders. Plus, we define minimally invasive surgery and trace the origin of the term and it's introduce a new concept: less invasive vs minimally invasive surgery. 00:00:02 Hysterotomy Closure Techniques in Cesarean Deliveries 00:14:46 Debunking Claims About Cesarean Techniques 00:27:20 Uterine Closure Techniques in Cesarean Deliveries 00:36:44 Defining Minimally Invasive Surgery 00:48:18 Advanced Techniques in Minimally Invasive Surgery Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.6 Cervical Catheters, SGA, Due Date Errors, History of Postpartum Depression 59:53
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In this episode, we discuss four tips for placing and using catheters for induction of labor. Then we revisit the issue of small for gestational age versus fetal growth restriction. We also discuss the most common mistake made in calculating due dates and how this can have a negative impact on pregnancies. Finally, we discuss the history of postpartum depression and the literature and stories of Kate Chopin and Sylvia Plath. 00:00:35 Four Tips for Cervical Catheter Placement 00:23:00 SGA vs FGR 00:28:55 Correcting Due Dates Prevents Mistakes 00:46:10 History of Postpartum Depression, Chopin and Plath Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.5 Ultrasounds of Twins, Tongue Ties, and Pap-sploitation 1:04:36
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In this episode, we discuss the frequency of Pap smears for twin pregnancies as well as the need for using twin-based growth data for the diagnosis of fetal growth restriction in twins. We will poke the fire of controversy of the use of the terms "fetal growth restriction" and "small for gestational age" and discover how the terms might harm pregnancies. Next, we discuss the new AAP guidelines for diagnosis of tongue ties. Finally, we answer a listener question about pushy doctors, paying for unnecessary tests, and the disconnect many gynecologists have with guideline and evidence based care. 00:00:02 Ultrasound Use in Twin Pregnancies 00:14:06 Twin Growth and Fetal Growth Restriction 00:20:00 Fetal Growth Assessment in Twin Pregnancies 00:29:10 Overdiagnosis of Tongue Tie in Infants 00:38:05 Breastfeeding and Tongue Tie Recommendations 00:45:43 Controversy Surrounding Pelvic Exams 00:58:21 Unnecessary Physical Exams and IUD Preferences Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.4 Anticoagulation Use In Pregnancy 1:03:17
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In this episode, we discuss prevention of thromboembolism during pregnancy and the postpartum period and the evidence for which patients should receive anticoagulation. Plus, the history of heparin and four tips for preventing embolism. 00:00:02 Four Tips for Preventing Thromboembolism in Obstetrics 00:08:39 Anticoagulation Recommendations in Pregnancy 00:22:29 Assessing Anticoagulation Recommendations in Pregnancy 00:35:22 Evaluating Anticoagulation Protocols in Pregnancy 00:42:22 Debating Risks of Obstetric Anticoagulation 00:59:28 History of Heparin Follow us on Instagram @thinkingaboutobgyn .…
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1 Episode 8.3 Antiquated Physical Exam Techniques, Cord Blood Banking, and More! 1:06:25
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In this episode, we challenge the reliability of traditional tests like Homan's sign and cervical motion tenderness. Learn how understanding and applying likelihood ratios can vastly improve diagnostic accuracy, and why combining multiple findings is more reliable than putting faith in isolated tests. Then we discuss a new JAMA study linking advanced endometriosis with a heightened risk of ovarian cancer. The study brings to light the complexities and gaps in our knowledge, underscoring the importance of personalized patient discussions regarding risks and treatment options. Next, we discuss a new study about how surgical residents are treated during residency. From inadequate parental leave to cultural pressures, we highlight the urgent need for systematic changes to foster a supportive and equitable environment. Then expose the deceptive practices in the umbilical cord blood banking industry, revealing the ethical issues and questioning the touted benefits. Finally, we answer listener questions about use of sterile gloves for cervical exams and trials of labor after two cesareans. 00:00:02 Obsolete Physical Exam Maneuvers in Gynecology 00:14:25 Endometriosis and Ovarian Cancer Risk 00:20:47 Residency Challenges for Parents and Discrimination 00:33:10 Deceptive Practices in Cord Blood Banking 00:49:19 Debate on Mammography Guidelines 00:54:17 Listener Questions: Sterile Gloves and VBA2C Follow us on Instagram @thinkingaboutobgyn .…
مرحبًا بك في مشغل أف ام!
يقوم برنامج مشغل أف أم بمسح الويب للحصول على بودكاست عالية الجودة لتستمتع بها الآن. إنه أفضل تطبيق بودكاست ويعمل على أجهزة اندرويد والأيفون والويب. قم بالتسجيل لمزامنة الاشتراكات عبر الأجهزة.