Podcasts about acog

How do you decide which noninvasive prenatal testing option is best for your patient, and when should you reach for single-gene NIPT? In this episode of BackTable Women's Health, host Dr. Nicole Faulkner interviews maternal-fetal medicine specialist Dr. Andrei Rebarber to break down the evolving world of prenatal genetic testing. They discuss the importance of pan-ethnic carrier screening, the clinical scenarios where single-gene NIPT is most useful, and how to navigate counseling and follow-up for a wide range of patients. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Naterahttps://www.natera.com/info/fetal-focus --- Timestamps 00:00 - Introduction04:43 - Prenatal Genetic Testing Basics07:10 - Larger Panel Screening Benefits10:49 - Defining Single-Gene NIPT14:51 - Counseling and Invasive Options18:26 - Accuracy Data and No Call Rate22:03 - Patient Acceptance of Test24:18 - When to Test and Screen26:13 - Counseling Carrier Results30:12 - In Utero Treatment 32:36 - Workflow for Generalists35:33 - How to Interpret Literature40:08 - Closing Remarks --- More about this episode Dr. Rebarber shares how witnessing in-utero transfusions for severe Rh disease inspired his career in OBGYN and maternal-fetal medicine, highlighting the importance of treating the fetus as a patient and the rapid growth of fetal therapy. The episode reviews ACOG-guided carrier screening for conditions like cystic fibrosis and hemoglobinopathies, the trend toward larger, pan-ethnic screening panels, and why carrier findings are common but true “double-carrier” couples are relatively rare. Dr. Rebarber also discusses the clinical utility of single-gene NIPT—a cell-free placental DNA test for select recessive conditions—especially when partner testing isn't possible or when patients wish to avoid invasive procedures. The conversation compares screening and diagnostic strategies, including CVS and amniocentesis, and provides practical insight into interpreting test performance and emerging research. --- Resources EXpanding Prenatal Cell Free DNA Screening Across moNogenic Disorders (EXPAND) https://clinicaltrials.gov/study/NCT06808880?tab=study --- BackTable Women's Health is the go-to podcast for gynecologists, gynecologic surgeons, and other healthcare professionals focused on women's health. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

Welcome back, everyone. Today we're diving into one of the most hotly debated topics in obstetrics- should we be treating preeclampsia without severe features with antihypertensive medications during expectant management? Now, if you've been following the literature- and our show, you know that the landmark CHAP trial changed the game for chronic hypertension in pregnancy. It showed us that targeting a blood pressure below 140 over 90 reduces serious maternal complications, without harming the baby. That was a big deal. But here's the thing, CHAP studied chronic hypertension. Then there was the CHIP trial- that also found that tight control of gestational hypertension and nonproteinuric chronic hypertension was also beneficial. These did not address preeclampsia without severe features, and yet, the ripple effects of that trial have sparked a global conversation about whether we should be extending those same treatment principles to women with preeclampsia who don't yet have severe features. And this is where it gets really interesting, because the guidelines don't agree. In the United States, ACOG and the Society for Maternal-Fetal Medicine still say: hold off on antihypertensives unless blood pressures hit the severe range at 160/110. But step outside the US, and you'll find the World Health Organization, the International Society for the Study of Hypertension in Pregnancy, FIGO, NICE, and Hypertension Canada all recommending treatment at 140 over 90, regardless of whether the diagnosis is chronic hypertension, gestational hypertension, or preeclampsia. So who's right? And more importantly what does this mean for the patient sitting in front of you right now, at 34 weeks, with a blood pressure of 150 over 95, some proteinuria, but no severe features? Today, we're going to break this down. We'll review the controversy, walk through the divergent guidelines, and most importantly talk about the real, practical implications that favor treating these patients during expectant management. Because when you're watching someone with preeclampsia, waiting for the right time to deliver, there's a strong argument that controlling their blood pressure isn't just reasonable…may be protective. So grab your coffee, settle in, and let's get into it.1. Society for Maternal-Fetal Medicine Statement: Antihypertensive Therapy For mild chronic Hypertension in Pregnancy-The Chronic Hypertension And Pregnancy Trial. American Journal of Obstetrics and Gynecology. 2022. Society for Maternal-Fetal Medicine; Publications Committee. 2. Preeclampsia. The New England Journal of Medicine. 2022. Magee LA, Nicolaides KH, von Dadelszen P.3. Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy.The Cochrane Database of Systematic Reviews. 2018. Abalos E, Duley L, Steyn DW, C.4. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement From the American Heart Association. Stroke. 2026. Miller EC, Bello NA, Chen PR, et al.5.Hypertension in Pregnancy: Diagnosis, Blood Pressure Goals, and Pharmacotherapy: A Scientific Statement From the American Heart Association. Hypertension. 2022. Garovic VD, Dechend R, Easterling T, et al.

Tylenol in pregnancy — safe or dangerous? In this myth-busting episode of MamaDoc BabyDoc, we break down the headlines, the fear, and the actual science behind acetaminophen use during pregnancy. We discuss what the FDA recently said, why the controversy exploded online, and what large medical organizations like ACOG are recommending right now. We dive into the studies linking Tylenol to autism and ADHD, explain the difference between association and causation, and talk about why fever treatment in pregnancy matters. Most importantly, we help pregnant patients understand how to make informed, evidence-based decisions instead of reacting to scary social media claims. If you've wondered whether Tylenol is truly safe during pregnancy, this episode gives you the facts — without the panic.

