The NewsWomb

*SPECIAL GUEST* - Dr. Saul Snowise – Part 1 of 2 This week we continue our discussion with Dr. Saul Snowise talking about the role of selective reduction, specifically in the setting of monochorionic twins. This week we'll be covering the following:  Dr. Snowise’s preferred tool/method for selective reduction Selective reduction in the setting of monoamniotic twins with discordant anomalies &...

*SPECIAL GUEST* - Dr. Saul Snowise – Part 1 of 2 This week and next week we have a two-part series with Dr. Saul Snowise as we discuss the role of selective reduction, specifically in the setting of monochorionic twins. Join us as we discuss the following this week: How selective reduction differs in monochorionic vs. dichorionic twins  Most common method of selective reduction Potassium chloride...

Welcome back "What they didn't teach you in laser school" – now onto Part 2! This week we’re going to continue talking about all our laser tips & tricks while discussing the following:   Anterior placenta challenges Future of steerable operative scopes Current 30 degree operative Storz scope Using external pressure to aid in flattening the uterus Intraoperative amnioinfusion Int...

Welcome to "What they didn't teach you in laser school"! This two-parter is going to be filled with Dr. Moise's tips and tricks (and some of Erin's too) as we share the following topics:  Pre-operative evaluation tips Identifying cord insertions via ultrasound Following the lie of the donor twin to find the inter-twin anastomotic plane Not true for “cocoon” sign Re-evaluat...

This week we’re going to be using the most recent episodes as building blocks to discuss atypical presentations of twin-twin transfusion syndrome or TTTS. Dr, Moise takes us through the following ‘unicorn’ presentations by covering the following: Review of the classic Quintero staging system for TTTS Stage I, II, III, IIID, IIIR, IIIDR, IV, V Alternative TTTS staging systems that have been propose...

*SPECIAL GUEST* - Dr. Ramesha Papanna – Part 2 of 2 Join us as we continue our discussions on Twin Anemia Polycythemia (TAPS).  This week Dr. Papanna walks us through the following topics on TAPS: Society of Maternal Fetal Medicine (SMFM) and International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) guidelines and recommendations for monitoring MCA Dopplers in monochorionic twins La...

*SPECIAL GUEST* - Dr. Ramesha Papanna – Part 1 of 2  Join us as we head down another aisle of Twins R’ Us but this time with a very special guest who is joining us for this two-part series on Twin Anemia Polycythemia Sequence (TAPS)! This week Dr. Papanna walks us through the following topics on TAPS:  Defining TAPS Pathophysiology of TAPS Difference between spontaneous TAPS and TAPS after a laser...

We know many of you tuned in eager to hear a big clinical research update that we've been so excited to share! That episode will be coming down the pipeline soon but unfortunately will not be released today.  Stay tuned for an episode later today as we travel down the TAPS aisle of Twins R' Us with Dr. Ramesh Papanna!

We're heading down the Taco Aisle at Twins R' Us this week as we dive into sIUGR also known as selective intrauterine growth restriction. Join us this week as we discuss the following:  Defining sIUGR in monochorionic twins Must meet at least two of the following four criteria Smaller twin must be less than 10 th percentile for EFW by ultrasound And/Or the smaller twin’s AC must be less...

Introducing our newest segment - Great Syndromes! Modeled after Erin's PA school course developed to prepare healthcare students for clinical rotations, this segment utilizes real case scenarios to help guide diagnostic and treatment guidelines for patients in the setting of fetal medicine. This week our case is a 34-year-old G10 P7 who presents at 23 weeks and 4 days with a referring diagnos...

*SPECIAL GUEST* - Dr. Yves Ville – Part 2 of 2 This is an episode we recorded at the 2023 SMFM Conference back in February. Our special guest, Dr. Yves Ville, returns this week to continue our discussion about his role and contributions to the field of fetal surgery and specifically twin-twin transfusion syndrome. In part 2 we go through the following: Outcomes on survivors of both fetuses, one fe...

*SPECIAL GUEST* - Dr. Yves Ville – Part 1 of 2 This is an episode we recorded at the 2023 SMFM Conference back in February. Our special guest this week, Dr. Yves Ville, sat down with us to talk about his role and contributions to the field of fetal surgery and specifically twin-twin transfusion syndrome. In part 1 we go through the following: Dr. Ville’s training and the events that led up to him...

