Dr. Chapa’s ObGyn Pearls.

By Dr. Chapa’s ObGyn Pearls.

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Description

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers!

Episode Date
SLYND! The new, novel drospirenone oral BC pill.
569
How much do you know about the recently approved novel BC pill, SLYND? Do you know it’s efficacy? What are the contraindications? In this session, we will bring you up to speed on this new novel drosperinone only oral BC pill. (No financial disclosures). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 17, 2019
How bad do you want it?
555
DISCLOSURE: Not for the PC! Not for those who lack determination, or GRIT. This is the antidote for mediocrity. Just a little motivation to KEEP YOU FOCUSED! Now... go-and-get-it! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 16, 2019
Recurrent Preg Loss (Part 2).
645
Part 2: In this session, we will wrap up our discussion on recurrent pregnancy loss by focusing on 3 controversial areas: 1. Immunological therapy, 2. thrombophilia testing, and 3. Progesterone supplementation. (Data referenced from ACOG, RCOG, ASRM). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 14, 2019
Recurrent Preg Loss (Part 1).
857
Recurrent pregnancy loss is devastating for the affected couple. In part 1, we will review the diagnosis of this condition. We will also cover parental genetics, APS, and uterine anomalies. In part 2, we will see if thrombophilia testing is indicated, discuss progesterone supplementation, and what role/if any, immunological reactions have with recurrent miscarriage. (Data from ASRM, ACOG, and RCOG). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 13, 2019
OB Rapid-Fire Q&A! Common questions and concerns raised during pregnancy.
740
Howdy, all! Rather than discussing one topic, this session will review “quick facts“ on common OB concerns/questions. Should we screen for HSV during pregnancy? What about deli meat consumption? Are there any issues with air travel during pregnancy? Can pregnant women use hot tub? Can pregnant women dye their hair? We will answer these questions – and more! – in this session of clinical pearls. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 11, 2019
Revised GBS Guidelines: ACOG CO 782 (July 2019)
1083
On July 1, 2019 ACOG updated/revised the GBS algorithm for intrapartum prophylaxis. In this session, we will cover GBS prophylactic indications, NAAT testing for GBS, GBS Bacteriuria, and antibiotic dosages. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 08, 2019
Does H. Pylori lead to Hyperemesis?
657
Persistent nausea and vomiting in pregnancy is a terrible condition! It affects quality-of-life, and impacts the mother’s overall psychological well-being. What is the role of helicobacter pylori infection in this condition? Is there a link? Let’s look at the data. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 04, 2019
Less Fetal Movement?..Drink Sugary Drinks...Right?!! NO!
658
It has long been held that maternal perception of fetal movement may protect against stillbirth. However, the 2018 AFFIRM trial called the tradition into question. Related to that is the traditional recommendation to drink “sugary” drinks to increase fetal movements. Is this evidence-based? In this episode, we will review the AFFIRM trial and review sugary intake to increase fetal movement. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 30, 2019
Boot Camp! 3 Life Lessons Learned!
695
Left...Right...Left...Right...Left! I just recently completed my military boot camp experience! That was an adventure. In this session, we will cover 3 brief “life lessons“ that I learned during my Texas Military Forces Boot Camp! This information will truly help you every single day! Hooah!! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 27, 2019
New Female SEX Med? Is Vylessi the DESIRE wonder drug?
509
Sexual intimacy is an important part of a couples’ relationship. On June 21, 2019, the FDA approved a new novel medication for hypoactive sexual desire disorder in women. The medication, Vylessi, is a melanocortin receptor activator, which is different then the previously approved medication for the same condition, Addyi. In this episode, we will review the MOA and data behind this new medication. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 24, 2019
Sunscreen Use in Pregnancy: Safe or Worrisome?
339
🌞🌞IT IS SUMMER!! 👏👏 Are sunscreens safe to use during pregnancy? What does ACOG say? In this session, we will review the ACOG practice statement as well as provide some SUN-SAFE 🌞🌞tips for pregnant women during summertime!👍👍 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 18, 2019
Can Turmeric (Curcumin) help PostPartum Depression?
866
Turmeric is an edible root used in cooking. It’s powdered into a bright yellow spice popular in Asian cuisine. Turmeric also has a history of medicinal use. It contains an active compound, curcumin, that has antioxidant and anti-inflammatory properties. Research has found that curcumin has the potential to improve a number of health conditions — including depression. This includes mild depression and even major depressive disorder (MDD). In this podcast, we will review the data as it applies to major depression as well as postpartum depression. ( NOTE: Although this podcast provides a summary of the supplement CURCUMEN, this podcast does not represent a paid endorsement for this or any other supplemental product). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 17, 2019
I’ll Be Baaack!
134
Just a brief hiatus!
Jun 11, 2019
HbA1C and Birth Defects
775
What is the mechanism by which elevated hemoglobin A-1C causes birth defects? Is there a “cut off“ level for this affect? Let’s look at the data. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 09, 2019
Cardiac Arrest in Pregnancy
1054
Maternal cardiac arrest… a devastating condition! Techniques for maternal resuscitation have changed, even from when I was a resident. 30° left lateral tilt is no longer recommended by the American heart Association during CPR. Manual left uterine displacement is preferred! We’ll talk about this, as well as cover the basics of maternal cardiac resuscitation in this session. (Reference: AHA Scientific statement on cardiac arrest in pregnancy). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 07, 2019
The Pill Made Me Fat! What?? Do OCPs cause weight gain?
543
Weight gain is commonly cited as a side effect of combination oral contraception, and is amount the top reasons for pill discontinuation. Do birth control pills make women gain weight? Where did this perception come from? What does the data show? In this session we will review systematic reviews and the Cochran database regarding this subject. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 05, 2019
THRIVE (Part 3)! The FIRE of Your PASSION.
365
(Part 3): The Finale of our 3-Part series! Remember when you would have done anything to get into medical school, and cried/struggled to get that perfect residency?! Remember why you started! This brief session will wrap up our 3- part “mini-series” on THRIVE. (ERRATA: In part 2, we attributed the famed “The man in the arena” excerpt to Churchill. The author was not Churchill, but Theodore Roosevelt...with apologies to former Pres. Roosevelt.) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 04, 2019
THRIVE (Part 2)! The Challenge!
475
(Part 2): Take the challenge! This is Principle #2 in our “mini-series”. It is easy to fall into a trap of “the routine“, and the mundane. Doing so leads to dissatisfaction and frustration. Great medical leaders in the past, innovators, and countless historical figures broke out of the routine, took the challenge, and changed history forever. So… Are you up to the challenge? (Post production ERRATA: In part 2, we attributed the famed “The man in the arena” excerpt to Churchill. The author was not Churchill, but Theodore Roosevelt...with apologies to Former Pres. Roosevelt!) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 04, 2019
THRIVE! You have been warned....
1275
WARNING: This is my most personal, and passionate podcast yet. In light of the recent CNBC news article regarding physician well-being, this podcast will cover centuries old dogmas PROVEN to make you thrive. What does the historic emperor Marcus Aurelius have in common with leaders like Zig Ziglar, Les Brown, and Stephen R. Covey?... this podcast answers that. BUT, you have been warned! Listening to this podcast has the potential to bring change to your life. The challenge is yours! THRIVE! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 03, 2019
Maternal O2 use in Labor: Benefit or Harm?
818
For decades, common practice in Labor And Delivery has been to use supplemental maternal oxygen by facemask as a remedy for fetal heart rate decelerations. However, is more oxygen delivery to the fetus actually helpful? Does it change neonatal outcomes? Well… the data is not so clear, and there may be some cause for concern. In this podcast, we will cover the evolving data on the use of supplemental maternal oxygen for fetal heart rate decelerations, and we will briefly touch on supplemental oxygen during the second stage of labor for MATERNAL support. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 31, 2019
AMAZING: The 1st Self- Appendectomy; The True Account of Dr. Evan O'Neill Kane.
506
This is TRUE, and a testament to what having a VISION, a strong will, and a desire to change the status-quo can accomplish! This is the remarkable true account of Dr. Kane, who performed 2 successful self-surgeries in 1921 and 1932. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 30, 2019
cfDNA and Maternal Cancer: A Cause For Concern?
964
In 2011, cf DNA from the maternal serum became commercially available to screen for fetal aneuploidy. Overall, about 3% of test results will detect an aneuploidy, and false positive results are only seen in 0.05% to 0.1% of tests. Evolving data, however, suggest that in women who have more than one aneuploidy suspected by cfDNA testing but who are found by diagnostic testing to carry a genetically normal fetus may harbor a higher risk of occult maternal malignancy. In this session, we will review published data on the risk of maternal malignancy in women who have discordant cfDNA test results. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 29, 2019
Pitocin For Early D&C? No!