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Hyperemesis gravidarum (HG) represents the most severe end of the nausea and vomiting of pregnancy spectrum. It has a reported incidence of approximately 0.3–3% of pregnancies and is the most common cause of hospitalization in early pregnancy and the second most common cause of hospitalization in pregnancy overall. In June 2024, the ACOG published a Clinical Expert series summarizing the inpatient management of HG. In that guidance, it describes mirtazapine as an “alternative pharmacologic” option. How effective is this medication compared to ondansetron? A new study (published ahead of print on 12/30/25 and officially out June 2026), out of Denmark, sheds some new light on this medication. This trial is the first double-blind RCT comparing mirtazapine to ondansetron AND placebo. Although a BIG limitation of this study exists (which we will discuss), it does provide some interesting insights. Listen in for details.1. (ACOG CES) Clark, Shannon M. MD; Zhang, Xue MD; Goncharov, Daphne Arena MD. Inpatient Management of Hyperemesis Gravidarum. Obstetrics & Gynecology 143(6):p 745-758, June 2024. | DOI: 10.1097/AOG.00000000000055182. Ostenfeld, AnneDroogh, Marjoes et al.Mirtazapine or ondansetron for hyperemesis gravidarum. A randomized placebo-controlled trial. American Journal of Obstetrics & Gynecology, June 2026

We bring back the biggest takeaways from the ACOG ACSM, then move fast through the newest guidance and the newest hype shaping real OBGYN care. We focus on what the evidence actually supports, where practice still lags behind, and how “labels” can quietly push patients toward harm.• conference highlights including rural OBGYN access and what gets attention on the exhibit floor • vitamin K shot refusal trends and why late bleeding still matters weeks after birth • 2026 ACOG cervical cancer screening changes with primary HPV testing preferred for ages 30 to 65 • self-collected HPV screening and the systems needed to keep follow-up safe • why annual Pap testing and cytology-only strategies increase overdiagnosis and can miss HPV risk • postmenopausal bleeding workup shifting toward ultrasound plus endometrial biopsy up front • large baby induction data and why outcomes can worsen without neonatal benefit • third-trimester ultrasound screening performance and the real-world labeling effect • early proof-of-concept therapy for preeclampsia targeting sFlt1 removal to prolong pregnancy • hysterectomy duration and route as drivers of venous thromboembolism risk • laboring down claims from retrospective reports versus randomized trial findings • debunking physiologic third stage claims and reaffirming active management to prevent hemorrhage Be sure to check out thinkingaboutobgyn.com for more information, and be sure to follow us on Instagram.0:00 ACOG Meeting Takeaways And Rural Access3:58 Vitamin K Refusal And Newborn Bleeding6:37 Cervical Screening Moves Toward HPV14:48 Postmenopausal Bleeding Now Needs Biopsy20:00 Tylenol Data And Macrosomia Induction28:34 Ultrasound Labeling Effect And Liability Fears37:29 Removing sFlt1 To Buy Time40:14 Longer Hysterectomy Surgeries Raise VTE Risk42:14 Laboring Down Claims Versus RCT Reality49:59 Counseling Fatigue Without Ignoring Risk54:21 Third Stage Myths And Hemorrhage Prevention58:42 Evidence Literacy And Closing NotesFollow us on Instagram @thinkingaboutobgyn.

Genome-wide noninvasive prenatal testing (GW-NIPT) was introduced in 2015 and became widely available in 2019. Nonetheless, we are still learning more about this important prenatal screening test. In January 2026, the ACOG released a new PA on this, which we will also review in this episode. Our main publication ti review, however, will be the AJOG May 2026's systematic review and meta-analysis on the finding of “genome-wide” cfDNA discordant results and what this may mean for the pregnancy. Although rare, this may lead (over a third of cases) to some adverse perinatal issues. Listen in for details. 1. ACOG PA Jan 2026: Screening for Fetal Chromosomal Abnormalities2. AJOG May 2026: https://click.notification.elsevier.com/CL0/https:%2F%2Fwww.ajog.org%2Farticle%2FS0002-9378(25)00865-8%2Ffulltext%3Fdgcid=raven_jbs_etoc_email/1/0100019d9ec37d7b-c586438d-021a-4097-8db3-c158e6f97c9b-000000/Vq6ksekOuvTxcv8OEZZ2uBesCg_hG6qlhqU_BlCnAK4=452

Hey Doc,I just got back from ACOG and I'm still on a high!I went mainly to hear Michelle Obama speak and she did not disappoint. But what surprised me most was how deeply aligned her message was with everything I talk about here on Stethoscopes and Strollers.This wasn't some polished keynote speech full of inspirational fluff. It felt like sitting in on a private conversation between two accomplished Black women talking honestly about identity, confidence, womanhood, and what it takes to stay grounded in a world that constantly tries to tell women — especially Black women — who we should be.And the whole time I kept thinking:“Oh. This is exactly what I've been trying to help physician moms understand.”We talked about:Why confidence actually comes from knowing yourself deeplyHow long it can take to truly trust yourselfThe danger of shrinking your accomplishments to make other people comfortableWhy some people not connecting with you is not automatically a “you” problemHow motherhood and life transitions force you to confront who you really areThe importance of celebrating yourself unapologeticallyLearning to trust your knowing instead of overriding it with practicality or people-pleasingAlso… I found out Michelle Obama is 62 and now I need somebody to explain the sorcery immediately.Hearing someone at her level speak so openly about groundedness, self-trust, and identity felt incredibly validating. Especially as physician moms navigating careers, motherhood, marriage, leadership, ambition, and all the invisible expectations sitting on top of us every single day.If you've been questioning yourself…If you've been minimizing yourself…If you've been waiting for permission to trust your instincts…This conversation is for you.Press play, Doc.What did you think of the episode, doc? Let me know! Subscribe to ✨Stethoscopes and Strollers✨ on your favorite podcast platform so you never miss an episode.Apple Podcast | Spotify | YouTubeConnect with me: Website | Instagram | Facebook Join my Email list to get tips on navigating motherhood in the medical field.If you are going through a transition -- becoming a parent, leaving a job, figuring out how manage it all, schedule a strategy coaching session and get clarity and strategic next steps for the life and career you want.Strategy Coaching Session with Dr. Toya

