Thinking About Ob/Gyn

In this episode, we catch up on a lot of recent literature including differences in surgical outcomes by gender,  preferences for race of obstetrician, a new study about cut-offs for gestational diabetes screening, suture vs staples for Cesarean, and vitamin D screening and treatment. Plus, we discuss the evidence for fetal kick count recommendations. Oh, and Howard apologizes for being offensive!...

In this episode, we finish up our dive into fertility issues with a discussion of basic fertility treatments and answer several fundamental questions with current evidence. Also, 36-37 weeks routine ultrasounds: yea or nay?  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we continue our discussion of fertility with a discussion of the basic fertility evaluation. Plus, should you sound before placing an IUD? Or use a tenaculum?  Follow us on Instagram @thinkingaboutobgyn .

In this episode we discuss the evidence behind stress dose steroids. Then we discuss scientific ways of optimizing natural fertility (and debunk some myths as well). TLDR: save your money on those Facebook fertility testing gimmicks.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss routine use of LDH and uric acid in evaluation of hypertension. Plus, new studies about caffeine use during pregnancy, the efficacy of home visits to pregnant patients, and the declining value of mammography. We also discuss emergency contraception and birth control in a world post Dobbs and how many women died of illegal abortions before Roe. Finally, we discuss forced...

In this episode, we discuss appropriate use of internal fetal monitors. Then an update on abortion legislation, thoughts about lawsuits, and a discussion of why the US actually has the best maternal and infant care system in the world, not one of the worst. Plus, how abortion restrictions affect our rates of maternal and infant mortality. And a lot about Finland, for some reason.  Follow us on Ins...

In this episode, we discuss the Second Victim Syndrome and Just Culture. We also discuss progesterone levels and vaginal progesterone for prevention of preterm labor, a new study about Exparel, the ARRIVE trial and news of a lower primary Cesarean rate, piercings and surgery, and whether we should include the endometrium in the closure of Cesareans.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the science of fundal heights, a captivating new article about the science of continuous electronic fetal monitoring, and other whatnots, including the formula shortage, SIDS breakthrough, the optimal age of prophylactic oophorectomy, overdose deaths in America, and few other things (including calcium!).  Follow us on Instagram @thinkingaboutobgyn .

In this episode we discuss some hits and misses at the ACOG Annual Clinical Meeting, including the Prevena incision management system, as well as other products and how they are marketed to Ob/Gyns. Plus, we discuss the implications for practice of a total abortion ban.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we revisit outcomes in the CHAP Trial and have a general discussion about understanding the difference in the rate of diagnosis and disease. Along the way, we discuss PCOS and inositol, the Bump Studies, HIV tests and several important concepts for clinicians. Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the evidence for the best ways to measure amniotic fluid and diagnose oligohydramnios and polyhydramnios. We also discuss a new study about when to stop magnesium after delivery of patients with preeclampsia and then we discuss the CHAP study that has changed our management of chronic hypertensive patients while pregnant.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we finish up the Choosing Wisely recommendations relating to OB/GYN. Plus, the new book, Clinical Reasoning is now available! Buy it here: https://square.link/u/V5FKsaD2 Follow us on Instagram @thinkingaboutobgyn .

In this episode, we review women's health related recommendations from the Choosing Wisely project. Follow us on Instagram @thinkingaboutobgyn .

In this episode we discuss a several new articles relating to mode of delivery for preterm twins, outpatient cervical ripening with balloons, PCOS, and pessaries for prevention of preterm birth in women with shortened cervixes. We also discuss the lateral tilt at the time of Cesarean.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss reasons for the falling rates of ovarian cancers and the rising rates of endometrial cancers. We also discuss the impact that endometrial ablation may have on worsening endometrial cancer outcomes in light of other alternatives to hysterectomy, such as IUDs. Finally, we discuss some COVID updates including whether or not pregnant women with COVID should receive anticoag...

In this episode we discuss the new Jada postpartum hemorrhage device. More importantly, we discuss the process for choosing to utilize new interventions in clinical practice. Then we discuss a recent New York Times article detailing the problem of false positives in the noninvasive prenatal screening tests.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, special guest Scott Guthrie, MD joins us to discuss optimal cord clamping (or what used to be called delayed cord clamping). We discuss the vital benefits of this practice and efforts in Tennessee to make this available to more than 90% of babies born in the next two years.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we tell the story of the first insulin injection 100 years ago yesterday. Then we discuss the history of pap smear guidelines and the reasons for current recommendations. We also discuss the harms associated with doing too many pap smears. Finally, we discuss the reasons why some practice changes are adopted rapidly by OB/Gyns while others languish for decades. Oh, and Betty White...

In this episode, we discuss evidence-based Cesarean Delivery technique. Plus, we review the evidence for use of prenatal supplements in multiples and an update on Omicron and new antivirals for COVID.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we interview Tracy Gilmour-Nimoy, M.S., LMFT, PMH-C who describes her own pregnancy loss and gives us many insights into dealing with patients who have suffered recurrent pregnancy loss, fetal demises, and infertility.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss some Covid updates. Then we talk about marijuana and CBD use in pregnancy as well as the effects of marijuana use on sperm counts. We talk about the debate of whether sperm counts are becoming lower globally over the last 60 years (and whether breasts are becoming bigger). We talk about how to define normal. Finally, we have three updates about gestational diabetes, inc...

In this episode, we discuss the evidence for risks and benefits for progesterone to prevent miscarriage. Then we discuss new evidence about epidural use and long term neonatal and child outcomes, including risks of autism. We also dive into the McClintock Effect and discuss some lunar-Ob myths.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss birth plans! Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the use of vaginal lasers for vaginal rejuvenation. We discuss the role of metformin in the treatment of PCOS. We discuss new literature about the need for blood transfusion preparedness on L&D. Finally, we discuss the safety of birth at home compared to birth at free standing birth centers.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss new evidence about how many obstetric patients benefit from thromboprophylaxis. Then we discuss techniques for Cesareans involving impacted fetal heads. Also, we discuss the guidelines for aspirin to prevent preeclampsia and the link between autism and epidurals.  Follow us on Instagram @thinkingaboutobgyn .