There are so many things to go over with our pregnant patients especially at their initial intake visit. However, one thing that should not be left off that discussion list includes food items to avoid! Listeriosis during pregnancy can be devastating for the fetus. Are you familiar with the work up and CDC recommended treatment for this condition? In this episode we will present an easy to remember protocol for managing patients with a possible exposure to listeria monocytogenes.
Aug 14, 2022•22 min
I’ll let this episode title speak for itself… LOL. Hope this makes you smile.
Aug 11, 2022•2 min
Endometriosis is a devastating condition. Once thought to have its impact only during reproductive age, endometriosis has been linked to an increased risk of stroke later in life. Any new medication which shows safety and efficacy in menstrual pain reduction is welcome in this space. In this session we will review a new FDA approval of an existing medication in the battle against endometriosis. (Special guest co-host, Kacie Mitchell, 3rd medical student)
Aug 08, 2022•15 min
Yesterday, 08/01/2022, we released a podcast on “The 22 Week Birth”. As a follow-up to this, and in response to 5 separate questions (all related to the use of magnesium sulfate for fetal neuroprotection) from podcast members, we decided to get this episode out! While we all understand the upper limit for magnesium sulfate for CNS protection to be 32 weeks and 0 days, is magnesium sulfate a consideration at 22 weeks? We will lay out the timeline of data from 2017 to current day in this session.
Aug 02, 2022•12 min
Over the last several years, the “limit of viability” for neonates has decreased dramatically. The new “lower limit” of neonatal viability can now be considered to be as early as 22 gestational weeks. But there’s a lot more to that statement! In this session, we will review the latest data on neonatal survival in the Periviable interval. We will highlight and summarize a new publication from the Lancet published on July 25, 2022. Should we be performing “universal resuscitation” at 22 weeks? Or ...
Aug 02, 2022•21 min
Polyhydramnios affects from 0.2 to 2% of all pregnancies. Which is preferred for diagnosis, MVP or AFI? Is amnioreduction an effective intervention? When is indomethacin indicated? In the session we will dive into the issue of polyhydramnios, its workup, and delivery implications.
Jul 28, 2022•14 min
One of the most common techniques to assess fetal status intrapartum is the fetal scalp stimulation test. First proposed in 1936, its incorporation in modern obstetric practice is still evident. However, there are some common misapplications and misunderstandings of this intervention. Does fetal scalp stimulation help resolve a fetal deceleration? Or could it be potentially harmful? In this podcast we will set the record straight to prevent misuse of the fetal scalp stimulation test. Thank you A...
Jul 23, 2022•12 min
In this session, we will continue our brief summary of the NAMS 2022 clinical update on hormone therapy. Is hormone therapy allowed in patients with known BRCA genetic mutations? Is Bazedoxifene safe? What about vaginal estrogen therapy? We will answer these questions and more in this session.
Jul 19, 2022•15 min
Medical information moves fast. We know a lot more about risks and benefits of hormone therapy since the impactful WHI study was first released. In this session we will review important new concepts from the NAMS Hormone Therapy update just released Summer of 2022. Is it safe to continue hormone therapy beyond the age of 65? Is “lowest dose for shortest duration” still a valid concept? We will tackle this question and more in this session!
Jul 16, 2022•22 min
For several years, data has validated the value of water immersion during labor (1st stage). However, when it comes to the 2nd stage of labor, the AAP and the ACOG are unified in their positions which is at odds with the ACNM. But what does the new data support? In this session we will cover a new systematic review and meta-analysis from BMJ Open which was published July 2022. Let’s set the record straight on water immersion during the first and second stages of labor.
Jul 12, 2022•13 min
Sleep disruption and poor sleep quality are not unusual during pregnancy. That’s obvious! What’s not so obvious is whether a common over-the-counter sleep agent, melatonin, is safe to use during pregnancy or not. While traditionally, options like diphenhydramine and doxylamine have been used as sleep aids during pregnancy, up to 4% of women (reportedly) use this over-the-counter supplement during gestation. What does the data say? Let’s address this common supplement use…now.
Jul 08, 2022•19 min
Lots of practical clinical pearls in this episode! “Reverse sequence testing” for syphilis has largely taken over the traditional testing algorithm. Traditionally, non-Treponemal tests (RPR, VDRL) were done first with a reflex to a Treponema specific test if that was positive (MHATP). But this is now considered the antiquated technique. Reverse sequence testing has the advantage of potentially identifying infected patients very early on. In this session, we will give easy to use/practical tools ...
Jul 03, 2022•24 min
Over the last several days I have received numerous Facebook messages, podcast voice memos, and personal texts regarding the potential for misapplication of Ulipristal’s mechanism of action as emergency contraception. Will Ella be banned? Does it affect implantation? It’s time to clear the dust and set the record straight.
Jun 27, 2022•14 min
On June 16, 2022, the ACOG released a new practice advisory regarding PreP in the ObGyn patient population. This has important implications on how we counsel patients especially after recent STI diagnosis. In this podcast we will cover important aspects of PreP to get you comfortable with this preventative option. What are the 3 currently approved options? Are they safe? What about monitoring? Do adolescent patients qualify? We will answer all of these questions and more in this session.
Jun 25, 2022•18 min
We have come a long way from the first report from Stein and Leventhal describing “polycystic ovaries“ on ultrasound in infertile women back in the 1950s. We already well understand that PCOS raises the risk of certain antepartum complications including gestational diabetes, possible macrosomia, and the development of gestational hypertension or preeclampsia. But there actually is scant data on the risk of acute peripartum complications. In this podcast we will summarize a large study just publi...
