Thinking About Ob/Gyn Antonia Roberts and Howard Herrell
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- Health & Fitness
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.
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Episode 7.9 Deeply Impacted Fetal Head, Route of Hysterectomy, and the Taj Mahal
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
00:58:06 Taj Mahal and Maternal Mortality
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Episode 7.8 Osteopenia treatments, antenatal steroids, IOL methods, VBAC risk factors, and surgical hemostasis
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
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Episode 7.7 Cord Prolapse, Radical Hysterectomy for Cervical Cancer
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
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Episode 7.6 Maternal Mortality Declining? Plus skin closures and listener questions
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
00:45:41 Debating Oxytocin and Labor Policies
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Episode 7.5 Breech Delivery Tips, Laparoscopy Entry, and IVF Legality
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.
00:00:02 Four Tips for Vaginal Breech Deliveries
00:13:17 Alabama Supreme Court and IVF
00:29:15 Initial Laparoscopic Entry
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Episode 7.4 Oxygen for Decels, Interpreting Studies Part 2, Frozen Eggs
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
00:51:30 Listener Question: Egg Preservation
Follow us on Instagram @thinkingaboutobgyn.