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English

Non-explicit

Health & Fitness

Medicine

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4.60 stars

55:24

Thinking About Ob/Gyn

by Antonia Roberts and Howard Herrell

A fresh and evidence-based perspective of all things related to obstetrics and gynecology. Follow us on Instagram @thinkingaboutobgyn or visit thinkingaboutobgyn.com for show notes and more.

Episodes

Episode 7.9: Risks of multiple Cesareans, tips for vaginal hysterectomy, and listener questions

1h 11m · Published 15 May 15:00

In this episode, we discuss the risks and counseling related to higher numbers of Cesareans. Then, we finish our discussion about vaginal hysterectomy with tips and tricks for some common problems. Finally, we answer a listener question about external cephalic version.

00:00:02 Considerations for Multiple Cesarean Deliveries
00:08:13 Risks and Outcomes of Cesarean Hysterectomies
00:16:09 Uterine Dehiscence and Vaginal Hysterectomy
00:24:01 Tips for Vaginal Hysterectomy Assistants
00:35:24 Mastering the Anterior Colpotomy Technique
00:44:01 Vaginal Hysterectomy Tips and Techniques
00:55:36 Teaching Vaginal Hysterectomy Techniques
00:57:55 Listener Question about ECV

Episode 7.9 Deeply Impacted Fetal Head, Route of Hysterectomy, and the Taj Mahal

1h 2m · Published 01 May 14:00

In this episode, we discuss four tips for managing the deeply impacted fetal head at the time of Cesarean. Then we discuss the optimal route of hysterectomy (hint: its a vaginal hysterectomy). Finally, we discuss the obstetric history of the Taj Mahal.

00:00:02 Four Tips For Deeply Impacted Head at Cesarean

00:13:53 Advantages of Vaginal Hysterectomy

00:25:16 Optimizing Vaginal Hysterectomy Techniques

00:31:53 Advancing Skills in Minimally Invasive Surgery

00:40:24 Advancements in Vaginal Hysterectomy Technique

00:49:20 Debating the Merits of v-Notes

00:58:06Taj Mahal and Maternal Mortality

Episode 7.8 Osteopenia treatments, antenatal steroids, IOL methods, VBAC risk factors, and surgical hemostasis

1h 1m · Published 17 Apr 21:00

In this episode, we discuss the latest recommendations for treatments for osteopenia and osteoporosis, including vitamin D and calcium, as well as bisphophonates and other medications.

Then we discuss new literature about best methods for induction of labor and risks factors for uterine rupture during a trial of labor after Cesarean. We also discuss a new trial about late preterm antenatal steroids.

Also we talk about a new article about mammalian menopause the evolutionary rolls of menopause and concealed ovulation (fun people, we know!)

Finally, we answer a listener question about bleeding during surgery.

00:00:02 Treatment of Osteopenia and Osteoporosis

00:14:40 Vaginal Birth After Cesarean Recommendations

00:24:05 Effectiveness of Late Preterm Steroids

00:35:49 Menopause and Evolution in Mammals

00:41:05 Concealed Estrus and Weight Gain Recommendations

00:47:56 Managing Surgical Hemostasis and Bleeding

Episode 7.7: Cord Prolapse, Radical Hysterectomy for Cervical Cancer

1h 3m · Published 03 Apr 15:00

In this episode, Dr. Stuart Winkler returns to discuss new evidence about the risks and benefits of radical hysterectomy for cervical cancers. Also, for fun, we torture a Gyn-Onc with a four tips for managing cord prolapse. Also, we discuss a new commentary on activity restriction after gynecologic surgery.

00:00:02 Management of Cord Prolapse in Labor

00:11:01 History and Evolution of Radical Surgery

00:25:03 Recent Trials on Cervical Cancer Surgery

00:48:33 Activity Restrictions in Surgical Practice

Episode 7.6: Maternal Mortality Declining? Plus skin closures and listener questions

59m · Published 20 Mar 13:00

In this episode, we discuss which laparoscopic ports need to be closed and how. Plus, we discuss more evidence that the current narrative about maternal mortality in the US is false. Finally, we answer listener questions about oxytocin protocols and the history and utility of the Bishop's Score.

