Partum the Interruption

Anyone who works on L&D or postpartum knows how debilitating a post dural puncture headache can be. But did you know PDPH is not the only cause of postpartum headache?   In this episode, Dr. M and Dr. Bhat systematically discuss the assessment, diagnostic criteria, and evidence to support treatment options for PDPH. Treatment options discussed are: - Conservative Management (IVF, caffeine, analgesics) - Abdominal Binders - Cosyntropin - Neostigmine/Atropine - Sphenopalatine & Greater Occipital Nerve Blocks - Intrathecal  Morphine - Intrathecal Catheters - Epidural Blood Patch Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

A wet tap or inadvertent dural puncture is one of the most disheartening and challenging complications for an anesthesiologist to manage. Do you try again? Thread an intrathecal catheter? Is a subsequent CSE or DPE safe? How do you tell the the patient? Listen to OB Anesthesiologists Dr. Amy Lee and Dr. M share their wet tap experiences and discuss the management options immediately following this common complication. Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Epidural failure is a common but frustrating challenge in obstetric anesthesia. In this episode, Dr. M & Vishal discuss management of a patient who is experiencing an inadequate epidural during labor. Learn how to assess patients with questionable epidural function, get quick answers, and fix the problem. Topics Covered: Risk factors for epidural failure Rapid diagnosis of poorly functioning epidurals Management options in a failing epidural The relationship between stage of labor & pain distribution Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Cesarean deliveries are commonly performed under neuraxial anesthesia, allowing the patient to remain awake and experience the birth of their child. This practice, when done well, is one of the great successes of modern medicine. Less commonly discussed are the long term psychological consequences when a patient experiences pain during a c section, especially when she isn't believed. Dr. M and former SOAP President Dr. Ruthi Landau discuss the role of the OB Anesthesiologist in cases of inadequate neuraxial blockade in patients undergoing cesarean delivery. Topics covered: Birth trauma & psychological effects of pain during cesarean delivery Pain vs Pressure Ways to optimize your neuraxial block Knowing when to convert to general anesthesia Following up with patients after a difficult cesarean delivery Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Learn how OB Anesthesiologists Dr. M & Dr. Delgado leverage different neuraxial techniques to achieve a reliable, fast and durable block, every time. Listen along as they discuss how to optimize epidural function in a patient undergoing a trial of labor following previous cesarean delivery, who has a history of obesity and difficult spinal placement. Topics Covered: Combined spinal-epidural Dural puncture epidural Straight epidural Analgesia for TOLAC Optimizing epidural function on the first try Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Postpartum Hemorrhage remains the leading cause of maternal mortality globally, and despite being well understood, its management can be chaotic and stressful. Learn a systematic approach to recognition and management of severe postpartum hemorrhage as Dr. M & Vishal discuss a case of unanticipated PPH in a patient presenting for cesarean delivery. Topics Covered: Risk factors for PPH Uterotonics & medical management of PPH Transfusion considerations specific to obstetric hemorrhage Blood products & blood product alternatives Complications of massive transfusion ⚠️ *Trigger warning*⚠️ This episode contains discussions around life threatening conditions in pregnancy. Follow us @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Have you heard of the gate control theory of pain? Did you know that epidurals are only one of many options for pain relief during labor? While epidurals provide the most complete and reliable form of pain relief, patients and providers should know which alternatives are safe and effective. In a Q&A style, Dr. M and experienced labor & delivery nurse Cher Buckley, RN, explore the benefits and drawbacks of the five most common forms of labor analgesia. Topics covered: Intravenous opiates Inhaled nitrous oxide Walking epidurals Regular epidurals Non pharmacologic options: TENS, sterile water injections, massage & the gate control theory of pain! Follow us @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)