857
Somethings in medicine are done by tradition. The use of Oxytocin during first trimester uterine evacuation is one such thing. Evidence seems to be lacking for the use of this common intervention. Remember, physiologically, oxytocin receptors show a linear increase in concentration as pregnancy progresses- rising quickly after 36 weeks of pregnancy, and are only present in negligible quantities on the myometeium in the first trimester! In this session, we will review the data on oxytocin use for first trimester OB D&C. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 26, 2019
Brexanolone for PP Depression: Facts and Precautions.
556
In March 2019, the FDA approved the first medication specifically targeted for postpartum depression, brexanolone (Zulresso). However, this medication requires a 60 hour, inpatient, IV-continuous infusion and there are some safety concerns. In May 2019, the Cleveland Clinic announced that it would release a pilot inpatient program (at one of its sites) for this medication. In this session, we will review this new medication and the Cleveland Clinic’s protocol for Zulresso. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 22, 2019
SMFM Dont’s! (Part 2)
500
Does finding an isolated echogenic cardiac focus or choroid plexus cyst require amnio? What about MTHFR testing for thrombophilia? AFI or deepest vertical pocket? Does cervical length screening matter after cerclage?In this session, which is part 2, we will complete our “OB don’ts“ from the SMFM. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 21, 2019
SMFM Don’ts!! (Part 1)
732
(Part 1) Cerclage for twins? What about progesterone? Do gestational diabetics controlled with diet (A1) alone require antepartum fetal surveillance? In this session, we will review 10 (out of 15) obstetrical DON’TS from the Society of Maternal Fetal Medicine. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 21, 2019
OCP use in BRCA carriers?
631
OK, so you have a patient who is in the reproductive age group and has a family history of breast or ovarian cancer, requesting the use of birth control pills. Can she take them? What if she is a BRCA carrier? In this session, we will review the ACOG practice bulletin (#206) regarding hormonal contraception in women with medical conditions. We will focus on breast and ovarian cancer high-risk patients, as well as review the US medical eligibility categories (USMEC) for contraception use in medical conditions. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 17, 2019
Send a Voice Message!
96
Now, regardless of which venue/platform you are listening to the podcast through, you can leave us a voice message! Simply go to “episode notes“ and scroll to the bottom of the note section. Click on, “send a voice message“ and record your message! Your voice memo will go directly to our inbox and we will get back to you as timely as we can! Thanks for listening… and feel free to be part of the conversation!
May 17, 2019
CALL TO ACTION: US Maternal Mortality and CVD
723
The CDC confirmed in a report recently released that about 700 women die each year in the United States from cardiovascular conditions, infections, hemorrhages and other complications related to their pregnancies — up to a year after delivering their babies. In about 60% of the cases, the deaths could have been prevented, in part, with proper medical intervention, better access to care, and early recognition of risk factors/signs. The leading cause of death is CV conditions, such as heart disease and stroke, which accounts for 33% of pregnancy-related deaths. Infections account for nearly 13%, and obstetric hemorrhage accounts for 11%. In this session, we will review the ACOG practice bulletin (#212) as well as the CDC recent report on maternal mortality and cardiovascular disease. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 14, 2019
Am. Soc. Breast Surgeons: Updated Breast CA Screening Recs
903
Controversy surrounding screening mammography guidelines has resulted in conflicting recommendations from physicians and uncertainty for women. The Am Society of Breast Surgeons has released detailed/conservative screening recommendations for both average and high risk women. In this session, we will review their updated recommendations. We will also briefly review the following 4 supplemental screening modalities: 1. Contrast-enhanced Breast Magnetic Resonance Imaging (MRI), 2. Ultrasound, 3. Molecular Breast Imaging (MBI), and 4. Contrast-enhanced Mammography (CEM). (A summary table of screening recs can be found on our Facebook page). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 11, 2019
Skin to Skin at CSection: Part 2
682
In this session (Part 2), we will cover skin to skin neonatal contact at time of Cesarean birth. Is this possible? What does the data show? This will wrap up our two-part series. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 09, 2019
Skin to Skin Neonatal Contact: What’s the Big Deal?
904
Skin to Skin neonatal contact is endorsed/recommended by the AAP, AWHONN, the CDCP, and the WHO. What’s the data behind his practice? Are there any potential risks or safety concerns? And… What about C-Section deliveries? In this episode (PART 1) we will provide an introductory overview and discuss the data behind neonatal, post-birth, skin to skin contact. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 08, 2019
Osteoporosis
869
Researchers estimate that approximately 10.2 million Americans have osteoporosis, and an additional 43 million have low bone density. Equally stark are the ramifications of these numbers. About 1 out of every 2 Caucasian women will experience an osteoporosis-related fracture at some point in their lifetime. In April 2019, the FDA approved a new dual action medication for osteoporosis therapy in postmenopausal women considered at high risk of fracture. This new medication is Evenity. In this episode, we will review the pathophysiology, diagnosis of, and treatment updates osteoporosis. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 06, 2019
The “HYSTerical” Origins of Vibrators!
908
“Hysteria” referred to a constellation of psychological and physical ailments occurring only in women. It was thought to have its origin in the uterus. This can be traced back to ancient Egypt, the Greeks, and even the Roman era. Even the first FEMALE physician in Europe, Trota of Salerno (11th Century AD) propagated the theory. Ancient treatments for hysteria included “genital massage“ in order to release “unused materials” from the female body! Hence the origins of what persists today... the VIBRATOR. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 05, 2019
The Non-Fundal IUD. What’s to do?!
770
Hey, we have all been there at one time or another: The ultrasound report shows an IUD/IUS in the endometrial cavity but it is NOT in the fundal location. What do we do? The answer lies mainly in the TYPE of IUD used! LNG-IUS devices seem to NOT be affected by low lying locations. The data on COPPER Ts, however, is still not clear....but risk of pregnancy is likely quite low. In this session, we will review the evidence regarding management of the non-fundal IUD. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 02, 2019
Why PLACEBO pills in Birth Control Pills? The Surprising History.
738
What do Mexican Yams, menses, and the Pope have in common? The answer: the Birth Control Pill! In this session, we will review the interesting and slightly strange history of the oral contraceptive pill and the notion behind “withdrawal” monthly bleeding. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 01, 2019
46XY Females: AIS vs Swyer Syndrome
1018
Both Androgen Insensitivity Syndrome (AIS) and Swyer Syndrone (Pure Gonadal Dysgenesis) are characterized by phenotypical females who are genetic males (46XY). However, The 2 conditions are very different pathogenically and have different clinical implications. For example, AIS patients can not become pregnant; however, Swyer patients may become pregnant after therapy. In this session, we will review the pathogenesis and clinical implications of these 2 46XY conditions. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 30, 2019
MEASLES!! ACOG Practice Advisory.
878
The US is currently experiencing the greatest number of reported cases of measles, also known as rubeola, since the disease was eliminated in 2000. Outbreaks have been confirmed in 22 states. When measles occurs in late pregnancy, congenital infection is possible with variable expression and increased risk of subacute sclerosing panencephalitis. In this session, we will review the April 2019 ACOG practice advisory on management of pregnant and reproductive-age women during a measles outbreak. We will also cover 2 CDC approved algorithms for management of individuals: 1. Exposed to measles, and 2. Presenting with symptoms of measles. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 27, 2019
Female Ejaculation and “Squirting”: HEY...YOU ASKED!!
921
In the late 1950s, two researchers (Masters and Johnson) began breakthrough research on human sexuality. Since then, “sexologists” have expanded our understanding of the female sexual response including concepts like female ejaculation and even, “squirting”. Yes… We will cover this data! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 23, 2019
Hysterotomy Closure Based on Data
588
During my Parkland training in the late 90s, all residents were taught to close the C-Section uterine incision with a single layer locked suture. This was thought to increase hemostasis. New data, however, suggest that doing so may lead to a weaker uterine wall! Single layer, or double layer? Locked or unlocked suture? In this episode, we will review an evidence-based approach to hysterotomy closure. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 22, 2019
LIKE...What NOT to say!
225
I’m sorry… I had to release this pent-up frustration regarding a common occurrence! LoL. “Like... I really hope you, like, enjoy this session”.
Apr 18, 2019
Fetal Echogenic Bowel
812
Fetal Echogenic bowel is a non-specific finding observed during 0.2 to 1.8% of routine second trimester ultrasound. Possible causes include primary gastrointestinal pathology, aneuploidy, cystic fibrosis, and congenital viral infection. However, most fetuses with this finding, especially when isolated, have no detectable abnormality. In this session, we will review the SMFM algorithm for management of isolated echogenic bowel diagnosed on second trimester ultrasound. (SMFM Brief, isolated fetal echogenic bowel). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 18, 2019
Does Progestin Only BC Cause Depression?
