54 episodes

Summaries of ACOG's Practice Bulletins recorded while the host guzzles booze and speaks too closely to the microphone. Each episode accompanied by comprehensive show notes, wine recommendations, and unsolicited advice. Pour yourself a glass, and come along, friend. Help us remain the reigning #1 OBGYN Podcast Ever Made! #DoNoHarmTakeNoShit

Obgyno Wino Podcast Nathan Riley, MD

    • Medicine
    • 4.8, 82 Ratings

Summaries of ACOG's Practice Bulletins recorded while the host guzzles booze and speaks too closely to the microphone. Each episode accompanied by comprehensive show notes, wine recommendations, and unsolicited advice. Pour yourself a glass, and come along, friend. Help us remain the reigning #1 OBGYN Podcast Ever Made! #DoNoHarmTakeNoShit

    Ep 47: Prelabor Rupture of Membranes

    Ep 47: Prelabor Rupture of Membranes

    Practice Bulletins #188 - Published January 2018

    1. Management recommendations in PROM/PPROM is dependent on gestational age:


    >37 0/7 wga => induction/augmentation
    34 0/7 - 36 6/7 wga => expectant management or induction/augmentation
    expectant management

    2. Diagnosis of  PROM is based on history and physical: pooling of fluid, pH of vaginal fluid, and ferning on microscopy.

    3. Indications for induction/augmentation for both PROM and PPROM include abnormal fetal testing, evidence of intra-amniotic infection, and vaginal bleeding suggestive of abruptio placentae.

    4. For PPROM (24 0/7 - 33 6/7 wga) --> antibiotics and steroids should be offered, and magnesium sulfate should be offered at 32 wga


    5. The diagnosis of periviable ROM is best followed up with careful counseling around the risks and benefits. It can be managed with induction or expectant management, which, after hospital assessment, can be provided via home care until viability

    Show Notes

    Wine pairing: 2019 Malbec from Espuela del Gaucho
    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 51 min
    Ep 46: Changing the Culture of Hospital-Based Birth

    Ep 46: Changing the Culture of Hospital-Based Birth

    SPECIAL EPISODE - Interview w/ Hermine Hayes-Klein, JD, and Brad Bootstaylor, MD, FACOG

    In this episode, we'll be discussing the problematic culture of hospital-based birth. We explore the physician-patient relationship, the responsibilities that come with the rights to informed consent and refusal of treatment, and how supercomputers in the hands of our patients have enabled them to view us as the enemy, and vice-versa. Most importantly, we discuss ways in which we may all begin to mend the physician-patient relationship in order to redirect the culture of hospital-based birth.

    Show Notes

    Wine pairing: 2017 Sauvignon Blanc from Psyche Wines
    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 1 hr 30 min
    Ep 45: Nausea and Vomiting of Pregnancy

    Ep 45: Nausea and Vomiting of Pregnancy

    Practice Bulletins #189 - Published January 2018

    Five pearls:
    1. The decision to treat should be informed by the woman’s perception of the severity of symptoms, her desire for treatment, and the potential effect of treatment on her fetus
    2. Use of prenatal vitamins 1 mo before fertilization may reduce incidence and treating nausea and vomiting of pregnancy (NVP) can prevent progression from NVP to hyperemesis gravidarum (HG)
    3. After dietary and nonpharmacologic options (e.g. ginger) have been tried, first-line pharmacotherapy entails trying vitamin B6 alone or vitamin B6 plus doxylamine
    4. Antithyroid drugs are not recommended for abnormal maternal thyroid tests attributable to gestational transient thyrotoxicosis or HG
    5 .Hospitalization for evaluation and treatment of dehydration and electrolyte imbalance is indicated when a woman can’t tolerate liquids without vomiting and hasn’t responded to outpatient management

    Show Notes

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

    • 42 min
    Ep 44: Midwifery is Under Attack

    Ep 44: Midwifery is Under Attack

    SPECIAL EPISODE - Interview w/ Elizabeth Catlin, CPM, Melissa Carman, CPM, and Hermine Hayes-Klein, J.D. 

    In this special episode, I speak with two midwives about their recently being arrested and charged with the "unauthorized practice of a profession" in the state of New York. They have served the Amish and Mennonites communities for years, and these charges are just another piece in the government's and medical profession's efforts to control a woman's right to choice in pregnancy and childbirth. We are joined by an attorney who specializes in human rights in childbirth.

    Show Notes

    Wine pairing: 2017 Merlot from Chalkboard Wines
    Theme music by Evan Handyside
    Logo design by JD Dotson (jddotson1@gmail.com)

    • 1 hr 13 min
    Microdose F: On My Departure From Hospital-Based Birth

    Microdose F: On My Departure From Hospital-Based Birth

    "Today is my final shift as an obstetrician. You'll find me breaking bread with the birth educators, doulas, witches, midwives, nurses, and other physicians who guide their patients to safety without failing to appreciate the beauty and majesty displayed by a birthing human."

    www.ObgynoWino.com

    • 12 min
    Ep 43: Prevention and Management of Alloimmunization in Pregnancy

    Ep 43: Prevention and Management of Alloimmunization in Pregnancy

    Practice Bulletins #181 and #192 - Reaffirmed in 2019

    Five pearls:
    1. Risk of alloimmunization is around 15% after 2nd delivery of an Rh positive fetus to an Rh negative mother; this risk is decreased dramatically with administration of postpartum RhoGam
    2. RhoGam is never indicated if both mom and dad are Rh negative or in women who are already sensitized (indirect coombs screen)
    3. The KB test can used to determine if excessive feto-maternal hemorrhage has occurred in order to guide RhoGam administration in less obvious cases such as abdominal trauma in pregnancy
    4. Alloimmunization can present as mild to severe anemia; if concerning antibodies are found, serial titers and/or peak systolic velocity of the middle cerebral artery ma be indicated
    5. "Kell kills"

    Show Notes

    SIGN UP FOR LOUISVILLE BREECH WORKSHOP!

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

    • 37 min

Customer Reviews

4.8 out of 5
82 Ratings

82 Ratings

krlem ,

Great review!

I am an OB/GYN in private practice in Texas. I am several years post oral boards so listening to your review of ACOG bulletins has been nice. As a typical type A, I had to start at the beginning and have made it to Episode 27 (vaginal breech) and look forward to catching up to current. I really loved episode 21- one of my favorites. I hope for more like 21 and 27, as they are a different perspective. Although the practice bulletins are necessary for basic practice, we have heard this info before. The things that come up in practice are the things not always in the bulletins!
Thanks for your hard work!
Krista Lemley, DO

Preggers45677432223 ,

Thank you!

I really enjoy your podcast! You don’t waste a lot of time and are very to the point.

bdenursenp ,

Grab a smoothie knifey

Best....line....ever in a podcast. “Grab a smoothie knifey.”

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