Send us Fan MailPreparing your hospital bag for labor and delivery can feel overwhelming, especially when Pinterest lists make it seem like you need to pack your entire house. In this episode of The Birth Journeys Podcast®, labor and delivery nurse Kelly Hof breaks down what you actually need in your hospital bag, what the hospital already provides, and how to avoid overpacking during pregnancy.If you're a first-time mom wondering: What should I pack in my hospital bag?  What does the hospital provide after birth?  When should I pack my hospital bag?  What do I really need for labor and postpartum recovery?  What should I bring for baby? …this episode is for you.As a labor nurse with over a decade in obstetrics, Kelly shares a realistic, minimalist hospital bag checklist that helps moms feel more calm, organized, and prepared for labor, delivery, postpartum recovery, and bringing baby home.You'll learn: ✔️ What to pack in your hospital bag for labor and delivery ✔️ What NOT to pack ✔️ What hospitals typically provide postpartum ✔️ Hospital bag essentials for mom and baby ✔️ Postpartum recovery must-haves ✔️ Comfort items that actually make a difference during labor ✔️ How overpacking can increase stress and decision fatigue ✔️ A simple 5-step hospital bag packing planThis episode also covers the emotional side of birth preparation and why simplifying your hospital bag can help you feel more confident, grounded, and focused going into labor.Whether you're preparing for a hospital birth, creating your birth plan, or getting ready for postpartum recovery with a newborn, this episode will help you feel more prepared without the overwhelm.✨ Download Kelly's free Birth Plan Workshop at kellyhof.comSupport the showConnect with Kelly Hof, BSN, RNC-EFM

Hey Doc,I'm on my way to DC!My first home in this country. Howard. All of it.I'm going to ACOG's ACSM, our national meeting, which is funny, because I don't practice anymore.But this work I do with physician moms is rooted in the same transitions we see every day in medicine.Last year I went for physician wellbeing.This year, Michelle Obama is there, so… clearly I'm going.Also, it's my son's birthday weekend so I'm bringing the kids, there's a party, and yes—there will be a spa day.This episode is a little life update, a little reflection, and a reminder:You don't have to choose one version of yourself.Press play.What did you think of the episode, doc? Let me know! Subscribe to ✨Stethoscopes and Strollers✨ on your favorite podcast platform so you never miss an episode.Apple Podcast | Spotify | YouTubeConnect with me: Website | Instagram | Facebook Join my Email list to get tips on navigating motherhood in the medical field.If you are going through a transition -- becoming a parent, leaving a job, figuring out how manage it all, schedule a strategy coaching session and get clarity and strategic next steps for the life and career you want.Strategy Coaching Session with Dr. Toya

What if the test meant to reassure you… could actually miss cancer?Bleeding after menopause is often the first—and sometimes only—warning sign of uterine cancer, yet new evidence shows the way we've been evaluating it may not be enough. In this must-listen episode, Dr. Stephanie Hack, MD, MPH breaks down the latest ACOG guidelines that are reshaping care, explaining why ultrasound alone can miss serious disease and what should happen instead.If you've ever been told “everything looks normal,” or you care about a woman who has—this episode could change what happens next.REFERENCESACOG Clinical Practice Update (2026): Updated Guidance Regarding the Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Individuals With Postmenopausal BleedingAmerican Cancer Society: Endometrial Cancer Statisticshttps://www.cancer.org/cancer/types/endometrial-cancer/about/key-statistics.htmlAACR (American Association for Cancer Research): Uterine Cancer Projectionshttps://www.aacr.org/about-the-aacr/newsroom/news-releases/u-s-uterine-cancer-incidence-and-mortality-rates-expected-to-significantly-increase-by-2050/NCBI/StatPearls: Endometrial Cancer Overviewhttps://www.ncbi.nlm.nih.gov/books/NBK525981/

(From our Instagram Video Post): A very quick recap of the brand new ACOG Cervcial Caner Screening Update from April 24, 2026.

