Thinking About Ob/Gyn Antonia Roberts and Howard Herrell

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
Follow us on Instagram @thinkingaboutobgyn.

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
Follow us on Instagram @thinkingaboutobgyn.

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
Follow us on Instagram @thinkingaboutobgyn.

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
Follow us on Instagram @thinkingaboutobgyn.

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.

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
Follow us on Instagram @thinkingaboutobgyn.