698
Birth control, especially progestin only methods, seem to take a lot of heat regarding their potential role in CAUSING depression. Although past individual studies have suggested a link, the most recent systematic review of 26 studies has debunked that possibility. In this podcast, we will review the study published in 2018, in the journal of Contraception, regarding this topic (Worly. The relationship between progestin hormonal contraception and depression: a systematic review. Contracep. 2018). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 12, 2019
PreCS Vaginal Prep
707
In 2016, the CSOAP trial confirmed that adding Azithromycin 500 mg IV to standard cephalosporin antibiotic prophylaxis pre-Cesarian helps reduce post operative infection. However, mounting evidence supports the addition of iodine-based vaginal prep to pre-CS care. However, no trial yet has compared the Zithromax – cephalosporin regimen to vaginal preparation and cephalosporin prophylaxis. In this podcast, we will summarize the current commentary by Duffy et al from April 2019’s Green Journal on pre-CSection vaginal preparation. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 07, 2019
IV vs Oral Iron Therapy in Pregnancy
1017
Iron deficiency anemia during pregnancy has been linked to several obstetrical adverse events including preterm birth, low birth weight, Cesarian Section, and of course the need for blood transfusion. Babies born to iron deficient mothers are also at risk of being iron deficient themselves- a condition which has been linked to poor psychosocial development. In this session, we will review the data favoring IV iron therapy over oral iron therapy during pregnancy and the postpartum period, especially for women with severe iron deficiency (hemoglobin < 10). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 04, 2019
Prolactinomas in Pregnancy
839
Prolactinomas are categorized as micro- or macroadenomas based on their size. These tumors are considered the most frequently diagnosed functioning, anterior pituitary tumor type. Most women with microprolactinomas will have no adverse effects during pregnancy; however, macroadenomas are at risk of tumor growth. In this session we will review the endocrine society’s management plan of prolactinomas during pregnancy. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 01, 2019
Pavovirus B19 in Pregnancy
675
Parvovirus B 19 is a single-stranded DNA virus that causes the childhood exanthem known as fifth disease. The risk of maternal Parvo B19 infection varies with the level of exposure to the infected individual. Parvo B19 may cause asymptomatic fetal infection or may result in fetal loss, hydrops fetalis, or stillbirth. Currently, the ACOG does not recommend universal screening of Parvo B19 immunity. In this session, we will review the ACOG data on maternal and fetal Parvo B19 infection. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 31, 2019
Toxoplasmosis in Pregnancy
690
In the United States, 1 out of 1,000-8,000 babies are born with toxoplasmosis. Vertical transmission increases per trimester but severity of fetal disease increases the earlier in pregnancy that transmission occurs. In this episode, we will review the ACOG data on maternal and fetal infection with T. gondii. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 29, 2019
CMV in Pregnancy
878
CMV is the most common congenital infection, occurring in 0.2 to 2.2% of all neonates. Vertical transmission of this herpesvirus is possible throughout all pregnancy with increasing rates of transmission per trimester (3 > 1). In the session, we will review the ACOG data on maternal and fetal CMV infection. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 29, 2019
Do OCPS help ovarian cysts resolve?
578
Historically, oral contraceptive pills were prescribed in attempt to help quicken resolution of ovarian cysts. Is this practice evidence-based? In this session we will review the Cochrane Database regarding this topic as well as the mechanism of action of how certain contraceptives (etonogestrel/levonorgestrel) pre-dispose to the “unruptured ovarian follicle“. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 28, 2019
Universal Low-Dose ASA Use In Pregnancy?
865
In 2018, The ACOG expanded the possibility of low-dose aspirin use in pregnancy for preeclampsia prevention. Women deemed at moderate risk (1 or more risk factor), or high-risk (only 1 high risk factor needed) were included in low-dose ASA prophylaxis. Now, a call is being made to consider “universal adoption“ of this low-cost, low risk intervention. This is a summary of this soon to be published (green journal) current commentary, “A nudge towards universal aspirin for preeclampsia prevention“. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 25, 2019
The PROLONG trial: Does 17-OH really prevent preterm birth?
462
Recently, the PROLONG Trial, investigating 17-OHP’s role in preventing recurrent preterm birth, called into question the effectiveness of this treatment regimen. However, most of the study patients in the manufacturer’s initiated study were outside of the United States and were significantly different than the original MFMU study participants. In this session, we will review both of these studies and put the results into proper perspective. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 20, 2019
VTE and Gyn Surgery
931
In 1858, Virchow reported on the triad of hypercoagulability, venous stasis, and vessel wall injury as the factors pertinent to venous thromboembolism. In this session, we will review the ACOG practice bulletin as well as the executive summary from the American College of Chest Physicians regarding VTE in gynecological surgery. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 16, 2019
Do BC Pills have to be stopped before GYN surgery?
604
Postop DVT and PE are potentially devastating to a postop patient. What does the ACOG and the American College of Chest Physicians say about stopping hormone replacement therapy or oral contraceptive pills before surgery? Let’s take a look at the data. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 10, 2019
One abnormal value on 3 Hr GTT: Implications?
443
In the United States, GDM is diagnosed by a 3 hour GTT when 2 or more values are above a designated cut off. But what happens when only one value is elevated? In this session, we will review the data regarding this clinical dilemma. We will also review if there is a clinical difference if the 1 elevated value is the fasting blood sugar or 1 of the 3 post glucose challenge. Data taken from SMFM briefings.
Mar 07, 2019
ACOG: Umbilical Cord Blood Banking
564
Umbilical cord blood banking still carries significant misperceptions regarding its potential use. Did you know, that umbilical cord blood is not meant to be used as in an AUTOLOGOUS transplant because stored cord blood contains the same genetic variant or pre-malignant condition that led to the condition being treated in the donor! In other words, a child who develops a genetic condition cannot be treated with his own donated umbilical cord blood! In this session, we will summarize the ACOG committee opinion on umbilical cord blood banking from March 2019.
Feb 26, 2019
NS or LR: The IV Fluid Battle May Have Ended.
732
IV fluids?! Does it really make a difference if the patient receives normal saline (NS) or Lactated Ringers (LR)? Well, for short bouts of rehydration (1L to 2 L), probably not. However, data now confirms that prolonged IV therapy with NS results in poorer outcomes compared to LR! In this episode, we will review the basic science of a “balanced“ IV fluid and review the data which has now placed LR at the forefront of IV fluid hydration. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Feb 23, 2019
FOAMed!!
133
FOAMed!!! A shout out to “free open access medical education”. Thanks for the information, Scott C.-one of our clinical medical students!
Feb 20, 2019
Vanishing Twin Syndrome
847
Incredibly, Although the frequency of multiple gestation is 3 to 5% at 8 weeks, vanishing twin syndrome occurs in 20-30% of all multifetal gesstations! This is not a rare occurrence. Maternal and fetal morbidity- and possibly mortality- is linked to the timing of the single fetal loss. Risks increase when a single fetus is lost in the second or third trimester. In this session, we will review the ACOG and SMFM Data regarding the vanishing twin syndrome. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Feb 20, 2019
HIV PrEP
776
According to the CDC, 1 in 8 of the 1.2 million people living with HIV in the United States are unaware of their HIV status and only half of those known to be infected are receiving effective anti-retroviral therapy. The combination pill tenofovir/emtricitabine has been FDA approved for pre-exposure prophylaxis (PrEP). In this podcast will review the current state of PrEP therapy. (Reference: HIV pre-exposure prophylaxis, a review: JAMA, 2018.) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Feb 14, 2019
Screening for Perinatal Depression
564
Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during pregnancy and the postpartum period. According to the ACOG, 1 in 7 women are affected by perinatal depression! In this session we will review the ACOG committee opinion on screening for perinatal depression from the winter of 2018 (committee opinion 132).
