Thinking About Ob/Gyn

In this episode, we talk about some updates about Mirena and other IUDs. Then we discuss a new study that looks at the best way to handle pregnancy of unknown location with persistently abnormal HCGs. We discuss new data about the risks of COVID vaccine and miscarriage. Finally, we discuss a variety or claimed and utilized COVID treatments, including Vitamins C and D, Zinc, Azithromycin, Cimetidin...

In this episode, we talk about two new articles relating to burnout and moral injury and discuss strategies to address these growing problems.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss a new systematic review of robotic surgery and its implications for gynecologic surgery. Plus some updates about COVID and a discussion of the ethics around treating patients who are not vaccinated. Plus, new studies about monochorionic twins, relationship between Apgars and cord gases, maternal sepsis, and capuslar rupture of early stage ovarian cancers.  Follow us on...

We review a new study about calcium channel blockers used for tocolysis for preterm labor, as well as other drugs, including ethanol, beta agonists, magnesium sulfate, COX inhibitors, oxytocin receptor antagonists, and more! Follow us on Instagram @thinkingaboutobgyn .

In this episode, we invite a guest to talk about breastfeeding, including basic tips and problems, as well as review the literature about supplements and galactologues.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss two recent review articles from JAMA. The first discusses the value of the general health/preventative exam and the second discusses chronic female pelvic pain. We also discuss neuropathy risk for candy cane versus boot stirrups and a trial of steroids added to interstitial cystitis bladder cocktails.  Follow us on Instagram @thinkingaboutobgyn .

In this episode we discuss the new Netflix film "Fatherhood," starring Kevin Hart, and discuss issues relating to the death of Liz Logelin, including bedrest, fetal growth restriction, oligohydramnios, and prophylaxis of thromboembolism. Hear the real story of Liz Logelin based on Matthew Logelin's book, Two Kisses for Maddie, and his blog from 2008.  Follow us on Instagram @thinkin...

In this episode, we discuss a new article with some negative findings relating to administration of antenatal steroids to fetuses who go on to deliver at term. Then we revisit the literature that led to the recommendation for antenatal testing in obese patients. Finally, we discuss manipulation of P-values and the American Statistical Association's statements about the use of P-values and the...

In this episode, we discuss some new information about obesity in pregnancy, including the accuracy of BMI, antenatal testing recommendations, and more. We also look at a new study evaluating the safety of higher dose oxytocin regimens in induction. Finally, we discuss the new ACOG/SMFM statement on antenatal testing in pregnancy.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss two new articles relating to Covid during pregnancy. Then we look at new data regarding the safety of birth at freestanding birth centers. Next we discuss initiatives in California that have led to a reduction in the rate of Cesarean delivery. We also discuss a new study that quantifies the impact that surgeon skill has on patient outcomes and ways to improve surgeon sk...

In this episode, we review a recent systematic review of the impact of ursodiol in patients with cholestasis of pregnancy as well as a recent review of the risks and benefits of intermittent fetal monitoring in labor compared to other continuous methods of fetal monitoring.  Then we take a look at the portrayal of childbirth in movies with a discussion of the new Netflix film, Pieces of a Woman ....

In this episode we discuss the use of TAP blocks for Cesarean delivery with and without liposomal bupivacaine or Exparel and discuss issues related to intrathecal morphine and postoperative pain management in the context of the opioid epidemic. Plus, we celebrate the centennial of the discovery of insulin with a quick look at the the history of diabetes in pregnancy. Follow us on Instagram @thinki...

In this episode, we discuss some new literature about the effectiveness of progesterone for preterm labor as well as some new evidence implicating 17-hydroxyprogesterone as a possible endocrine disruptor that might cause increased risk of cancer. We also discuss emergency contraception and new studies in that field. Finally, we discuss the relationship between breastfeeding and IQ.  Follow us on I...

In this episode, we discuss several micro-skills that add up  to a lower Cesarean rate, including delivery of breach second twin, external cephalic version, VBAC, and more. We also discuss some tips for placing cervical Foley catheters for induction of labor.  Follow us on Instagram @thinkingaboutobgyn .

In this episode we discuss the risk factors and management strategies for shoulder dystocia. We also discuss the botched birth of Kaiser Wilhelm II and the history of the Zavanelli maneuver.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss US and international maternal mortality and strategies to reduce the local and global rates of maternal death. We also discuss the rising rates of Cesareans in Canada and 10 clinical diamonds to lower maternal mortality in the United States.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss a new article about the possible benefits of nuchal translucency screening in women who have undergone cell-free DNA testing and two new articles about using negative pressure dressing systems. Mainly, we focus on the link between estrogen and breast cancer. Does estrogen cause breast cancer? Can women with breast cancer use vaginal estrogen cream? And more. Follow us o...

In this episode we discuss the efficacy of Makena (17-hydroxyprogesterone caproate) for the prevention of recurrent preterm labor in light of the PROLONG Trial. We also discuss myths about the COVID Vaccine and miscarriage or infertility as well as Daphne Akhurst and the Australian Women's Tennis Tournament.  Follow us on Instagram @thinkingaboutobgyn .

In this episode, we discuss the latest guidance about screening for fetal abnormalities with cell-free DNA testing, the COVID 19 vaccine for breastfeeding and lactating women, and some true and not so true ways to determine fetal gender.  Follow us on Instagram @thinkingaboutobgyn .