Jun 23, 2022•20 min
Well…so there’s this. 😳😳😳
Jun 20, 2022•1 min
This is your crash course into all things “Monkeypox”. Data for this podcast comes from the CDC, WHO, and the Royal College of Obstetricians and Gynecologists. Information is moving fast and we’re here to keep you evidence-based. How does Monkeypox affect pregnancy? When is a C-Section indicated? What are the treatments available? And what about the 2 vaccines available in the USA… Why is one more problematic than the other? Listen in and find out.
Jun 13, 2022•21 min
Which is better for determining amniotic fluid volume: the AFI or MVP? There’s data to support one or the other. In cases of isolated oligohydramnios in the late preterm interval, is there a role for maternal oral hydration? Does that actually work? We are going to dive into the amniotic fluid (no pun intended) dilemmas now.
Jun 09, 2022•20 min
According to the ACOG, by natural menopause it is estimated that up to 70% of women will have developed a uterine leiomyoma. 70%! Most of course are asymptomatic. For those with symptoms, heavy menstrual bleeding and pain are the most common afflictions. In May 2021, the FDA approved a new triple combination pill for heavy menstrual bleeding associated with fibroids. Can this medication also be used as hormonal birth control? We will review the ACOG, FDA, and manufacture’s information for MyFimb...
Jun 06, 2022•13 min
Meet Hilda! In this quick episode, I’ll share a very unique story of one of our coworkers (our featured guest on the podcast). I know this will encourage, inspire, and just make your day! Listen in, and find out why.
Jun 03, 2022•6 min
There are currently (in the USA) 4 generations of available progestins in combination birth control pills. Are these differences clinically relevant, or is it all manufacturer marketing? In this session we will review the chemical nature, biology of, and clinical manifestations of the different progestins. We will set the record straight. (This topic was suggested by an OB/GYN senior resident at Lincoln Hospital, South Bronx… Thank you for listening to our podcast and for the wonderful podcast t...
Jun 02, 2022•18 min
Fetal microcephaly is a devastating diagnosis. Prognosis is dependent on whether fetal microcephaly is isolated or part of other congenital anomalies. Prognosis is also directly related to the degree of fetal microcephaly. In this session, we will review the diagnostic criteria, workup, and prognosis of this devastating fetal condition.
May 28, 2022•21 min
Here’s what’s going on… As of May 26, 2022.
May 26, 2022•1 min
Pregnancy can definitely work some changes on the body. Melasma is a common pregnancy reaction, and can be a cosmetic concern to many affected. Are treatments safe to use during pregnancy? Are cutaneous lasers allowed? In this session we will review the available literature and cover the first, second, and third-line options for treatment of the mask of pregnancy.
May 21, 2022•18 min
The etonogestrel implant is the most effective LARC available. Well, how many years AFTER the FDA approval of 3 years does the implant remain effective? Also, currently, the usual and customary standard is for the provider and patient to palpate the implant area after insertion. But what happens when the insert is non-palpable? In the session, we will review the evidence-based protocol to find this nonpalpable implant. Can you order a serum etonogestrel level? Do these things “migrate”? Can a pa...
May 17, 2022•14 min
Historically, obstetrical providers cautioned patients about decreased fetal movement. But what about maternal perception of INCREASED fetal movement? Is increased fetal movement a harbinger of adverse neonatal outcome? In this session we will highlight and summarize a new publication from the AJOG (April 26, 2022) that helps shed light on this clinical conundrum.
May 12, 2022•13 min
Since the 1960s, metronidazole has carried a label warning stating that alcohol use while taking the medication can lead to significant side-effects. This was termed a “Disulfurim-like reaction”. However, that’s 100% not true! Where did this metronadazole myth come from? Why has it survived for over 50 years? In this podcast… We’ll set the record straight! Yes, you can have your cake and eat it too… I mean, your beer and drink it too! 🍻🍺🍻🍺🍷🍷🍷
May 08, 2022•14 min
On May 3, 2022, JAMA published 2 separate randomized clinical trials (RCTs) regarding patient’s self-monitoring of blood pressures at home. Historically, clinicians instructed patients either at risk of developing hypertension in pregnancy or those with existing chronic hypertension/hypertensive disorders in pregnancy to self-monitor their blood pressure in-between clinician visits. Is that recommendation clinically useful? Does the data support that? Once again, the world of “hypertension in pr...
May 05, 2022•11 min
In May 2022, the ACOG Will release a new Clinical Practice Guidance (#3). This will cover “Headaches in Pregnancy and Postpartum”. Do you know which classes of medication are considered first line for primary headache prevention during pregnancy? And for acute treatment of migraine, which medications are recommended? Are Ergot alkaloids safe for use? What about Triptans? In this session, we will summarize and highlight Clinical Pearls for the prevention and treatment of primary headache in pregn...
Apr 29, 2022•19 min
Addressing severe maternal morbidity is a public health priority in the US. Postpartum hemorrhage is one of the driving contributors to severe maternal morbidity/mortality peri-partum. A recent study published in JAMA open network in February 2022 is showing an unusual benefit of labor epidural analgesia which may help close the gap in severe maternal morbidity-related healthcare disparities. In this episode, we will highlight the key findings of this publication and review “epidural’s secret be...
Apr 26, 2022•18 min
