78 episodes

Summaries of ACOG's Practice Bulletins recorded while the host guzzles booze and speaks too closely to the microphone. Each episode is accompanied by comprehensive show notes, wine recommendations, and unsolicited advice. Pour yourself a glass and come along, friend. Let's bring compassion back into obstetrics and gynecology! #DoNoHarmTakeNoShit

Obgyno Wino Podcast Nathan Riley, MD

    • Medicine
    • 4.8 • 11 Ratings

Summaries of ACOG's Practice Bulletins recorded while the host guzzles booze and speaks too closely to the microphone. Each episode is accompanied by comprehensive show notes, wine recommendations, and unsolicited advice. Pour yourself a glass and come along, friend. Let's bring compassion back into obstetrics and gynecology! #DoNoHarmTakeNoShit

    Ep 68: Shoulder Dystocia

    Ep 68: Shoulder Dystocia

    Practice Bulletin #187, Published May 2017 (Reaffirmed 2016)

    1. Neonatal complication risk is overall low (5%), including brachial plexus injuries, clavicle fracture, humerus fracture. HIE/death are also possible, but extremely unlikely.
    2. The faster that a shoulder dystocia is resolved, the less likely HIE/death.
    3. It's nearly impossible to predict shoulder dystocia, but risk seems to be higher with larger fetuses and diabetic mothers.
    4. Insufficient evidence to conclude that early induction of labor when fetal macrosomia is suspected decreases the risk of shoulder dystocia.
    5. Steps to resolving shoulder dystocia per ACOG: stop pushing, McRobert's maneuver w/ head traction, suprapubic pressure, rotational maneuvers, then posterior arm delivery. My advice? Get her on all fours way before any of the other maneuvers (Gaskin maneuver).

    Show Notes

    **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!**

    Wine pairing: 2017 Central Coast Red Blend from Smith & Hook
    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 1 hr 7 min
    Ep 67: Noncontraceptive Uses of Hormonal Contraceptives

    Ep 67: Noncontraceptive Uses of Hormonal Contraceptives

    Practice Bulletin #101, Published January 2010 (Reaffirmed 2016)

    1. Most COCs combine a progestin (i.e. synthetic progesterone) for contraceptive effects with 10-35 mcg of an estrogen (usually ethinyl estradiol) to stabilize the endometrium and reduce unwanted spotting
    2. COCs are a safe bet for management of heavy menstrual bleeding. If patient responds to COCs, they are most cost-effective for the first year, then it's more effective to switch to a levonorgestrel intrauterine system
    3. The levonorgestrel intrauterine systems work better than progestin-only pills (e.g. norethindrone acetate) to reduce heavy menstrual bleeding and patients report greater satisfaction.
    4. DMPA and the progestin IUD can regulate the menstrual cycle over the long haul, but will initially increase the irregularity of bleeding.
    5. Before prescribing any hormonal contraception, review the US Medical Eligibility Criteria for Contraceptive Use.

    Show Notes

    **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!**

    Wine pairing: 2018 Pinot Noir from Tres Palacios
    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 43 min
    Microdose I - The Self-Destructive Nature of Being Human

    Microdose I - The Self-Destructive Nature of Being Human

    "How can we reimagine our relationship with Mother Nature? This seems like a privileged luxury of the few, but it's far more important than a philosophical suggestion. Based on the preceding examples found through the challenges of monocultural farming and efforts to sterilize the human body, it should be obvious that we are a part of a variety of ecosystems that rely on us reciprocally. As such, in allowing the Earth to deteriorate, we are inadvertently corrupting any possibility for the survival of our own species."

    www.ObgynoWino.com

    • 8 min
    Ep 66: On Surrogacy and the Tribulations of Nuance

    Ep 66: On Surrogacy and the Tribulations of Nuance

    SPECIAL EPISODE - Interview w/ Sara Rosser, CPM (and my dear sweet friend!)

    In episode 66, Sara Rosser, a CPM at the famous Farm in Summertown, TN, is joining the Obgyno Wino team to co-host coverage of future OB-related practice bulletins. She is also anticipating her second surrogacy pregnancy on behalf of a gentleman who is otherwise unable to start a family. Between her choice to offer herself as a surrogate and her family's adoption of their beautiful son, Silas, from Ethiopia, Sara has been forced to navigate a wide range of criticism (amidst an equal amount of support!) for her decisions around pregnancy, surrogacy, and adoption. Fortunately, Sara is a beautiful unicorn of a woman guided by intuition and morality, two principles of which we could use a little more in this world.

    Show Notes

    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 50 min
    Trailer to the Obgyno Wino Podcast

    Trailer to the Obgyno Wino Podcast

    Show Notes

    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 8 min
    Ep 65: Bariatric Surgery and Pregnancy

    Ep 65: Bariatric Surgery and Pregnancy

    Practice Bulletin #105, Published July 2009 (Reaffirmed 2017)

    1.  Combined oral contraceptives may be poorly absorbed in patients who have undergone malabsorptive bariatric surgery (e.g. Roux-en-Y)
    2. Micronutrient and macronutrient deficiences are common in pregnancy after Roux-en-Y. These include iron, calcium, vitamin B12, protein, folate, and vitamin D. It's reasonable to screen widely for nutrient and micronutrient deficiencies pre-pregnancy or early in pregnancy and supplemental as appropriate.
    3. For patients who underwent a banding procedure, early consultation with a bariatric surgeon is recommended in order to actively manage the band
    4. Dumping syndrome is caused by ingestion of refined sugars that are rapidly dumped from the stomach into the small intestine; this causes hyperinsulinemia -> hypoglycemia -> tachycardia; otherwise characterized by bloating, nausea, abdominal pain, n/v, and diarrhea.
    5. Patient with dumping syndrome can be screened for GDM by regular glucose fingerstick checks at 24-28 wga

    Show Notes

    **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!**

    Wine pairing: 2017 Pinot Noir from Ferrandière
    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 45 min

Customer Reviews

4.8 out of 5
11 Ratings

11 Ratings

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