Procedure Ready: Ob/Gyn

Med Ready
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Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn.  It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation! Email podcasts@procedureready.com with comments, questions, and episode ideas. ##Legal Disclaimer## The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates. The information in this podcast is for educational purposes only and is intended for medical professionals in training. It does not constitute medical advice or establish a doctor-patient relationship.

  1. EPISODE 1

    Your Ob/Gyn Survival Guide: Tips and Tricks

    Kicking off your Ob/Gyn clerkship and not sure where to start? In this episode, Dr. Doorey walks through the high-yield resources, essential apps, and practical study tips you'll need to hit the ground running on Labor & Delivery and in the OR. Show Outline: Recommended Resources Free Procedure Ready App – Clinical questions to expect in the OR and on the wards YouTube Playlist: bit.ly/pimped-ob Books: Netter's; Obstetrics and Gynecology by Beckmann Apps: UpToDate, Epocrates, GoodRx, LactMed, ASCCP, CDC STI guidelines, ACOG, OB Wheel Tips and Tricks Be proactive – talk to students who just finished the rotation about ways to be helpful and the day-to-day logistics Set expectations early and clarify as needed Be self-sufficient, but ask for help when appropriate Before leaving, ask when to come in, who to pre-round on, and where to meet Ask for feedback once or twice a week Labor and Delivery Basics Gravidity and parity (Gs & Ps) Primips vs. multips Gestational age: preterm vs. term About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    26 min

  2. EPISODE 2

    Labor and Delivery Triage

    When a pregnant patient presents to triage, you need a systematic approach. In this episode, we cover the OB one-liner, the four essential triage questions, how to evaluate for labor and rupture of membranes, and when vaginal bleeding becomes a red flag. Show Outline: The OB One-Liner "This is a _ yr old G_ P_ @ _ wks GA here for ____." Example: This is a 34yo G3P2002 @ 38wks3days GA here for contractions Four Essential Triage Questions Contractions Leaking fluid Vaginal bleeding Fetal movement What Is Labor? – Cervical change and contractions Evaluating for ROM – Pooling, nitrazine (pH), ferning Vaginal Bleeding – In 2nd or 3rd trimester, worry about placental causes: abruption, previa, vasa previa Decreased Fetal Movement (DFM) – NSTs, BPPs, kick counts About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    23 min

  3. EPISODE 3

    Before Your First: Vaginal Delivery

    Your first vaginal delivery can be exhilarating and nerve-wracking all at once. This episode walks you through the cardinal movements of labor, how to assist with pushing, delivering the baby and placenta, managing bleeding, and what to expect in the immediate postpartum period. Show Outline: Cardinal Movements of Labor – Engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion Complete Dilation – Station assessment, labor down vs. push 2nd Stage: Pushing – Offer to help with maternal positioning (holding ankle/leg) Delivery – Downward traction on head, thumbs to nose, anterior shoulder, posterior shoulder, body. Skin to skin. Delayed cord clamping. 3rd Stage: Placenta – Active management, Pitocin, gentle cord traction. Three signs of placental detachment. Bleeding – Atony and uterotonic medications Lacerations – Degree classification and repair Postpartum – Fundal tenderness, lochia, voiding, breastfeeding About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    23 min

  4. EPISODE 4

    Before Your First: Cesarean Section

    Whether it's scheduled or called urgently during labor, the cesarean section is one of the most common surgeries you'll see on Ob/Gyn. This episode covers the indications, abdominal wall anatomy layer by layer, the key surgical steps from hysterotomy to closure, and how you can be the most helpful in the OR. Show Outline: Scheduled Indications – Repeat cesarean, hx of uterine surgery, abnormal placentation (placenta previa, vasa previa, accreta, etc.), malpresentation (not cephalic), multiple gestation In-Labor Indications – Arrest of dilation, arrest of descent, nonreassuring fetal heart tones, elective Anatomy – Layers of the anterior abdominal wall: skin, subcutaneous tissue, superficial fascia (Camper's, Scarpa's), external oblique, internal oblique, transversus abdominis, transversalis fascia, preperitoneal tissue, and peritoneum Key Surgical Steps Clear surgical field and adhesions, bladder flap Hysterotomy in the lower uterine segment (avoid lateral uterine vessels) Deliver baby with delayed cord clamping, deliver placenta Manage atony with same meds as vaginal delivery Possibly exteriorize uterus to see better – depends on scarring How to Be Helpful – Visualization! Bladder blade, suction, and clean with laps between sutures Closure Two-layer hysterotomy if future labor desired Peritoneum – optional, no evidence either way Muscle – do NOT close (risk of hematoma) Fascia – close! Key nerves: ilioinguinal, iliohypogastric Subcutaneous fat – close if >2cm depth Skin – staples, suture, or absorbable staples About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    26 min