Feb 11, 2019
Polyhydramnios
976
Polyhydramnios is an abnormal increase in amniotic fluid volume typically diagnosed in the second or third trimester. Either the single deepest vertical pocket or AFI can be used for diagnosis. The two most common pathological causes are maternal diabetes and fetal anomalies. In this session, we will summarize the SMFM consult series #46 (2018) on the evaluation and management of polyhydramnios. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Feb 08, 2019
DKA in Pregnancy
938
Diabetic ketoacidosis in pregnancy is an obstetric and medical emergency and therefore requires prompt and aggressive treatment in a specialized care unit. Prompt and aggressive IV fluid management, IV insulin administration, and attention to key electrolytes are foundational to DKA management. In this podcast, we will review the SMFM protocol for DKA management in pregnancy. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Feb 06, 2019
Glycemic Effects After Steroids for FLM
442
Corticosteroid therapy for fetal lung maturity was first endorsed back in 1994. But what do we know about its affect on glycemic levels? Pregnant women with gestational diabetes, and of course pre-existing diabetes, are at higher risk of DKA at “lower” hyperglycemic levels compared to non-pregnant individuals. In this session, we will review the data on the effect of antenatal corticosteroids on the mothers’ glycemic levels. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Feb 04, 2019
This… Happened!
76
You just have to listen…
Jan 31, 2019
Mag Sulfate for Fetal Neuroprotection
698
Incidence of cerebral palsy is inversely related to gestational age a delivery. The first reported association between fetal exposure to mag sulfate and reduction in perinatal morbidity was published in 1992. Magnesium sulfate for fetal neuroprotection is now standard in women presenting with preterm labor at less than 32 weeks. In this podcast, we will review the data on mag sulfate for fetal neuroprotection and summarize current best practices. Data is taken from the ACOG, SMFM, and Cochrane review on mag sulfate for fetal neuroprotection. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 28, 2019
Remembering the Tuskegee Syphilis Study
537
In 1932 a governmental agency called the Public Health Service began working with the Tuskegee Institute to study syphilis in black men. In 1947, when penicillin was discovered as the illness cure, participants in the study were denied treatment in “order to study the natural outcome of disease”. In the early 1970s, the “study” was finally deemed unethical and was stopped. As syphilis cases continue to rise in the US, we must not forget the principles of ethical scientific discovery and not forget those who participated in a study which violated all currently accepted ethical standards. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 25, 2019
HRT and WHI (Part 2): NAMS 2017 Updated Statement
907
This is Part 2 of our critical reappraisal of the WHI study. In this episode we will cover the NAMS 2017 guidelines on HRT use. Does hormone therapy increase breast cancer in BRCA carriers? What is the data on ovarian cancer? Dementia? Listen to find out! We will also briefly touch on transdermal hormone replacement therapy, at the end of the podcast. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 23, 2019
HRT and WHI: Fear vs Reality! (Part 1)
1286
(Part 1) The media attention surrounding the publication of the initial results of WHI in 2002 led to fear and confusion regarding the use of hormonal therapy (HT) after menopause. In 2006, re-analysis of more complete data seemed to contradict the original findings. This led to a “retraction“ and re-explanation of the original data in 2007. Hormone therapy initiation in older women is NOT the same as initiation in younger women! In this session, we will take a critical look at the original WHI data from 2002 and the complete data and reanalysis released in 2007. We will separate fear from reality! Data for this episode comes from the WHI original trial, NAMS analysis, WHO data, as well as the international menopause society. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 21, 2019
Nuchal Cords: Innocent or Guilty?
852
Nuchal cord (NC) is common, and the vast majority of term deliveries with nuchal cord have normal outcomes. However, nuchal cord associated fetal morbidity is closely correlated to the number on nuchal cords present and the degree of “strangulation”/tightness. Even Hippocrates noted that nuchal cords could be associated with fetal loss in one of his writings, circa 370 BC. In this session, we will review data from the ACOG executive statement on neonatal encephalopathy, as well as a literature review on NCs by Peesay (2017) from the Journal of Maternal Health, Neonatology, and Perinatology. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 20, 2019
Umbilical Artery Dopplers
592
Umbilical Artery Doppler studies are a valuable tool to assess vital well-being in the growth restricted fetus. What are the indices that are evaluated? What is the management when abnormal results are noted? In this session, we will review fetal doppler umbilical artery velocimetry. Clinical management based upon findings will also be discussed. Dated taken from SMFM Clinical Briefs and ACOG practice bulletin 145. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 16, 2019
Sickle Cell in Pregnancy: Part 2
648
In this episode, which is part 2, we will cover the role of “prophylactic” red blood cell transfusion during pregnancy. We will also cover the medical management of sickle cell crisis, and wrap up the episode with notes on intrapartum and postpartum care. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 12, 2019
Sickle Cell in Pregnancy: Part 1
642
Sickle cell disease is the most common inherited condition worldwide. Sickle cell disease carries unique maternal and fetal risks during pregnancy. In this episode, which is part 1, we will review preconception care, medication use in pregnancy, and review specific obstetrical complications associated with the condition. (Reference: CDC, SMFM, RCOG data). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 10, 2019
ACOG Emphasizes Interpregnancy Care: OB Care Consensus #8
568
The interpregnancy interval provides an ideal opportunity to discuss interventions which can maximize maternal as well as neonatal outcomes. Do you know at which interpregnancy interval adverse neonatal outcomes are highest? Is interpregnancy interval associated with higher TOLAC risk? In this session, we will summarize the ACOG obstetric care consensus report (#8) from January 2019. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 08, 2019
Pitocin! From Discovery to Modern Day Use.
671
At what gestational age does the uterus become responsive to oxytocin? Can Pitocin result in hypertension or HYPOtension?...And who was Sir Henry Dale? In this podcast, we will review the origins, development, pharmacology, and potential adverse affects of synthetic oxytocin. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 06, 2019
Peripartum Cardiomyopathy (Part 2)
601
Is Digoxin routinely used for peripartum cardiomyopathy? Can women who had peripartum cardiomyopathy take oral contraceptive pills? In this episode, which, is part 2, we will answer these questions as well as cover the workup, management, and prognosis of peripartum cardiomyopathy (Reference: Obstet Gynecol. Jan 2019). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 03, 2019
Peripartum Cardiomyopathy (Part 1)
588
(Part 1): Peripartum cardiomyopathy occurs in about 1 in 2,000 births in the United States. Although relatively rare, it can be devastating to the mother. In this session we will summarize the January 2019 clinical expert series on peripartum cardiomyopathy from Dr. Gary Cunningham, et al (Obstet Gynecol. Jan 2019). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jan 02, 2019
How “Blowing Smoke Up Someone’s A$$” went from medical treatment to a modern colloquial phrase.
505
Did you know the common, modern-day, colloquial expression about “blowing smoke up someone’s A$$” actually has a medical origin? Yep... it was a real therapy! In this podcast, we will review the bizarre practice, that made its way into modern vernacular. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 30, 2018
Gestational HTN and PreEclampsia UPDATE: ACOG PB 202
770
In 2013, the ACOG released a comprehensive review on hypertensive disorders in pregnancy. In January 2019, the College re-visits gestational hypertension and preeclampsia and gives important updates. In this podcast, we will review 2 very clinically applicable aspects of intrapartum care for patients with gestational hypertension and preeclampsia. Who should get magnesium sulfate? And what’s the data on epidural use in these patients? Let’s find out what the ACOG has to say. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 28, 2018
Beer 🍻 and Breastfeeding? What’s the data on alcohol use during lactation?
731
Alcohol use during pregnancy is well studied with well stated warnings. But what about alcohol use during breastfeeding? What’s the data on that? In the session, we will review alcohol intake by the mother during breastfeeding and take a look at some accepted recommendations. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 25, 2018
Our Holiday Message to you!
54
Our BEST Holiday wishes to you!
Dec 24, 2018
ACOG UPDATE (Part 2): Chronic Hypertension in Pregnancy.
638
This is part 2 of our review of the ACOG practice bulletin #203. In this session, we will review low-dose aspirin for preeclampsia prevention, as well as target blood pressure goals for medical management of chronic hypertension in pregnancy. We will end this podcast with a quick word about NSAIDS for postpartum pain control in hypertensive patients. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 24, 2018
ACOG UPDATE! AHA and Chronic Hypertension in Pregnancy.
572
Recent recommendations from the American College of Cardiology (ACC) and the American Heart Association (AHA) have changed the criteria for diagnosing hypertension in adults. In January 2019, the ACOG will release Practice Bulletin #203 addressing these changes, and provide renewed guidance for management of chronic hypertension in pregnancy. This is PART 1, of a 2-Part review of PB#203. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 23, 2018
SCABIES!....In Pregnancy.
511
OK, so your pregnant patient comes to you with persistent itching between the fingers and toes and you suspect scabies. Which medication is safe to use in pregnancy? This is a brief review of scabies in pregnancy and its accepted medical treatments. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 22, 2018
Is vaginal estrogen safe? New data from the Nurses’ Health Study!