The ACOG recommends a multimodal approach to postoperative pain that includes nonsteroidal NSAIDs, acetaminophen, and opioids. Ketorolac is a favored NSAID for postop pain control. However, the optimal dose of ketorolac after cesarean delivery has not been determined. In this episode, we will summarize a brand new randomized, controlled, single-blind trial of pregnant women undergoing cesarean delivery under regional anesthesia at a large academic medical center between June 2022 and October 2023. Enrolled participants were randomized to receive an initial loading dose of 60 mg (intervention) or 30 mg (control) of intravenous ketorolac in the operating room at the end of surgery.1. Pharmacologic Stepwise Multimodal Approach for Postpartum Pain Management: ACOG Clinical Consensus No. 1. Obstetrics and Gynecology. 2021.2. Gestational Hypertension and Preeclampsia: ACOG Practice Bulletin, Number 222. Obstetrics and Gynecology. 2020.3. Eid, Joe MD; Caplan, Madeleine MD; Goel, Nidhi MD; Poirier, Marie-Veronique MD; Montaine-O'Brien, Skyler MS; Rood, Kara M. MD; Costantine, Maged M. MD. Two Perioperative Ketorolac Dosing Regimens After Cesarean Delivery and Opioid Use: A Randomized Controlled Trial. O&G Open 3(2):e159, April 2026. | DOI: 10.1097/og9.0000000000000159

Send us Fan MailYou've heard “30 seconds,” “a few minutes,” or “wait until it stops pulsing”… but how long should you actually delay cord clamping?In this episode, we break down what the research shows, what current guidelines from American College of Obstetricians and Gynecologists and American Academy of Pediatrics recommend, and why more time isn't always more beneficial.You'll learn: ✔️ Why at least 60 seconds is the evidence-based baseline ✔️ How placental transfusion works after birth ✔️ The real benefits for term and preterm babies ✔️ When delayed cord clamping may not be safe ✔️ How to communicate your preferences with your providerWe also cover cord blood banking, cord milking, and how to make a decision that aligns with your values.This episode will help you move from confusion to clarity—so you can feel confident in what matters most for you and your baby. Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly Hof, BSN, RNC-EFM

In the February 2026 episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss high-risk otologic infections and thrombocytopenia. As always, you'll also hear about the hot topics covered in the regular features, including a man with chest pain and palpitations in The Critical ECG, a child with chronic constipation in Clinical Pediatrics, elbow fracture-dislocation in Critical Cases in Orthopedics and Trauma, ultrasound-guided calcific tendinitis barbotage and lavage in The Critical Procedure, ACOG 2024 guidelines on Rh D immune globulin prophylaxis in The Literature Review, a young man with numbness and falls in The Critical Image, eptinezumab for migraine prevention in adults in The Drug Box, and metformin toxicity in The Tox Box.

Send us Fan MailContractions don't just hurt—they can trigger a full-body stress response. Many moms instinctively tense up, hold their breath, or make high-pitched sounds, which can push the nervous system into fight-or-flight and make labor feel more intense and harder to manage.In this episode, we break down the science of labor breathing techniques and vocalization in childbirth, and how small shifts in your breath and voice can help you stay calm, grounded, and more in control during contractions.You'll learn how longer exhales support the parasympathetic nervous system, why oxytocin flows best when you feel safe, and how stress hormones like adrenaline can increase tension, fatigue, and pain perception in labor.We also get very practical with coping techniques for labor, including: • Low, grounded vocalization (humming, “oooh,” “ahhh,” or deep sounds) • How to use your voice to relax your body and reduce tension • What to do when deep breathing feels impossible during strong contractions • Short inhale + long exhale strategies to stay regulated • Lip trills (“horse lips”) to prevent breath holding and release jaw tensionThese are simple, effective tools you can practice before labor so they feel natural when you need them most.If you're preparing for birth and want natural pain management techniques, breathing strategies, and mindset tools that actually work during labor, this episode will give you a new way to approach contractions.✨ Subscribe, share this with a pregnant friend, and leave a review if it helped you feel more prepared.

A Podcast from Obstetrics & Gynecology highlighting the latest research and practice updates in the field. This episode features an interview with Drs. Rose L. Molina and Yvonne Butler Tobah, collaborators on "ACOG Committee Statement No. 25: Advocating for Safe and Equitable Obstetric and Gynecologic Care for Immigrants."