  5. EPISODE 5

    Hypertension in Pregnancy

    Hypertensive disorders of pregnancy exist on a spectrum – from chronic hypertension to eclamptic seizures. This episode breaks down the classifications, blood pressure thresholds, antihypertensive options, severe features to watch for, and the HELLP syndrome. Show Outline: The Spectrum – Hypertension in pregnancy as one large continuum Blood Pressure Thresholds – Mild range: 140/90; Severe range: 160/110 Classifications – CHTN → SIPE (superimposed preeclampsia); gHTN → Pre-E (preeclampsia) BP Medications – Methyldopa, labetalol, hydralazine, nifedipine Severe Features – Severe-range BPs, neurologic symptoms, lab abnormalities HELLP Syndrome – Hemolysis, Elevated Liver enzymes, Low Platelets Eclampsia – Seizures in the setting of preeclampsia About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    24 min

  6. EPISODE 6

    Indications for a c-section during labor

    When does a laboring patient need a cesarean delivery? This episode covers the six key indications – from nonreassuring fetal heart tracings to cord prolapse – including the specific time criteria for arrest disorders and what fetal heart rate findings are the most concerning. Show Outline: Nonreassuring Fetal Heart Tracing – Category 2 remote from delivery; minimal/absent variability as the most significant predictor of fetal acidemia; Category 3 at any time is emergent delivery Failed IOL – Most commonly defined as 12–24hrs ruptured membranes on pitocin without active labor Arrest of Dilation – Must be in active labor (6cm+). Adequate contractions (IUPC with MVUs >200–250): no change over 4hrs. Inadequate or no IUPC: no change over 6hrs Arrest of Descent – Primip with epidural: 3hrs; without: 2hrs. Multip with epidural: 2hrs; without: 1hr Cord Prolapse – Emergency! Malpresentation – Breech, transverse, compound About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    16 min

  7. EPISODE 7

    Preterm Labor and PPROM

    Preterm labor and preterm premature rupture of membranes (PPROM) are critical diagnoses on L&D. This episode reviews the evaluation approach – from sterile speculum exam to fetal fibronectin – and the management protocols including magnesium for neuroprotection, betamethasone, tocolysis, and latency antibiotics. Based on ACOG Practice Bulletin #171. Show Outline: PTL/TPTL – Preterm (37wks) with cervical change Evaluation – SSE first: collect GC/CT cultures, FFN (no gel, blood, or semen), GBS, evaluate for rupture if needed. SVE for dilation/effacement changes. If tPTL Magnesium for neuroprotection (32wks to decrease CP rates) Betamethasone for fetal lung development PCN Tocolysis for the steroid window (48hrs) if 34wks (indomethacin if 32wks, nifedipine if 32+wks) IV fluids NICU consult PPROM – Preterm (37wks) with ruptured membranes. Confirm with pooling, nitrazine, ferning. If PPROM – Delivery at 34wks or at diagnosis if chorio/34+wks Latency antibiotics (Erythromycin/Azithromycin + Ampicillin × 2 days, then PO Erythro/Amoxicillin × 5 days) Magnesium, betamethasone, PCN NO tocolysis NICU consult About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    21 min
  8. Peripartum Fevers

    EPISODE 8

    Peripartum Fevers

    A fever during or after delivery triggers a critical differential. This episode covers the intrapartum workup – from epidural fevers to chorioamnionitis (Triple-I) – along with antibiotic regimens by PCN allergy status, and the postpartum fever mnemonic (the W's) to systematically identify the source. Show Outline: Intrapartum Fever Differential – Epidural fever (transient), DVT/PE (prolonged IOL or limited mobility), UTI, intraamniotic infection (with or without ROM) Chorioamnionitis / Triple-I Criteria One temp >39.0°C One temp 38.0–39.0°C plus risk factors Two temps >38.0°C 30+ mins apart Treatment – Ampicillin/Gentamicin until delivery. Tylenol prn, IVF for tachycardia, cooling blanket as needed. Mild PCN allergy: Ancef/Gent. Severe: Gent/Clinda or Gent/Vanc. After Vaginal Delivery – No evidence that continued abx postpartum provide benefit After C-Section – Add clindamycin to Amp/Gent. Continue at least 1 dose postpartum; clinical judgment on duration. Postpartum Fever Differential (The W's) Wind – PNA, atelectasis, URI Womb – Endomyometritis Wound – Infection, cellulitis Water – UTI, pyelo Walking – DVT/PE Weaning – Engorgement, mastitis Wonder drugs About the Speaker: Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators. Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.

    21 min
See All Season 1 (21)

4.9
out of 5
271 Ratings

About

Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn.  It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation! Email podcasts@procedureready.com with comments, questions, and episode ideas. ##Legal Disclaimer## The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates. The information in this podcast is for educational purposes only and is intended for medical professionals in training. It does not constitute medical advice or establish a doctor-patient relationship.

Information

  • Channel
    Med Ready
  • Creator
    Jennifer Doorey, MD, MS
  • Episodes
    21
  • Seasons
    1
  • Rating
    Clean
  • Copyright
    © 2022 Heroic Ventures, LLC dba MedReady
  • Show Website
    Procedure Ready: Ob/Gyn

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