45 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!

Obgyno Wino Podcast Nathan Riley, MD

    • Medicine

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!

    Microdose D: Death Through Birth Through Death

    Microdose D: Death Through Birth Through Death

    With space, we pick ourselves up, in our new place - in some ways stronger, in some ways broken and in need of repair - and we move forward together, in love, through death, birth, and rebirth.

    www.nathanrileymd.com

    • 2 min
    Ep 40: Prevention of Infection After Gynecologic Procedures

    Ep 40: Prevention of Infection After Gynecologic Procedures

    Practice Bulletin #195 - Published June 2018

    Four pearls:
    1. Clean your hands, clean the skin, prep the vagina, treat remote infections and keep blood sugars controlled preoperatively to reduce infection rate.
    2. Antibiotic prophylaxis is indicated for all hysterectomies, open surgery, and D&C for abortion, but it's generally not indicated in other procedures unless there's risk of entry into the bowel or a communication made between the abdominal cavity and the vagina.
    3. Evidence is poor for antibiotic prophylaxis for indwelling foley or suprapubic catheters
    4. For patients with penicillin allergy, switch to cephalosporin if allergy is mild, switch to metronidazole (or clindamycin) plus gentamicin (or aztreonam) if allergy is severe or if history of anaphylaxis

    Shout-outs:
    - Julie Duhon and Haddie Katz, CPM are looking for an OB to help them open a birth center in Bloomington, IN (email: hellomidwife@gmail.com)

    SHOW NOTES

    This episode pairs nicely with the Lot 1 Bonanza Sauvignon by Chuck Wagner Wine. Main theme music by my main amigo, Evan Handyside

    • 1 hr 8 min
    Ep 39: Macrosomia

    Ep 39: Macrosomia

    Practice Bulletin #216 - Published January 2020

    Five pearls:
    1. Large babies come with a relatively higher risk to mom and baby, but absolute risks remain low.
    2. Shoulder dystocia is generally difficult to. predict, but in diabetic patients with large fetuses, the risk is significantly higher, especially if vacuum or forceps is attempted.
    3. Ultrasound is. notoriously inaccurate at predicting fetal weight (+/- 15%), and it's no better than using your hands or asking your patient to guess based on a previous pregnancy.
    4. Diet, insulin and exercise are helpful in preventing macrosomia.
    5. Inducing labor if fetus found to be macrosomic is not indicated. C-section reasonable if fetus measuring >4500 g in a diabetic patient or >5000 g in a non-diabetic patient

    Shout-outs:
    - Maryn Green, CPM (her podcast, on Twitter, Instagram)
    - Sunita Puri, MD (buy her book on Amazon)

    SHOW NOTES

    This episode pairs nicely with the 2014 Restitution Red Wine Blend from Magistrate Wines. Main theme music by my main amigo, Evan Handyside

    • 30 min
    Ep 38: Birth Beyond the Hospital

    Ep 38: Birth Beyond the Hospital

    SPECIAL EPISODE - Interview w/ Maryn Green, CPM (Instagram and Twitter)

    Five pearls:

    1. The desire from home birth often stems from a desire to follow our physiology as mammals and is particularly focused on mom and baby connection.
    2.  Listening to women and supporting them, no matter what they desire, is the work.
    3.  “Radical informed choice” is the way many midwives support women in making choices. They assess their own benefits and risks along with research, intuition and more.
    4.  Transparency is key in serving women.
    5.  The world is not black and white (e.g. home vs. hospital) in achieving the best birth outcome.

    Shout-outs:
    - Indie Birth Association
    - Maryn's home birth website
    - Milo Chavira, MD
    - Dr. Stu's Podcast (w/ Blyss Young, CPM)
    - Felicia Sokol, doula (Instagram)
    - Juli Anderson, CPM (Instagram)
    - Nick Capetanakis, DO (low intervention OB/GYN in Encinitas)
    - Madeline Murray, CPM of Believe in Midwifery
    - Rebecca Dekker, PhD (her book and blog, Evidence Based Birth)
    - Augustine Colebrook, CPM (Art of Birthing)
    - Nicole Morales, CPM (Facebook)

    SHOW NOTES

    This episode should be paired with the 2018 Macon-Villages Chardonnay from Louis Jadot. Main theme music by my main amigo, Evan Handyside

    • 59 min
    Microdose C: The Devaluation of Birth Has Led to a Devaluation of Women

    Microdose C: The Devaluation of Birth Has Led to a Devaluation of Women

    When society values women, women won't have to prove their worth...The queen bee will be honored for being the queen bee, and birth will once again be trusted and embraced, not feared.

    www.nathanrileymd.com
    @BeyondtheMD

    • 5 min
    Microdose B: Know Thy Patient

    Microdose B: Know Thy Patient

    As at the end of life, this must become a priority in our care for pregnant women: know thy patient.

    www.NathanRileyMD.com
    @BeyondtheMD

    • 4 min

Customer Reviews

bdenursenp ,

Grab a smoothie knifey

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

Mary immaculate ,

Informative but balanced

I am a postpartum nurse and breastfeeding counselor in Pittsburgh with hopes to pursue nurse midwifery graduate school soon. This podcast is so informative but also down-to-earth. It’s great to get so much knowledge packed into one episode but also have humor and understanding interwoven. As an RN it is interesting for me to see the “OB side” of things, since my interactions with them are usually so brief. I also want to thank Nathan for calling out the toxic culture that can exist among the OB specialty as well as on these units in hospitals in general; we need to start lifting each other up in support instead of following ego. Keep up the great work Nathan!

felilililililili ,

breath of fresh air !

I love this podcast so much. I am an NYC birth worker and Dr Riley is such a breath of fresh air. While he has loads of science at his MD disposal (much of which sometimes goes over my head) he has an abundance of open hearted wisdom to share. There needs to be more people like him in the MD world- who are willing to challenge the status quo of medicine, and look deeply (and ask questions) into what birth is really about. He’s curious and open and his topics and unique perspective are really interesting for me as a birth worker.

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