623
Genitourinary syndrome of menopause causes a significant disruption in quality of life for many menopausal women. The ACOG and NAMS endorse vaginal estrogen to relieve local symptoms. However, the FDA has a current Black Box warning on vaginal estrogen. This podcast will cover brand new data from the Nurses Health Study, released December 20, 2018 in the journal, Menopause. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 21, 2018
“Weed”, Sperm, and Epigenetics: A Cautionary Note!
671
As legal access to marijuana continues expanding across the US, more researchers are studying the effects of tetrahydrocannabinol, (THC), in teens, adults and pregnant women. New research from Duke Health suggests men in their child-bearing years should also consider how THC could impact their sperm and possibly the children they conceive during periods of Marijuana use. This is a tale of marijuana, sperm, and epigenetics! Data for this podcast came from the recently published study from Duke researchers, published in EPIGENETICS, 19 December 2018 (Murphey et al) and the medical news update from MDLinks (12/19/18). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 20, 2018
Hello! From our 3rd Year ObGyn Med Students!
79
Just something fun to break up the monotony.
Dec 19, 2018
Vulvar Lichen Planus
411
Lichen Planus is a chronic inflammatory mucocutaneous disorder that can affect the mouth, vulva, vagina, and anus. Wickham’s Striae are characteristic of mucosal involvement. Biopsy is often needed to confirm the diagnosis and rule out other neoplastic conditions. The more afflicting type of Lichen Planus is erosive lichen planus. In this session, we will review the presentation, pathophysiology, diagnosis, and treatment of vulvar Lichen Planus. (Reference: ACOG expert series CME edition on vulvar skin dermatoses; 2018) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 19, 2018
Vulvar Lichen Simplex Chronicus (2018 Update)
360
Vulvar Lichen Simplex Chronicus is a non-scarring, chronic inflammatory disease of the skin characterized by intense itching. 65% to 75% of patients have a history of allergic conditions including asthma or childhood dermatitis. In this session, we will review the presentation, diagnosis, and medical care of vulvar Lichen Simplex Chronicus. (Reference: ACOG clinical expert series, CME edition, “Diagnosis and Treatment of Vulvar Dermatosis“ ; 2018) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 19, 2018
Vulvar Lichen Sclerosus (2018 Update)
538
Vulvar Lichen Sclerosus is a chronic inflammatory vulvar dermatosis. There is an association between this condition and various systemic autoimmune conditions (e.g., thyroid dysfunction, vitiligo). Additionally, patients with this condition have a 4-5% risk of vulvar cancer in the future! In this session, we will discuss the pathophysiology, diagnosis, and management options for this condition. (Reference: CME Series on “Diagnosis and Treatment of Vulvar Dermatosis”, 2018; Obstet Gynecol) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 18, 2018
Ulipristal for NEXPLANON Bleeding?
709
The etonogestrel contraceptive implant is a type of LARC with proven high efficacy. Yet, similar to all progestin only contraception, abnormal bleeding can become bothersome to the patient- especially in the first 3 to 6 months of use. Ulipristal, a progesterone receptor modulator, has shown promise as a new medical agent to help relieve bothersome bleeding in these patients. In this podcast, we will review the latest data from a randomized controlled trial (Oct 2018) on ulipristal for bleeding control in Nexplanon users. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 18, 2018
ACOG Practice UPDATE! 17OHP IM vs 17OHP SQ
529
On December 15, 2018, the ACOG released a Practice Update regarding subcutaneous use of 17OHP rather than IM 17OHP for preterm birth prevention. Weekly IM injections of 17OHP were endorsed by the ACOG after the 2003 MEIS MFM Network clinical study demonstrated a reduced risk of preterm birth in women with prior preterm birth, with its use. In this podcast, we will review the ACOG practice update regarding subcutaneous rather than IM 17 OHP for preterm birth prevention. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 16, 2018
Nipple Discharge
536
Nipple discharge is a common breast symptom. Keys and clues to stratify patients as either low risk or high-risk include: the patient’s age, unilateral or bilateral discharge, single duct or multi duct, whether a mass is also present in the breast, and the color of the discharge. Most nipple discharge thankfully is benign, but some require more attention. In this session, we will review the ACOG practice bulletin number 164 regarding nipple discharge. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 16, 2018
Let us hear from YOU!
113
Let us hear from you! Thanks for being a part of our podcast family! Did you know, you can send us feedback and recommendations/suggestions for future episodes? Here’s how…
Dec 15, 2018
Sex During Pregnancy
799
Pregnant women and their partners often ask whether or not sex is allowed in pregnancy and what possible consequences may occur. Does sex cause preterm labor? Is PID possible during pregnancy? Is oral sex allowed? Does sex induced labor? Let’s take a look at these questions... and provide answers! --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 15, 2018
“POI” in Young Women
839
Premature Ovarian Insufficiency (POI) has replaced the previous term of “premature ovarian failure” or “premature menopause”. POI is a stressful and emotional taxing diagnosis for any woman, especially the adolescent and young patient. Other endocrinopathies may be present in patients with POI including thyroid abnormalities and adrenal insufficiency. In this session, we will review the last ACOG Committee Opinion on POI in adolescents and young women (CO 605). --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 14, 2018
Does Progestin Birth Control Cause Depression?
464
Progestin only contraceptive options include the subdermal implant, Injection, IUS, and pills. Progestin based LARCs provide HIGHLY effective contraception. A common perception in the public community is that these options may result in depression! Do they? Let’s take a look at a systematic review from 2018 on the subject. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 13, 2018
Recurrent Pregnancy Loss
1085
Recurrent pregnancy loss is a devastating condition for the affected couple. Although traditionally defined as 3 consecutive pregnancy losses or more, the diagnostic evaluation may occur after 2 losses. In this session, we will review the latest information on recurrent pregnancy loss. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 12, 2018
“Your name is Mudd!” How “Duty to Treat” ruined a physician’s life.
261
Dr. Samuel A. Mudd. Although few in modern times are aware of this physician, many have heard of the unwelcoming statement, “Your name is Mudd!“. In this brief “medicine in history” segment, we will cover the incredible story of Dr. Mudd. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 11, 2018
Talc Before Panties? A look at the curious & controversial data on talc and female cancer.
695
Talc Before Panties? A look at the curious & controversial data on talc and female cancer... The controversy between the use of talc in the female genital area and risk of ovarian cancer dates back to the 1970s. This decades long conundrum still persists with more questions than answers. Recently, Health Canada issued a health advisory warning on the potential development of ovarian cancer after repeated exposure of the female genital area to talc. In this podcast, we will review the ever conflicting data on this subject and review the statements of the American Cancer Society, the FDA, and Health Canada. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 11, 2018
Risk Reduction Salpingectomy
959
An evolving burden of evidence supports the theory that a large majority of high-risk ovarian epithelial cancers have a tubal origin. RRS is growing in practice as the preferred option at time of benign Gyn surgery and sterilization. Although RRSO is still preferred in high-risk women (germline mutation carriers), RRS is a possible alternative option, with delayed oophorectomy after age 40. In this podcast, we will review the pathophysiology of epithelial ovarian cancer, its tubal origin, and the role of RRS. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 09, 2018
The “Big O”: Female Orgasm- The How, Why, and What of the BIG O!
1033
The “BIG O”!! This podcast will cover the biology of, purpose of, and surprising health benefits of... female orgasm. (Yep...Oh, the topics we cover all in the name of SCIENCE!) --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 08, 2018
PRES: Posterior Reversible Encephalopathy Syndrome
787
PRES may be associated with Preeclampsia and Eclampsia. The condition is theorized to result from dys-autoregulation of posterior cerebral perfusion. In this session, we will cover the pathophysiology, presentation, workup, and prognosis of PRES. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 07, 2018
Ovarian Torsion
772
Ovarian torsion is considered a gynecological emergency. Ovarian torsion can also occur in pregnancy. Recent data has confirmed the feasibility of ovarian conservation at time of laparoscopic surgery. In this session, we will review the pathophysiology, clinical presentation, work-up, and management of this condition. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 05, 2018
The PALM-COEIN System for AUB
809
In 2011, the FIGO adopted a new nomenclature to characterize abnormal uterine bleeding in the reproductive age patient. ACOG subsequently adopted the system. Terms like menorrhagia, metrorrhagia, and dysfunctional uterine bleeding, were abandoned. In this session, we will review the PALM-COEIN nomenclature. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 04, 2018
Diagnosis and management of palpable breast masses
1095
Fibroadenomas are the most common cause of breast masses in adolescent girls and young women. Nonetheless, it is important to remember that the palpable breast mass is still the most common finding of symptomatic breast cancer. In this podcast, we will review the diagnosis and management of the palpable breast mass, according to the ACOG practice bulletin 164. We will also review the BI-RADS classification system. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 03, 2018
Dysmenorrhea and Endometriosis in the Adolescent Patient
954
This podcast is a review of the ACOG Committee Opinion 760 from December 2018. Dysmenorrhea, or menstrual pain, is the most common menstrual symptom among adolescent girls and young women. Most adolescents with menstrual pain will have primary dysmenorrhea, but secondary dysmenorrhea (endometriosis) may also occur. This podcast will review symptoms, work-up, and therapy of both primary and secondary dysmenorrhea in the adolescent patient. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 02, 2018
Septic Pelvic Thrombophlebitis
980
Septic pelvic thrombophlebitis can occur in the deep pelvic vessels alone or may involve the ovarian vein. Ovarian vein thrombosis is most frequent on the right side. This podcast will over the current data on presentation, workup, and use of anticoagulation in SPT cases. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Dec 02, 2018
Thank you!! Danke! Gracias!