In this episode of Healthy Mom, Healthy Baby Tennessee, Dr. Connie Graves and Dr. Lynlee Wolfe explore the critical role of patient event debriefs in perinatal care, with a particular focus on women with cardiac conditions during pregnancy. They discuss what a clinical debrief is, how it differs from informal feedback, and why structured debriefs are essential for improving team performance and patient safety. The conversation also touches on the emotional well-being of providers following adverse events, the emerging practice of patient-centered debriefs, and how simulation training has long modeled effective debriefing. A real-world example illustrates how a debrief led to a meaningful system change that directly improved care for future cardiac patients.Key TakeawaysA clinical debrief is a structured, team-based conversation held after any clinical event — positive or negative — with the goal of identifying what went well, what could be improved, and what actionable system changes should follow.Women with cardiac conditions face heightened risks throughout pregnancy, labor, and the postpartum period, making regular and structured debriefs especially critical in their care.Debriefs differ from informal feedback in that they are structured, team-wide, and designed to maintain psychological safety by preventing blame, hierarchy, and emotion from dominating the discussion.Anyone on the care team can facilitate a debrief — the key is establishing a blame-free, improvement-focused environment where all voices are equally valued.Using a structured debrief form — whether from ACOG, AIM, SMFM, or a unit-developed version — is essential for keeping discussions on track, brief (typically five to ten minutes), and productive.Debriefs play a meaningful role in supporting provider well-being by addressing the "second victim" phenomenon, helping team members process difficult events without internalizing blame.Patient-centered debriefs, while not yet standard practice, are an emerging tool for addressing birth trauma and validating patient experiences following adverse events.Simulation training has long demonstrated the power of post-event debriefs, and clinical teams can draw directly from that model to strengthen real-world learning and outcomes.A real-world example showed that a single debrief following a cardiac patient's ICU admission led to a lasting system change — a dedicated, accessible location for patient care plans — that improved safety for all future patients.Quotable Moments"The process of doing a debrief is you go through an event. It can be a good event. It can be a bad event, a critical event, an adverse event. There's some clinical event that occurs and the team feels like it's time to sit down and discuss what happened." — Dr. Lynlee Wolfe"Everybody thinks pregnancy is not really a medical condition, but we all know it is a medical condition and there are definitely things that can happen." —Dr. Lynlee Wolfe"When we perform that debrief, we're trying to make sure everybody's input is taken and you do it in a non-punitive, non-blame-free environment." — Dr. Lynlee Wolfe"The purpose of the debrief is quality improvement. It's emotional processing. It is not blame. It is not to find mistakes or evaluate personal performance." — Dr. Lynlee Wolfe"We work as a team. We win as a team. We lose as a team. Everything's a team effort, especially on our labor and delivery units." — Dr. Lynlee Wolfe"The debrief is really that learning point. And as in that simulation cycle that solidifies knowledge and helps improve outcomes overall and long term." — Dr. Lynlee Wolfe"The best one is the one that you know you will use on a regular basis." — Dr. Lynlee Wolfe"What somebody feels is what they feel. So we need to validate and then help process through that rather than explain to them, no, this is actually what happened." — Dr. Lynlee Wolfe"There was a care plan in there. It did talk about fluid management and how we should be careful because even though she's physically stable at that moment, her ejection fraction was not at a point where we really needed to push anything." — Dr. Lynlee WolfeShow Notes by Barevalue.No content or comments made in any TIPQC Healthy Mom Healthy Baby Podcast is intended to be comprehensive or medical advice. Neither healthcare providers nor patients should rely on TIPQC's Podcasts in determining the best practices for any particular patient. Additionally, standards and practices in medicine change as new information and data become available and the individual medical professional should consult a variety of sources in making clinical decisions for individual patients. TIPQC undertakes no duty to update or revise any particular Podcast. It is the responsibility of the treating physician or health care professional, relying on independent experience and knowledge of the patient, to determine appropriate treatment.

Send us Fan MailPostpartum isn't just physical recovery after birth, it's the beginning of becoming a mother. In this episode, we talk about what postpartum really feels like and why so many women feel overwhelmed, anxious, or unlike themselves after having a baby.If you felt prepared for birth but unprepared for postpartum, you are not alone. Many new moms experience intense changes, including hormone shifts, sleep deprivation, and pressure to feel confident. This can lead to thoughts like “something is wrong with me,” which often fuels anxiety, self-doubt, and shame.We break down the difference between normal postpartum adjustment and signs of postpartum anxiety or postpartum depression, including persistent worry, intrusive thoughts, hopelessness, or feeling disconnected, and when to seek support.We also introduce matrescence, or “the birth of a mother,” to explain the rapid identity shift that affects your body, emotions, relationships, and sense of self.You will learn simple tools to manage overwhelming moments, including grounding techniques, breathwork, and understanding emotional waves.Whether you are pregnant or navigating life with a newborn, this episode will help you feel more informed, supported, and confident.Keywords: postpartum recovery, postpartum anxiety, postpartum depression, matrescence, new mom, life after baby, birth preparation Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly Hof, BSN, RNC-EFM

Neuraxial analgesia (epidural or spinal) combined withtocolytic therapy is the pain control method that best increases the success rate of external cephalic version (ECV), according to the ACOG's PB 221. However, some patients may be reluctant to use regional anesthesia and may askabout IV analgesia. A new study in the AJOG (released as an ePub on March 5, 2026) provides some insights that may be helpful for patient consultation. These investigators compared the success of external cephalic version, modes of delivery, maternal pain, and complications using three strategies: intravenous analgesia with remifentanil, epidural anesthesia, and a stepwise approach in which epidural anesthesia was administered only if intravenous analgesia was unsuccessful. Listen in for details.1.     ACOG PB 2212.     Aiartzaguena, Amaia et al. Comparativeeffectiveness of intravenous remifentanil, epidural anesthesia and a two-stepanalgesic approach for external cephalic version: a large prospectivesingle-center cohort study. American Journal of Obstetrics & Gynecology,Volume 0, Issue 03.     Hao Q, Hu Y, Zhang L, et a l. A SystematicReview and Meta-Analysis of Clinical Trials of Neuraxial, Intravenous, andInhalational Anesthesia for External Cephalic Version. Anesthesia andAnalgesia. 2020. 4.     Wilson MJA, MacArthur C, Hewitt CA, et al.5.     Intravenous Remifentanil Patient-ControlledAnalgesia Versus Intramuscular Pethidine for Pain Relief in Labour (RESPITE):An Open-Label, Multicentre, Randomised Controlled Trial. Lancet. 2018.

