Thinking About Ob/Gyn

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Eat, Sleep, Console approach for neonatal abstinence.  0:02 Neonatal Suctioning 11:33 Reforming Prenatal Visits and Outdated Recommendations 21:41 Streamlining Prenatal Visits and Remo...

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 i...

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.  Follow us on Instagram @thinkingaboutobgyn .

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.  Follow us on Instagram @thinkingaboutobgyn .

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.  Follow us on Instagram @thinkingaboutobgyn .

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.  Follow us on Instagram @thinkingaboutobgyn .

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? Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss ten things we wish ER docs knew. Also, the history of IUDS, new mammogram guidelines, over the counter birth control, and urine screening for pregnant women with sickle cell trait.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss several new articles, including evidence about operative delivery in obese women, lactation, cookies, propranolol for labor arrest. We also discuss virgin birth in America, whether to place IUD's early in women who have had chorioamnionitis, and the history of hand-washing.  Featuring guest co-host Jamie Perry, MD.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss a variety of commonly ordered prenatal labs that are unnecessary. We also discuss new studies that affect both surgical and medical management of miscarriage. Finally, we debunk a new study that claims that induction of labor leads to lower test performance in children.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss routine labs for patients with a history of hypertension. Then, we take a deeper dive into in vitro fertilization (IVF).  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the repair of cystotomies along with the scope of general OB/GYN. Plus, COVID and maternal mortality updates. Then some new literature including an update on Clomiphene vs Letrozole and Azithromycin for vaginal birth. Finally, the best female eponym ever and the removal of Makena from the market.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss Polycystic Ovary Syndrome and discover a couple of more female eponyms.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discover three more female eponyms, plus we review the utility of premedication for IUD placement. We review new literature about maximum dose of oxytocin in labor, surgery vs pessary for pelvic organ prolapse, buprenorphine vs methadone for management of addiction in pregnancy, new guidelines for male infertility evaluation, fasting for the glucose challenge, increasing VBAC r...

In this episode, we have our new favorite guest Stuart Winkler, to discuss eponyms and also a touch of oncology, including the appropriate work up of unilocular ovarian cysts.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the use of RhoGAM in the first trimester. Then we discuss the timing of birth and why babies are born more commonly in some months and days than others.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss caffeine and other supplements and breast pain, then we continue our discussion of management of obstetric emergencies, focusing on amniotic fluid embolism, shoulder dystocia, cesarean under local, and eclamptic seizure.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the management of nuchal cords at the time of delivery. Then we begin part 1 of our review of obstetric emergencies, focusing on postpartum hemorrhage, uterine inversion, cord prolapse, breech deliveries, and other not so fun stuff.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the newest evidence for two layer closure at the time of Cesarean. Plus, delivery vs birth, a clarification from the prior episode about sexism. Finally, we take a deep dive into the angle of progression and how it can be used to reduces cesareans and promote safety during delivery.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the utility of amnioinfusion for both variable decelerations and meconium stained fluid. Plus, how fast do we need to go when doing a Cesarean under general anesthesia. Then we talk about how Braxton-Hicks is still relevant today. Finally, new studies about TikTok and the placebo effect in menopause treatments.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the pros and cons of iron supplementation during pregnancy. We take a big of a dangerous dive into chauvinism and sexism in OB/GYN. Then, we discuss rethinking the postpartum visit(s) to better serve patients.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss management of soft markers of aneuploidy on ultrasound. Also, on update on Makena's potential withdrawal by the FDA. And finally, we discuss value based care for vaginal induction and delivery, including methods of inductions, routine labs, methods of hemorrhage control, sterilization, etc.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the value of eating fish during pregnancy and the potential harm of warning women about fish. Plus, we discuss factors driving an increase in maternity deserts in the US and discuss value based care in obstetrics and how that may reverse this dangerous trend. In Part 1 of this discussion, we discuss value decisions at the time of Cesarean, including the Alexis O retract...

In this episode, we discuss the utility of cord blood gases. Then we discuss the impact of THC exposure during pregnancy. Plus, new studies about cord milking, tighter glycemic control during pregnancy, the effects of maternal infection on the development of autism, appropriate dosing of Lovenox after Cesarean, dermatoses of pregnancy, and the metabolomic profile of hormonal IUDs.  Follow us on In...

In this episode we discuss the history of Queen Elizabeth's birth and the the birth of her children - which includes home Cesareans and home VBACs. Plus, we discuss checking IUD strings, rising blood pressure rates, and draining the placenta after birth.  Follow us on Instagram @thinkingaboutobgyn .