Pregnancy Pearls

Dr. Plenty, is a double board-certified OB/GYN and high risk pregnancy expert. She's brilliant, well-researched with a great bedside manor.... but she is a little feisty and will "tell it like it is". Growing tired of seeing complications in pregnancy that could have been prevented, she wanted a way to help women empower themselves through knowledge so they can advocate for themselves. This quest to educate women birthed this podcast.

  1. Oct 8

    When in Doubt, Reach Out: Pregnancy Warning Signs You Shouldn’t Ignore

    Is this a normal pregnancy symptom—or should you call your doctor? You don’t have to figure it out alone. On this episode of Pregnancy Pearls, Dr. Nicole Plenty discusses how to recognize symptoms that deserve a call to your OB-GYN, an in-person evaluation, or emergency help. From bleeding and possible water breaking to contractions and changes in your baby’s movement, she explains why reaching out is part of protecting your health—not overreacting. Dr. Plenty also covers concerning headaches, vision changes, chest pain, difficulty breathing, fever, and other warning signs. She reminds listeners that some complications can develop after delivery, making it important to stay attentive to changes during the postpartum period, too. In this episode’s listener question, a patient at 32 weeks describes noticeably weaker and less frequent fetal movement but worries about the cost of a hospital visit. Dr. Plenty addresses those concerns while explaining why a few movements after a snack cannot replace an assessment when something feels different. Today’s pearl: You are not wasting anyone’s time by reporting a pregnancy warning symptom. Know your baby’s usual movement, keep your care team’s after-hours number handy, and follow the instructions specific to your pregnancy. Have a question or pregnancy experience to share? Email pregnancypearls@gmail.com. Find more shows like this on the Mean Ole Lion app. Follow, rate, comment, and share.

  2. Sep 24

    Too Soon? What to consider before the next baby.

    In this episode of Pregnancy Pearls, Dr. Nicole Plenty explains why pregnancy spacing matters and how the body continues recovering long after delivery. From rebuilding iron stores and balancing hormones to allowing the uterus and pelvic floor to heal, the time between pregnancies can affect both maternal health and the development of the next baby. Dr. Plenty discusses the potential risks associated with becoming pregnant again too quickly, including preterm delivery, low birth weight, placental complications and maternal anemia. She also explains why waiting too long may present additional concerns—and why many experts consider 18 to 24 months between delivery and conception an ideal range for women without age-related fertility concerns. But pregnancy planning is not one-size-fits-all. For women over 35, those approaching 40, patients who required fertility treatments or those hoping to conceive after a C-section, the conversation becomes more individualized. Dr. Plenty explains how medical history, fertility, previous pregnancy complications, emotional well-being and family support should all influence the decision. A 37-year-old listener who recently delivered her first child writes in with a deeply personal question: Should she wait the recommended 18 months, or begin trying sooner to preserve her chances of having the three children she and her husband have always wanted? Dr. Plenty walks through the questions that should guide that decision and reminds listeners that becoming pregnant sooner than planned does not mean they have done anything wrong. It may simply mean that additional monitoring is needed to support a healthy pregnancy. This episode’s clinical pearl: The best time for another pregnancy is not determined by the calendar alone. It is determined by your health, your fertility and your family’s overall goals. To submit a question or suggest a future topic, email PregnancyPearls@gmail.com. Find more shows like this on the Mean Ole Lion app. Visit: MeanOleLionMedia.com Follow Mean Ole Lion Media on Instagram: @MeanOleLionMedia Watch on YouTube: Mean Ole Lion Media TV Follow Pregnancy Pearls on Instagram: @Pregnancy_Pearls Follow Pregnancy Pearls on Facebook: @PregnancyPearls

  3. Sep 17

    May-Thurner Syndrome

    In this episode of the Pregnancy Pearls Podcast, host Dr. Pliny breaks down May-Thurner syndrome (iliac vein compression syndrome)—a condition that is frequently overlooked when evaluating leg swelling and blood clot risks in expectant mothers. Learn why anatomic compression of the left common iliac vein by the right common iliac artery creates a 'garden hose' pressure effect, why pregnancy unmasks these symptoms, and how to differentiate normal pregnancy swelling from a serious vascular concern. Key Topics Covered: Anatomy & Pathophysiology: What Mae Thurner syndrome is and how compression leads to sluggish blood flow, chronic venous hypertension, and deep vein thrombosis (DVT). Pregnancy Risk Factors: How hypercoagulability, increased clotting factors, vein dilation, and uterine pressure exacerbate clot risks. Prevalence & Symptoms: Why up to 1 in 5 adults have compression without knowing it, and key red flags such as persistent left-sided leg swelling, heaviness, pelvic discomfort, or recurrent DVTs. Diagnosis: Limitations of leg compression ultrasounds for high pelvic veins, and when to consider pelvic Doppler, MRI/MR venography, or postpartum CT venography. Treatment & Management: Safe anticoagulation in pregnancy (therapeutic vs. prophylactic Low Molecular Weight Heparin / Lovenox), avoiding contraindicated oral anticoagulants/warfarin, compression therapy, and postpartum stenting options. Listener Case & Clinical Pearl: Addressing persistent unilateral swelling and empowering patients and providers to advocate for further workup. Connect & Contact: Email: pregnancypearls@gmail.com Instagram: @pregnancy_pearls Facebook: @pregnancypearls

4.7
out of 5
37 Ratings

About

Dr. Plenty, is a double board-certified OB/GYN and high risk pregnancy expert. She's brilliant, well-researched with a great bedside manor.... but she is a little feisty and will "tell it like it is". Growing tired of seeing complications in pregnancy that could have been prevented, she wanted a way to help women empower themselves through knowledge so they can advocate for themselves. This quest to educate women birthed this podcast.

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