73
Our mission is to educate, train, and develop healthcare professionals in women’s healthcare. Our podcast has hit a milestone!! This podcast, which is an independent, non-industry sponsored educational platform, has hit 50,000 1st time plays! Thank you for listening, and being a part of Clinical Pearls!!
Nov 27, 2018
Immediate Postpartum LARCs
587
Immediate postpartum LARCs are endorsed by the ACOG. This podcast will summarize the ACOG committee opinion 670, and review the new data (October 2018) regarding IUD expulsion rates based on timing of insertion, route of delivery, and IUD types. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Nov 27, 2018
Pregestational Diabetes Mellitus
774
This podcast will quickly summarize the ACOG practice bulletin number 201 on pre-gestational diabetes mellitus. This ACOG practice bulletin is set to be released December 2018. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Nov 22, 2018
Are “routine“ pelvic examination going extinct? Let’s take a look at the data.
523
Traditionally, a well-woman visit has included a pelvic examination defined as external genitalia inspection, speculum examination, and bimanual exam. However, the collective body of evidence is actually limited in support or rejection of the routine performance of the pelvic exam in an asymptomatic woman. This podcast will cover the ACOG committee opinion number 754 from the Fall of 2018 discussing the matter. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Nov 17, 2018
Elagolix: Indications, Data, and Dosing.
657
Endometriosis related pelvic pain affects approximately 8% of reproductive age women. Recently, the FDA approved a new oral GnRH antagonist for treatment of endometriosis related pelvic pain. This podcast will review the indication, data, and dosage options for this new novel medication. This podcast does not represent a specific endorsement of elagolix, and was produced without industry affiliation. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Nov 11, 2018
Migraine with Aura and Estrogen Containing Birth Control: What’s the Data on Risk?
563
Traditionally, migraines with aura were considered contraindicated for estrogen containing birth control. However, that recommendation was made in the 1960s and 1970s when the dose of estrogen in birth control pills was much higher than dosages used today. The risk of stroke is directly related to the amount of estrogen in birth control, and recent clinical opinions have suggested that ultra-low dose combination contraception is allowable. In this podcast, we will review the latest data and clinical opinions regarding the use of estrogen-containing birth control in patients with migraine with aura. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Nov 09, 2018
Opthalmia Neonatorum
456
Neonatal opthalmia refers to conjunctivitis of any cause occurring within the first 4 weeks of newborn life. Gonorrhea now accounts for less than 1% of the condition, however chlamydia is responsible for 2% to 40% of cases. Ocular prophylaxis is not effective against chlamydial conjunctivitis. In this podcast we will review this potentially devastating newborn ocular condition. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Nov 03, 2018
Asymptomatic microscopic hematuria in women
613
In this podcast, we will cover the combined committee opinion from the ACOG and AUGS regarding asymptomatic microscopic hematuria in women. The ACOG deviates from the American Urological Association recommendation for evaluation of asymptomatic microscopic hematuria in women over age 35, as the risk of any urological malignancy is very low. Data taken from the ACOG committee opinion 703, June 2017. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Oct 29, 2018
“The Savior of Women”: Ignaz Semmelweis
550
In this brief historical profile, we will cover the inspiring tale of Dr. Ignaz Semmelweis. The story begins in the year 1846. Dr. Semmelweis was the first to investigate childbed fever and proposed handwashing as a way to prevent maternal death. His story is one of research, revelation, and an untimely tragic end.
Oct 26, 2018
Marijuana use in pregnancy and while breast-feeding
617
In this podcast, we will review the new clinical expert series from the ACOG on marijuana use in pregnancy and while breast-feeding. This clinical expert series will be slated to be published in the November 2018 edition of Obstetrics & Gynecology (Metz et al).
Oct 23, 2018
Framed, or Famed? LoL. It’s OK to laugh at yourself at times.
89
A personal message regarding our last podcast to our listeners. 😁
Oct 20, 2018
How a famed surgeon changed the field of obstetrics: William Hallstead, postpartum hemorrhage, and brave genius.
289
This is a quick historical perspective of an ingenious approach to a deadly obstetrical problem in history. Dr. William Halstead, the father of modern surgery, is credited with performing the first blood transfusion following postpartum hemorrhage in the United States. However, it was British obstetrician James Blundell that first described blood transfusion to prevent death from postpartum bleeding. Let’s take a look at this amazing historical story.
Oct 20, 2018
Thrombocytopenia in pregnancy
1031
Thrombocytopenia in pregnancy is defined as a maternal platelet count less than 150,000. In this podcast, we will review the ACOG practice bulletin number 166 reviewing gestational thrombocytopenia, as well as the two most common immune mediated thrombocytopenic conditions: ITP, and fetal-neonatal alloimmune thrombocytopenia. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Oct 18, 2018
Intrapartum Care of the HIV Positive Patient
832
There have been significant changes – and advancement – in the interparty management of the HIV infected patient. In this session, we will quickly review the intrapartum management of the HIV infected patient based on the IDSA guidelines.
Oct 08, 2018
Acute Fatty Liver of Pregnancy
555
Acute fatty liver of pregnancy is a rare but potentially life-threatening condition which usually presents in the 36th week of pregnancy. In this podcast we will cover the ACG (Am. Coll Gastro) clinical guidelines regarding acute fatty liver disease in pregnancy. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Sep 26, 2018
GBS in Pregnancy
718
In this session, we will review the ACOG committee opinion on prevention of early onset GBS neonatal infection. This comes from the committee opinion 485. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Sep 20, 2018
Does BMI affect emergency birth-control effectiveness?
509
Levonorgestrel and ulipristal are 2 oral emergency contraceptive options. Since 2010, pharmacokinetic studies have suggested a lower effectiveness of levonorgestrel in overweight and obese women. In this podcast, we will review the pharmacokinetic data as well as professional society opinions on this topic.
Sep 15, 2018
PMS and PMDD: Clinical Review
1025
In this session, we will review the diagnostic criteria for premenstrual syndrome and premenstrual dysphoric disorder. Options for therapy will also be discussed. Data taken from the ACOG and the APA.
Sep 06, 2018
Umbilical Cord Prolapse
844
In this session, we will review and obstetrical emergency that has the potential to result in severe Ville and morbidity or even mortality… Umbilical cord prolapse.
Aug 30, 2018
Prophylactic Antibiotics in Labor & Delivery
1281
In this session, we will review the ACOG practice bulletin (199) from September 2018 on the use of prophylactic antibiotics in labor and delivery. This podcast will cover the optimal dose of intravenous antibiotics before C-section, the use of vaginal cleansing, and the adjuvant use of Zithromax before cesarean birth. Care of the MRSA colonized patient, as well as infective endocarditis prophylaxis will be covered. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Aug 28, 2018
Ovarian Vein Thrombosis
755
Ovarian vein thrombosis was recently the subject of a clinical review by the American College of OBGYN in November 2017. Ovarian vein thrombosis occurs in 1 and 600 to 1 in 2000 pregnancies and may have severe sequelae including pulmonary embolism. In this podcast, we will review the latest information from the ACOG and the ACCP on the pathophysiology, diagnosis, and treatment of ovarian vein thrombosis. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Aug 20, 2018
Clarification- Klumpke's palsy: "Neuropathy at gyn surg".
179
Alright, as occasionally happens… There was an error in the editing of our prior podcast regarding nerve injury at gynecological surgery. This very brief section will clarify the occurrence of klumpke's palsy during steep trendelenburg positioning.
Aug 18, 2018
Nerve Injury at Gyn Surgery
1168
Gyn surgery can be associated with iatrogenic nerve injury. Neuropathy can be classified into three types: neuropraxia, axonotmesis, and neurotmesis. The most severe form of injury is nerve transaction or complete nerve ligation (neurotmesis). In this session, we will review the mechanism of nerve injury during Gyn surgery, their presentations, and prevention tips. Material is taken from the AAGL and the Society of Gyn Surgeons.