00:00:02 Closing Laparoscopic Ports
00:13:32 The Maternal Mortality Rate Debate
00:21:04 Maternal Mortality Misconceptions and Progress
00:30:30 Maternal Mortality Misconceptions and Data Accuracy
00:39:27 The Bishop's Score
00:45:41Debating Oxytocin and Labor Policies

Episode 7.5: Breech Delivery Tips, Laparoscopy Entry, and IVF Legality

1h 8m · Published 07 Mar 02:00

In this episode, we discuss four tips for breech vaginal delivery. Then, we respond to the Alabama Supreme Court's decisions about embryos and the impact on IVF and reproductive rights. Finally, we discuss the best methods for initial laparoscopic entry and discuss the history of laparoscopy.

00:00:02Four Tips for Vaginal Breech Deliveries

00:13:17 Alabama Supreme Court and IVF

00:29:15 Initial Laparoscopic Entry

Episode 7.4: Oxygen for Decels, Interpreting Studies Part 2, Frozen Eggs

1h 3m · Published 21 Feb 21:00

In this episode, we discuss the use of supplemental oxygen for fetal decelerations. Then we get into part 2 of our discussion of interpreting clinical studies and when to adopt new interventions into practice, including a discussion of intranasal metoclopramide, elagolix, and a new study about an app based doula service. Finally, we answer user questions about surprise billing at the time of annual exams and the pros and cons of egg freezing.

00:00:02 Oxygen Supplementation in Labor

00:11:00 Interpreting studies part 2: intranasal metoclopramide

00:22:07 Evaluating Efficacy of Elagolix for Endometriosis

00:38:23 Doulas and Birth Outcomes

00:44:32 Listener Question: Surprise Billing

00:51:30Listener Question: Egg Preservation

Episode 7.3: Cephalic Version, Interpreting Studies Part 1, and Jackie Kennedy

1h 1m · Published 07 Feb 14:00

In this episode, we discuss four tips for external cephalic version. Then we dive into the basics of interpreting scientific studies. Finally, we discuss the pregnancy history of Jackie Kennedy.

00:00:20 Tips for External Cephalic Version

00:17:10 Evaluating Clinical Studies

00:53:13 Jackie Kennedy's Impact on Cesarean Deliveries

Episode 7:2 Cesareans for Macrosomia, Yearly Pelvic Exams, Zuranolone, and more!

1h 4m · Published 24 Jan 23:00

In this episode, we discuss performing Cesarean for fetal weights at lower thresholds than currently recommended. Then we discuss new literature regarding utility of pelvic exams or screening asymptomatic women and early rupture of membranes after cervical ripening with a Foley bulb. Then we discuss an editorial discussing selecting the best test and hysteroscopy for miscarriage after embryo transfer. Plus, a new RCT that examines stopping oxytocin once a patient is in active labor. Finally, we answer listener questions about harms of yearly pap smears and whether we plan to use Zuranolone for treatment of postpartum depression. Buckle up!

00:01:00 Cesarean for Fetal Weight > 4000 g
00:13:20 Pelvic Exams in Asymptomatic Women
00:30:10 Early Amniotomy After Foley Bulbs
00:33:43 The Best Test: Hysteroscopy for Miscarriage
00:40:59 Stopping Oxytocin in Active Labor
00:45:00 Listener Question: Harms Of Yearly Paps
00:55:26 Listener Question: Zuranolone

7:1 New Mammography Guidelines, Four Tips for Fetal Tracings, and Pregnancy after Hysterectomy

1h 5m · Published 10 Jan 14:00

In the first episode of our new season, we introduce a new segment with Four Tips for managing fetal heart tracings. Then we discuss the new mammography guidelines. And finally we discuss a case of a viable pregnancy in a woman who had had a hysterectomy.

00:20:45 Mammography Guidelines
00:30:12 Debating the Effectiveness of Mammography Screening
00:41:01 Breast Cancer Screening and Overdiagnosis
00:55:50 Pregnancy After Hysterectomy

Thinking About Ob/Gyn has 155 episodes in total of non- explicit content. Total playtime is 143:09:32. The language of the podcast is English. This podcast has been added on November 27th 2022. It might contain more episodes than the ones shown here. It was last updated on May 17th, 2024 22:12.