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The ACOG 2025 guideline specifically recommends either oral or vaginal misoprostol for cervical ripening; it does not include buccal administration among its endorsed routes. With the rising rates of both obesity and labor induction, understanding the optimal agents for induction in obese patients is crucial. In a new study released ahead of print on March 4, 2026, in the AJOG, investigators from Indianapolis released findings from a secondary analysis of the IMPROVE trial (2019, AJOG) looking at the effect of obesity on buccal vs vaginal doses of misoprostol for cervical ripening. Listen in for details.1. Haas DM, Daggy J, Flannery KM, Dorr ML, Bonsack C, Bhamidipalli SS, Pierson RC, Lathrop A, Towns R, Ngo N, Head A, Morgan S, Quinney SK. A comparison of vaginal versus buccal misoprostol for cervical ripening in women for labor induction at term (the IMPROVE trial): a triple-masked randomized controlled trial. Am J Obstet Gynecol. 2019 Sep;221(3):259.e1-259.e16. doi: 10.1016/j.ajog.2019.04.037. Epub 2019 May 7. PMID: 31075246; PMCID: PMC7692024.2. ACOG July 2025: Cervical Ripening in Pregnancy, ACOG Clinical Practice Guideline No. 93. Bynarowicz, Taylor M. et al. The impact of body mass index on misoprostol dosing for labor induction: a comparison of vaginal and buccal dosage formsAmerican Journal of Obstetrics & Gynecology, Volume 0, Issue 0: https://www.ajog.org/article/S0002-9378(26)00126-2/fulltext4. Etrusco A, Sfregola G, Zendoli F, et al. Effect of Maternal Age and Body Mass Index on Induction of Labor Using Oral Misoprostol in Late-Term Pregnancies: A Retrospective Cross-Sectional Study. Gynecologic and Obstetric Investigation. 2024. 5. Prostaglandin Versus Mechanical Dilation and the Effect of Maternal Obesity on Failure to Achieve Active Labor: A Cohort Study.6. Beckwith L, Magner K, Kritzer S, Warshak CR. The Journal of Maternal-Fetal & Neonatal Medicine : The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians. 2017.

Dr. Mary Rosser, obstetrician gynecologist and director of Fazzalari Women's Health at NewYork-Presbyterian The One and Columbia, joins us to explain how the endocrine system functions and how external chemicals can disrupt hormonal signals that influence metabolism, fertility, cancer risk, and long-term health. She details the most common sources of endocrine disruptors — including plastics, personal care items, cleaning products, and pesticides — and shares clear, manageable strategies for reducing everyday exposure. Dr. Rosser's guidance empowers listeners to make small, sustainable changes that can help protect hormonal well‑being.   Chapters: 00:00:00 — Understanding Hormones and Endocrine Disruptors 00:05:01 — Health Effects Linked to Endocrine Disruptors 00:09:55 — Everyday Sources and How to Reduce Exposure 00:17:28 — Can the Body Recover? Practical Steps and Final Takeaways   Key Topics Covered What hormones are and how the endocrine system works What endocrine disruptors are and how they interfere with hormone signaling How endocrine disruptors enter the body (skin, food, air) Health impacts: metabolism, fertility, cancer risk, and chronic conditions Common sources of disruptors (plastics, BPA, phthalates, cosmetics, cleaning products, pesticides, microplastics) Practical ways to reduce exposure in daily life How to monitor hormone health and when to talk to a doctor The body's ability to recover once exposure is reduced   Takeaway Message This episode empowers listeners to understand how everyday chemicals can interfere with the body's delicate hormonal system — and shows that small, practical changes in the products we use and the foods we choose can meaningfully reduce exposure.   Expert Guest Dr. Mary L. Rosser, M.D., Ph.D., NCMP is an obstetrician gynecologist and the director of Fazzalari Women's Health at NewYork-Presbyterian The One and Columbia. She is the Richard U. and Ellen J. Levine Assistant Professor of Women's Health (in Obstetrics and Gynecology) at Columbia University Vagelos College of Physicians & Surgeons. She joined the faculty of Obstetrics and Gynecology at Columbia University in April 2018 to provide routine gynecology care and to further develop a comprehensive well-woman program. She has been a practicing obstetrician gynecologist for more than 20 years, starting in private practice and then joining the faculty at Montefiore Medical Center in Bronx, NY. While at Montefiore, she created, launched, and led the forty-person Division of General Obstetrics and Gynecology. Dr. Rosser received her undergraduate degree at Emory University and a Ph.D. in Endocrinology at the Medical College of Georgia. She attended Wake Forest University School of Medicine and completed her residency at Emory University. She is also a NAMS Certified Menopause Practitioner, able to provide high-quality care for patients at menopause and beyond. Primary care and heart disease in women have always been areas of focus for Dr. Rosser. She conducted basic science research on heart disease during graduate school and was the Chair of the "Women & Heart Disease Physician Education Initiative" for District II of the American College of Obstetrics & Gynecology. She continues to conduct clinical studies around patient awareness and understanding of heart disease and well-woman care. Dr. Rosser serves on the Medical Leadership Team of the Go Red for Women movement of the American Heart Association and she is ACOG's liaison to the American College of Cardiology.  