Aug 17, 2018
Management of Intra-Amniotic Infection
772
In this podcast, we will review the ACOG updated guidelines regarding intra-amniotic infections. Three classifications have been given by the ACOG: 1. Isolated maternal fever in labor, 2. Suspected intra-amniotic infection, and 3. Confirmed intra-amniotic infection. We will review these three categories, their diagnosis, and treatment recommendations. Data taken from the ACOG committee opinion 712.
Aug 12, 2018
Delayed umbilical cord clamping after birth (ACOG CO 684)
672
The ACOG, as well as the AAP, recommends delayed umbilical cord clamping in stable term as well as preterm neonates. While once considered necessary to keep the Neonate at or below the level of the placenta, new data shows that placental to child transfusion still occurs if the child is placed on the maternal chest for skin to skin contact. Additionally, the presence of meconium stained fluid – in vigorous neonates – is not a contraindication to delayed umbilical cord clamping. In this podcast, we will review the ACOG committee opinion on delayed umbilical cord clamping.
Aug 06, 2018
Epithelial Ovarian Cancer
833
Ovarian cancer is the most deadly of all gynecological malignancies. Most cases present an advanced stage. Epithelial ovarian cancer is the most common histological class at diagnosis. In this session, we will cover the SGO data on presentation, staging, and treatment of epithelial ovarian malignancies. Avastin and PARP therapy will also be reviewed.
Aug 02, 2018
Follow us on Facebook
99
Howdy! Thanks for following our podcast. Be sure to find us, and follow us, on our Facebook page by the same name. Typically, additional information and data is posted on the Facebook feed which serves as a supplement to the podcast. Thanks for listening…
Aug 01, 2018
Cervical Cancer
771
Persistence of high-grade oncogenic HPV is the key risk factor for the development of cervical carcinoma. In this session, we will review the pathophysiology, clinical staging, and treatment regimens for cervical carcinoma. Additionally, we will review the 2014 approved medication (Avastin) for the treatment of advanced, metastatic, recurrent cervical cancer. (Data taken from the Society of Gynecologic Oncology and the American Cancer Society. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 31, 2018
Endometrial Cancer
1046
Endometrial carcinoma is the most commonly diagnosed gynecologic malignancy. The SGO and the ACOG released a practice bulletin in 2015 which is the most recent bulletin on the subject (149). In this podcast we will review the classification, symptoms, work up, and surgical management of endometrial adenocarcinoma.
Jul 28, 2018
Endometrial Intraepithelial Neoplasia
1084
EIN Represents a true antecedent lesion in the endometrial cavity with the potential to develop into endometrial adenocarcinoma. This podcast will review the joint committee opinion released by the SGO and the ACOG (#631) covering pre-malignant endometrial pathology. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 28, 2018
Emergency Contraception
731
In this session, we will cover emergency contraception: levonorgestrel, Ullipristal, and the copper IUD. Data for this podcast comes from the ACOG practice bulletin 152.
Jul 24, 2018
MRI use in Pregnancy: Is Gadolinium a Concern?
513
MRI offers some advantages over ultrasound as a diagnostic tool in pregnancy. In this session, we were review the ACOG committee opinion on MRI use in pregnancy with a focus on gadolinium contrast agent.
Jul 23, 2018
Ultrasound in Pregnancy PART2
250
In Part 1, we covered the basics of OB ultrasound. In this session, a short additional piece, we answer a few additional questions regarding ultrasound use in pregnancy. Data taken from the ACOG/AIUM practice bulletin 175
Jul 22, 2018
Ultrasound in Pregnancy
899
Ultrasound is the most common procedure performed during pregnancy. The ACOG recognizes three types of ultrasound: standard, limited, and specialized. In this session, we will review methods to date a pregnancy, determine fetal weight, discuss ultrasound use for genetic screening, and end with a quick recap of ultrasound use in multifetal gestations.
Jul 22, 2018
Pelvic Inflammatory Disease (PID)
869
Unrecognized or misdiagnosed PID may result in infertility, tubal pregnancy, and chronic pelvic pain. In this session, we will review the CDC guidelines for diagnosis and treatment of PID (2015 updated guidelines).
Jul 20, 2018
Thromboembolism in Pregnancy
1217
In this session, we will review thromboembolism in pregnancy based on the July 2018 ACOG Practice Bulletin. We will cover DVT and PE presentation, work up, and management. Delivery considerations will also be reviewed. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 17, 2018
Chancroid
734
In this session, we will review chancroid, a genital STI caused by H. Ducreyi. This bacterium causes ulcers presenting as painful sores (soft chancre) on the genitalia. We will cover presentation, diagnosis, and treatment. We will also review the differences between the genital ulcers of syphilis, LGV, and granuloma inguinale.
Jul 16, 2018
Syphilis
1004
In this session, we will discuss the clinical stages of syphilis, diagnosis, treatments, and pregnancy considerations.
Jul 14, 2018
Gonococcal Infection
644
In this session, we will cover the microbiology and the pathophysiological processes of gonococcal infections. Screening, treatment, and prevention of neonatal infection will also be reviewed. Data is taken from the ACOG bulletin as well as the practice guidelines from the CDC. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jul 13, 2018
Chlamydial Infection in Women
813
Chlamydia Trachomatis is the most common bacterial STI. In this session, we will review screening recommendations, treatment, pregnancy considerations, and end with a quick recap and review of the microbiology of the organism.
Jul 12, 2018
PART 2: Chronic Hypertension in Pregnancy
229
In this short session, we will cover recommended delivery times for women with chronic hypertension as well as breast-feeding on antihypertensive medications.
Jul 11, 2018
Chronic Hypertension in Pregnancy
854
Chronic hypertension affects 3 to 5% of all pregnancies. In this session, we will cover the SMFM and ACOG bulletins on the subject. Which patients need treatment? What meds should be used? What are the risks of chronic hypertension in pregnancy? Answers to these questioms AND MORE will be covered.
Jul 10, 2018
Pre-labor rupture of membranes (PROM)
1209
In January 2018, the ACOG changed the terminology for PROM, now referred to as pre-labor rupture of membranes. In this session, we will review practice bulletin 188 and discuss the clinical management of both term and preterm PROM.
Jul 05, 2018
Lactation
872
In this session, we will review the process of mammogenesis and lactogenesis as well as the process of lactation. Mastitis and breast abscess management will also be reviewed.
Jul 05, 2018
Managing fetal macrosomia
651
Fetal macrosomia predisposes both the mother and child to increased risks. In this review, a summary of the ACOG practice bulletin #173, we will review risk factors for fetal macrosomia, the diagnosis, and when a primary elective C-section should be considered for the condition.
Jul 02, 2018
Fetal Growth Restriction
904
Fetuses with an estimated fetal weight by ultrasound of less than the 10th percentile are labeled as growth restricted. These infants are at high risk for morbidity and even mortality. In this session, we will review the ACOG and SMFM practice bulletins on fetal growth restriction: wrist factors, diagnosis, monitoring, and delivery.
Jul 02, 2018
Stillbirth
692
In this session, we will review risk factors for Intrauterine Fetal Demise (stillbirth) and discuss the ACOG algorithm for stillbirth evaluation. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Jun 28, 2018
Update on Maternal Alloimmunization (Part 2)
666
This is part 2 of our series on maternal alloimmunization. In this session, we will review prevention of RH isoimmunization with a brief review on RhoGAM use according to the ACOG practice bulletin # 181.
Jun 25, 2018
Update on Maternal Alloimminization (Part 1).
735
In March 2018, the ACOG released an updated practice bulletin on the management of alloimmunization during pregnancy. The ability to determine genotype of an RH positive father and the use of middle cerebral artery Doppler ultrasound have revolutionized the care of alloimmunization. This is part one of a two-part series.
Jun 25, 2018
Multifetal Gestations
1097
Multifetal gestations are either dizygotic or monozygotic. The rate of monozygotic twins tends to be constant worldwide. Twin and triplet pregnancies are at risk of certain maternal and fetal complications. In this session, we will cover the ACOG practice bulletin on multifetal gestations as well as the SMFM bulletin on the topic.
Jun 23, 2018
Non-obstetrical surgical conditions in pregnancy
980
In this session we will cover general surgery comditiond in pregnancy. The three most common non-obstetrical surgical conditions in pregnancy are: appendicitis, gallbladder disease, and acute intestinal obstruction. In this session, we will cover the diagnostic evaluation and treatment of these non-obstetrical surgical conditions.