*SPECIAL GUEST* - Dr. Michael Bebbington. This week Dr. Bebbington joins us to talk about the background of twin-twin transfusion syndrome (TTTS) as he covers the following topics: Pathophysiology of twin-twin transfusion syndrome (TTTS) ‘Donor’ twin vs. ‘Recipient’ twin Types of vessel anastomoses involved in TTTS AA – artery to artery VV – vein to vein AV – artery to vein VA – vein to artery Pat...

We’re talking through the season six premiere of The Resident, where they take on a twin-twin transfusion case. We debunk and verify all myths and truths depicted in this episode surrounding the counseling, diagnosis, management, and even laser surgery itself from this episode.

This episode is dedicated to the late Dr. Julian De Lia whom we lost in November 2022. Dr. De Lia was truly one of the greatest fetal surgery pioneers, particularly in the TTTS. Welcome back to Twins R Us! This week we’re going to talk about the history of twin-twin transfusion syndrome (TTTS) and the history of treatment for the disease. Dr. Moise will take us through the following topics in this...

We’re back on scheduled wombmates! This week we’re talking about management of twin pregnancies as Dr. Moise takes us through the following topics: The role of ultrasound in twin pregnancies CRL = Crown Rump Length for dating Chorionicity determination Transvaginal cervical length measurement Importance of the 18-20 week anatomy scan and fetal echocardiogram Ultrasound monitoring based on chorioni...

We're kicking off a new series on all things twins! Welcome to Twin 'R' Us where we will introduce the following in this episode: Prevalence & rate of occurrence of twins in general and the different types The different types in twins in terms of zygosity Identical – monozygotic Fraternal – dizygotic Rare fraternal twin occurrences: Superfetation Heteropaternal superfecundation...

No new episode today wombmates! We've had a busy clinic the last couple of weeks and Erin is heading out on vacation, but stay tuned for new content to drop later in the week! 

Before we enter our next series on twins, we wanted to go give some background on fetal centers and what they are. In this episode we’ll discuss some basic background on fetal centers, fetal therapies, and fetal medicine by covering the following: Types of cases seen at a fetal center: 70% anomalies with coordination of care 20% fetal surgery or fetal intervention 10% life-limiting anomalies As of...

*SPECIAL GUEST* - Dr. Jacqueline Vidosh In honor of Edwards Syndrome Awareness Day, March 18th, we're dropping Part 2 of our interview with Dr. Vidosh a little bit early. Dr. Vidosh is a practicing OBGYN and proud Mother of a baby boy, Noah, diagnosed with Edwards Syndrome. This week she talks a bit more about Noah's early life and childhood as she continues her story. Resources: Support...

*SPECIAL GUEST* - Dr. Jacqueline Vidosh Dr. Vidosh is a practicing OBGYN and proud Mother of a baby boy, Noah, diagnosed with Edwards Syndrome. She takes us through the story of her pregnancy, the arrival of Noah, and her experience with him has changed how she practices medicine and counsels patients.  Stay tuned next week for part 2 coming this Saturday, March 18th! Resources: Support Organizati...

*SPECIAL GUEST* - Sasha Griffith, RN, BSN, CHPPN, CPLC We have not one but two special guests this week! Delaney Herman is back this week as my co-host to help me interview Sasha Griffith from our palliative care team.  Sasha walks us through the complexities of palliative care covering the following: The difference between palliative care & hospice care  What it looks like for a patient to be...

*SPECIAL GUEST* – Dr. Amy Coffey Pediatric pathologist & Hematopathologist Dr. Coffey leads our discussion on the role of autopsy after a stillbirth or infant loss covering the following topics: Process/procedure of an autopsy Types of autopsies Non-invasive autopsy testing The ‘four hour’ guideline to get the fetus/neonate to the morgue Estimating time of death for an IUFD based on physiologi...

*SPECIAL GUEST* - Delaney Herman, LCSW This week continues our discussion on stillbirth, infant loss, and neonatal loss. Delaney starts out by telling us a bit about her background, how she came to be a social worker, and what the role of social worker is in our particular clinical setting. In this episode with discuss the following: ·        The spectrum of loss we see in our practice including m...

*TRIGGER WARNING* this episode discusses stillbirth, infant loss, and fetal loss and may be distressing or trigger for some listeners. Listener discretion is advised. We’re continuing our discussion on stillbirth this week getting into a bit more of the nuchal cord aspect of the House of the Dragon – The Black Queen episode. This week we talk about the following topics: ·        Umbilical cord iss...