Send a textHow do you mentally prepare for labor — not just physically, but emotionally?Many pregnant women spend months creating a birth plan and learning about labor positions, breathing, and hospital policies. But one of the most important parts of childbirth preparation is often missing: how you show up for the experience of labor itself.In this episode of The Birth Journeys Podcast, labor and delivery nurse Kelly Hof, BSN, RNC-EFM, shares a powerful conversation with mentor Neri Life Choma, veteran childbirth educator, doula trainer, and founder of the Birth Coach Method.Together they explore the inner game of childbirth — the mindset and internal motivations that help mothers navigate the intensity of labor with confidence instead of fear.Birth is often described as “natural,” but that message can be misleading. Like running a marathon, childbirth is an intense physical and emotional experience that benefits from intentional preparation and nervous system training.In this episode you'll learn:• Why natural childbirth is often misunderstood • The difference between external and internal motivations in birth • How fear affects both medical teams and birthing mothers • Why childbirth preparation goes beyond information and birth plans • How prenatal coaching helps mothers work with their bodies during laborIf you're pregnant and preparing for birth, this conversation will help you think about labor preparation in a completely new way.Connect with Neri Life Choma at https://birthcoachmethod.com/ Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly Hof, BSN, RNC-EFM

Send a textPreparing Your Older Child for Labor and a New BabyIf you're pregnant with baby number two (or more) and wondering how to prepare your older child for labor, the hospital, and life with a new sibling — this episode is for you.What happens to your toddler when labor starts? What if childcare falls through? Should your older child come to the hospital? How do you prevent sibling jealousy after baby arrives?As a labor and delivery nurse and mom of two, I walk you through how to prepare your older child for labor in a way that feels calm, realistic, and emotionally safe — for both of you.In this mini-episode, we cover:• How to create a clear labor childcare plan • What to do if labor starts unexpectedly • How to talk to your child about birth in age-appropriate language • Whether siblings can be present during labor or in the hospital • The most important thing to do when your older child meets the baby • How to reduce sibling jealousy after bringing baby home • Simple ways to help your older child feel included without pressure • How to handle regression, clinginess, or big emotions postpartumYou'll learn practical strategies supported by pediatric and child mental health guidance to help your older child adjust to a new baby without guilt, chaos, or heartbreak.Preparing siblings for a new baby isn't about forcing excitement. It's about building emotional safety, predictability, and connection before labor begins — so everyone feels more secure when the family grows.If you'd like the notes from this episode, including simple scripts and a checklist you can use, visit the show notes or follow the link in the description. Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly Hof, BSN, RNC-EFM

Neither the ACOG nor SMFM recommend strict bed rest for preterm birth prevention, or nor preeclampsia. Yet tradition often conflicts with evidence. A prior 2009 survey of MFM specialists, published in the AJOG, on the use of bed rest revealed that 71% used activity restriction in their practice for arrested preterm labor, despite the majority believing it had minimal or no benefit. The authors concluded, “Because most obstetricians in our survey indicated they would prescribe bed rest believing it was associated with minimal or no benefit, it is possible that even if a randomized, prospective trial showed no benefit associated with bed rest, it would still remain a common recommendation.” This brings us to a brand new publication from the Green Journal which is an ancillary study of two randomized trials of preterm birth prevention in women with a short cervical length. These authors sought to evaluate the amount of physical activity in patients at high risk for preterm birth and pregnancy latency and preterm birth. What did they find? It is a bit shocking. Listen in for details.1. Fox, Nathan S. et al. The recommendation for bed rest in the setting of arrested preterm labor and premature rupture of membranes. American Journal of Obstetrics & Gynecology, Volume 200, Issue 2, 165.e1 - 165.e6 https://www.ajog.org/article/S0002-9378(08)00909-5/fulltext2. Sciscione, Anthony C. DO; Booker, Whitney A. for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal-Fetal Medicine Units (MFMU) Network, Bethesda, Maryland. Activity Restriction in Pregnancy and the Risk of Early Delivery: The AWARE Study. Obstetrics & Gynecology ():10.1097/AOG.0000000000006225, February 19, 2026. | DOI: 10.1097/AOG.0000000000006225 https://journals.lww.com/greenjournal/pages/articleviewer.aspx?year=9900&issue=00000&article=01460&type=FulltextVisit our SPONSOR's Webpage for information on the Hemorrhage View C-Section Drape: www.perspectivemedical.org

Gestational diabetes (GDM) is one of the most common reasons families are advised to plan for an early birth. But what does the evidence actually say about induction for GDM? Does it lower the risk of Cesarean? Prevent big babies? Reduce stillbirth? Or does the timing matter more than the induction itself? In this episode, Dr. Rebecca Dekker and Dr. Morgan Richardson Cayama walk through the updated research on induction for gestational diabetes. You'll learn how outcomes differ before 39 weeks, between 39–40 weeks, and after 41 weeks, and why blood sugar control (diet-controlled versus medication-controlled GDM) can change the conversation entirely. They also review what major professional organizations recommend and discuss the role of extra fetal monitoring in the third trimester. Most importantly, they talk about informed consent, respectful maternity care, and how to navigate conversations if you're feeling pressure to schedule an induction. (00:02:40) Background & research update (00:05:34) What is GDM? Risks & induction rates (00:08:34) Research challenges & study limitations (00:15:36) Timing of birth: 38, 39, 40+ weeks (00:19:26) Big babies & health risks (00:24:27) Professional guidelines (ACOG, NICE, SOGC) (00:27:14) Birth before 41 weeks: common recommendation (00:27:54) Extra fetal monitoring in late pregnancy (00:32:49) Navigating pressure & informed consent View the full list of references here. Resources Read the updated Evidence on: Induction for Gestational Diabetes: ebbirth.com/inducingGDM Get the free respectful care handout: ebbirth.com/369 Grab your Pocket Guide to Labor Induction here. EBB 370 - Updated Evidence on Diagnosing Gestational Diabetes