Jun 21, 2018
Cell free DNA for fetal aneuploidy screening
821
Cell free DNA screening evaluates short segments of DNA in a maternal serum and can be used to screen for fetal aneuploidy, fetal RH type, and sex chromosome abnormalities. In this session, we will review the data on cell free DNA screening from the ACOG practice bulletin number 163.
Jun 20, 2018
Spontaneous abortion (Early Preg Loss)
708
In this session, we will cover data from the ACOG practice bulletin number 150, on early pregnancy loss. We will cover etiology, diagnosis, and the three types of management: expectant management, medical management, and surgical management. We will end a podcast with a quick review of the different categories of spontaneous abortion (threatened, inevitable/incomplete, missed, blighted, septic).
Jun 10, 2018
Prenatal (Antepartum) Care: Part 3
352
In this final session, we will review RhoGAM use, GBS screening, and the ACOG update on vaccinations in pregnancy (Tdap).
Jun 09, 2018
Prenatal (Antepartum) Care: Part 2
1185
This is part 2 of our 3 part series on antepartum care. In this session, we will cover ultrasound use, screens for aneuploidy, screening for inherited genetic conditions, and gestational diabetes screening.
Jun 09, 2018
Antepartum (Prenatal) Care: Part 1
384
In this session, we will review the ACOG guidelines regarding specific screening tests, monitoring, and interventions during routine prenatal/antepartum care. This is part 1 of the podcast set.
Jun 08, 2018
Preconception Care
810
In this session, we will review guidelines for pre-conception care based on the ACOG current commentary.
Jun 08, 2018
The Obsolete Friedman Curve
542
1955, Emmanuel Friedman described the labor progress of 500 nulliparous wowen. That curve became the standard for labor management for 60 years. However, in 2014, the ACOG revised the definitions of the active phase of labor and re-defined the second stage of labor. In this session, we will review these labor guidelines.
Jun 05, 2018
Mechanism of normal labor: the passenger and the pelvis
884
In this session, we will cover specifics of the mechanisms of labor. We will cover details on the fetus (lie, attitude, presentation, and position) and attributes of the maternal pelvis. We will cover the powers of labor (uterine contractions strength and the revised Friedman curve) in another session.
Jun 03, 2018
Intimate partner violence
418
In this session, we will review intimate partner violence which was presented in the American College of OB/GYN committee opinion #518.
Jun 02, 2018
Maternal physiologic respiratory changes in pregnancy
466
In this session we will cover the maternal physiological changes which occurr during pregnancy.
Jun 02, 2018
HPV!
653
In this session, we will review the pathophysiology of human papillomavirus infections. We will also cover HPV immunization, and contrast primary screening for cervical cancer ACOG recommendations with the recommendations of the US preventative services task force. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
May 26, 2018
Sexual Assault
1088
In this session, we will review the ACOG committee opinion (592) on sexual assault as well as the CDC algorithm for post exposure prophylaxis following sexual assault.
May 25, 2018
PCOS
411
In this session, we will cover polycystic ovarian syndrome. Although the etiology is not clearly understood, there are set diagnostic criteria for PCOS. Management of the condition depends on the patient's desire for immediate fertility as well as consideration of metabolic derangements.
May 16, 2018
Hyperprolactinemia
397
Hyperprolactinemia may be physiological, pharmacological, or pathological. In this session, we will review possible causes of, and workup for, an elevated prolactin. Information taken from the American Society of Reproductive Medicine.
May 10, 2018
Primary Amenorrhea
350
In this session, we will review the diagnostic algorithm for primary amenorrhea based on the American Society of Reproductive Medicine (ASRM). Primary amenorrhea is much less common than secondary amenorrhea. Primary amenorrhea occurs in less in <1% of adolescent gynecology.
May 08, 2018
Methods for estimating pregnancy due date.
489
This is a brief review of the ACOG committee opinion number 700, Methods for Establishing the Due Date. We will review discrepancies between first, second, and third trimester ultrasound and the last menstrual period.
May 05, 2018
TXA for Postpartum Hemorrhage
211
Tranexamic acid is ACOG endorsed for the treatment of established postpartum hemorrhage. Postpartum hemorrhage is now defined as greater or equal to 1000mls estimated blood loss regardless of mode of delivery. In this brief session, we will review the dosing regimen for TXA for established PPH. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 30, 2018
The "4th Trimester"!
567
In this session, we will cover the May 2018 new Committee Opinion from the ACOG on optimizing postpartum care. The postpartum interval, referred to as "the 4th Trimester", can pose unique health challanges to the mother. In an effort to better identify and treat postpartum complications, the ACOG has released new guidelines reviewed here. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 28, 2018
Intrahepatic cholestasis of pregnancy
554
In this session, we will cover intrahepatic cholestasis of pregnancy. We will cover background, work-up, and management options for this condition.
Apr 25, 2018
Common Gallbladder Issues in Pregnancy
597
In this session, we will cover cholelithiasis and cholecystitis in pregnancy. Data taken from the society of maternal fetal medicine and the American College of OB/GYN.
Apr 24, 2018
Emergent therapy for acute onset, severe hypertension during pregnancy and postpartum interval.
592
In this session, we will review the ACOG committee opinion number 692 and the medical protocols for management of acute-onset, severe hypertension during pregnancy and postpartum period.
Apr 18, 2018
Hypertension in Pregnancy: ACOG Task Force summary
708
In this session, we will highlight the ACOG Task Force Report on Hypertension in Pregnancy. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 14, 2018
Maternal Cardiovascular Effects of Pregnancy
420
In this session we will cover the vast cardiovascular changes which occur in the maternal compartment during pregnancy.
Apr 13, 2018
Pyelonephritis in Pregnancy
669
Pyelonephritis Affects up to 2% of women in pregnancy. Complications can include preterm labor, preterm rupture of membranes, Urosepsis, and ARDS. In this podcast, we will cover the clinical presentation, work up, and management of "Pyelo" in pregnancy. Data taken from the American College of OB/GYN. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 11, 2018
Kidney Stones in Pregnancy: Part 2
478
In this session, part two, we will cover medical management of renal stones in pregnancy. We will also cover temporary methods of ureter decompression as well as uteroscopic stone removal.
Apr 08, 2018
Kidney Stones in Pregnancy: Part 1
726
Nephrolithiasis in pregnancy can be a diagnostic dilemma. However, most patients present with classic flank pain radiating to the groin, with or without nausea, and hematuria. In this session, part 1, we will cover incidence, presentation, diagnostic testing, and expectant management of kidney stones in pregnancy. Part 2 will cover medical management and surgical intervention.
Apr 07, 2018
HSV in Pregnancy PART 2
760
This is PART 2 of our HSV in pregnancy podcast. We will cover specifics on pregnancy management, both antepartum and intrapartum. Data is taken from the ACOG practice bulletin and data from the society of maternal fetal medicine.
Apr 05, 2018
HSV in Pregnancy
441
HSV in Pregnancy: Part 1. This session will cover the classification, diagnosis, and general principles of vertical transmission of Herpes Simplex Viral infections. Part 2 will cover specific points on pregnancy management. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Apr 05, 2018
Hepatitis B in Pregnancy
840
Hepatitis B management in pregnancy has had some changes. The Society for Maternal Fetal Medicine recommends the use of Tenofovir when maternal viral loads are > 6-8 Log 10 copies/ml. C-section is not recommended solely for the prevention of vertical transmission of hepatitis B. All infants delivered to hepatitis B surface antigen positive mothers should receive dual immunoprophylaxis with Hepatitis B vaccine and HBIG within 12 hours of birth. Data from case series 38, SMFM.
Mar 31, 2018
Hep C in Pregnancy: PART 2
565
We present data from the Society of Maternal Fetal Medicine regarding the medical management, intrapartum, and postpartum care of the hepatitis C virus-positive woman.
Mar 29, 2018
Hepatitis C in Pregnancy: Part 1
802
In this episode we will cover hepatitis C infection in pregnancy. This is part one of a two-part series based on the Society for Maternal Fetal Medicine's (Consult Series 43) most recent update on hepatitis C management in pregnancy.
Mar 29, 2018
Management of suboptimally dated pregnancy
546
Attempts to minimize risks of prematurity balanced with the risks of a postmature fetus, are central to the management of the poorly dated pregnancy. We will cover the committee opinion 688 from March 2017 from the American College of OB/GYN. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app
Mar 25, 2018
The Kleihauer Betke Test
566
A quick review on the science, indications, and utilization of the KB test in pregnancy.
Mar 19, 2018
Gestational Diabetes Update
779
A clinical review and synopsis of the practice bulletin from February 2018 from the American College of OB/GYN on gestational diabetes.
Mar 17, 2018