Partum the Interruption

What do you do when your blood pressure cuff doesn't match the art line? Do you know what a 3 vs 5 vs 12 "lead" EKG is really telling you? Have you ever blamed a poor SpO2 reading on a bad waveform? Join us for a non-judgmental review of the basic hemodynamic monitoring systems by applying them to obstetric cases, and let's fill in our knowledge gaps together! Images referred to...

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, join Dr. M and Dr. Rishi Kumar, Cardiac Anesthesiologist and Intensivist at the University of Texas, Houston, for a discussion around congenital cardiac disease in pregnancy. This ep...

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, MFM Fellow Luke Burns, MD gives listeners a nuanced perspective on preeclampsia. From pathophysiology to diagnosis and management of this enigmatic disease, Dr. Burns and Dr. M cover...

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com . In this episode, birth injury attorney Marlie Willer gives listeners the inside perspective on how medical malpractice suits proceed in obstetric cases. Founder of Liro Willer Law and host of “Birth...

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material, visit: https://safepartum-academy.teachable.com In this episode, Anya recounts the frightening experience of having a total spinal during the delivery of her daughter in 2022, and the consequences of that event on her postpartum recovery. Tune in...

Anyone who works on L&D or postpartum knows how debilitating a post dural puncture headache can be. But did you know PDPH is not the only cause of postpartum headache?   In this episode, Dr. M and Dr. Bhat systematically discuss the assessment, diagnostic criteria, and evidence to support treatment options for PDPH. Treatment options discussed are: - Conservative Management (IVF, caffeine, analges...

A wet tap or inadvertent dural puncture is one of the most disheartening and challenging complications for an anesthesiologist to manage. Do you try again? Thread an intrathecal catheter? Is a subsequent CSE or DPE safe? How do you tell the the patient? Listen to OB Anesthesiologists Dr. Amy Lee and Dr. M share their wet tap experiences and discuss the management options immediately following this...

Epidural failure is a common but frustrating challenge in obstetric anesthesia. In this episode, Dr. M & Vishal discuss management of a patient who is experiencing an inadequate epidural during labor. Learn how to assess patients with questionable epidural function, get quick answers, and fix the problem. Topics Covered: Risk factors for epidural failure  Rapid diagnosis of poorly functio...

Cesarean deliveries are commonly performed under neuraxial anesthesia, allowing the patient to remain awake and experience the birth of their child. This practice, when done well, is one of the great successes of modern medicine. Less commonly discussed are the long term psychological consequences when a patient experiences pain during a c section, especially when she isn't believed. Dr. M and for...

Learn how OB Anesthesiologists Dr. M & Dr. Delgado leverage different neuraxial techniques to achieve a reliable, fast and durable block, every time. Listen along as they discuss how to optimize epidural function in a patient undergoing a trial of labor following previous cesarean delivery, who has a history of obesity and difficult spinal placement. Topics Covered: Combined spinal-epidural&nb...

Postpartum Hemorrhage remains the leading cause of maternal mortality globally, and despite being well understood, its management can be chaotic and stressful. Learn a systematic approach to recognition and management of severe postpartum hemorrhage as Dr. M & Vishal discuss a case of unanticipated PPH in a patient presenting for cesarean delivery. Topics Covered: Risk factors for PPH  Ut...

Have you heard of the gate control theory of pain? Did you know that epidurals are only one of many options for pain relief during labor? While epidurals provide the most complete and reliable form of pain relief, patients and providers should know which alternatives are safe and effective. In a Q&A style, Dr. M and experienced labor & delivery nurse Cher Buckley, RN, explore the benefits...