No episódio de hoje do Check-up Semanal, o Dr. Ronaldo Gismondi, editor-chefe médico do Portal Afya e do Whitebook, comenta os principais destaques recentes em Ginecologia e Obstetrícia, com foco em terapia hormonal na menopausa, decisões no segundo estágio do parto, analgesia para inserção de DIU, impacto dos miomas intramurais na FIV e abordagem diagnóstica do hCG positivo.Leia na íntegra os artigos mencionados hoje:Atualização Cochrane 2025 sobre terapia de reposição hormonal na pós-menopausaParto vaginal operatório X cesárea no período expulsivo: qual a opção mais seguraEficácia e segurança de anestésicos tópicos na inserção de DIUMiomectomia em miomas intramurais antes da FIV: o que dizem as evidências atuais?Novo Consenso Clínico do ACOG sobre avaliação do hCG

The ACOG states that, “Iron deficiency anemia during pregnancy has been associated with an increased risk of low birth weight, preterm delivery, and perinatal mortality and should be treated with iron supplementation in addition to prenatal vitamins. In addition, there may be an association between maternal iron deficiency anemia and postpartum depression, with poor results in mental and psychomotor performance testing in offspring”. Screening for anemia is included in most prenatal lab sets. However, up to 42% of women who enter prenatal care are iron deficient BEFORE anemia is detected. Iron deficiency itself, even without anemia, has also been linked to pregnancy morbidity. The ACOG currently does not have a statement endorsing universal ferritin screening in pregnancy outside of established anemia, but new data is challenging this (Jan 2026, Lancet). Listen in for details. 1. ACOG PB 2332. Wasim T, Bushra N, Nasrin T, Humayun S, Tajammul A, Khawaja KI, Irshad S, Fatima S, Yasin A, Zamora J, Cano-Ibáñez N, Fernandez-Felix BM, Khan KS; Ferritin screening and iron treatment for maternal anaemia and fetal growth restriction prevention (FAIR) Study Group. Intravenous iron for non-anaemic iron deficiency in pregnancy: a multicentre, two-arm, randomised controlled trial. Lancet Haematol. 2026 Jan;13(1):e22-e29. doi: 10.1016/S2352-3026(25)00315-1. PMID: 41482443.3. https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2024.15196

In this episode, we welcome Catrina Bubier, MD, an OB/GYN physician and member of Copic's Board of Directors. Dr. Bubier details her experience with a serious hand injury that temporarily sidelined her from surgical practice. She shares how the injury and subsequent surgeries impacted her ability to work, her relationships with practice partners, and her finances. Dr. Bubier discusses the importance of disability insurance, the emotional challenges of facing a potential end to her career, and the value of planning ahead for unexpected life events. The episode also touches on her advocacy work with ACOG and offers practical advice for physicians on preparing for disability, understanding employment contracts, and building financial resilience.  Feedback or episode ideas email the show at wnlpodcast@copic.comDisclaimer: Information provided in this podcast should not be relied upon for personal, medical, legal, or financial decisions and you should consult an appropriate professional for specific advice that pertains to your situation. Health care providers should exercise their professional judgment in connection with the provision of healthcare services. The information contained in this podcast is not intended to be, nor is it, a substitute for medical diagnosis, treatment, advice, or judgment relative to a patient's specific condition.

Episode 277-Three-Round Burst of GOFU’s Also Available OnSearchable Podcast Transcript Gun Lawyer — Episode Transcript Page – 1 – of 11 Gun Lawyer — Episode 277 Transcript SUMMARY KEYWORDS GOFUs, New Jersey gun laws, vampire rule, sensitive places, unlawful possession, pretrial detention, federal injunction, carry permit, gun transport, Second Amendment, gun rights, legal advice, gun ownership, gun regulations, gun safety, gun culture. SPEAKERS Speaker 2, Evan Nappen, Teddy Nappen Evan Nappen 00:17 I’m Evan Nappen. Teddy Nappen 00:19 And I’m Teddy Nappen. Evan Nappen 00:21 And welcome to Gun Lawyer. So, you know our show here, one of the things that is very, very famous about our show are GOFUs. And GOFUs, as my listeners know, are Gun Owner Fuck Ups. The idea with GOFUs is these are real cases, actual things that happened. They are expensive lessons that people learn, and that you, the listener, get to learn for free. And of course, we always do the GOFU at the end of the show, whatever this week’s GOFU may be. But suddenly I’ve been pounded with GOFUs, and they’re very important. And I said, you know what? We’re going to do a three round burst here of some really important GOFUs, including what I want to begin with by telling you about this actual case. It illustrates just how insane New Jersey is and what every law-abiding gun owner could, in fact, face. Evan Nappen 01:32 Of course, I’m not using any names, but this is an actual situation that occurred. And some things, looking at the situation that the, and not just necessarily a mistake that the gun owner did, but something that hit me as extremely important for every New Jersey gun owner to make sure they do. There’s a very simple thing that is very important that could be critical between whether or not they hold you in jail or release you. We’re going to get to that from this story so you’ll learn this secret, so that you don’t end up in this GOFU situation. Spending days or weeks incarcerated for nothing, because that’s what the Gulag does, as you know. This is a case that wraps it all up into that. Evan Nappen 02:39 So, here’s this guy who comes into New Jersey, and he’s at a mall. Now, as you may know, the mall is not, in and of itself, a sensitive place, right? Those of us who have familiarized ourself, which hopefully all of you have, with these “sensitive places”. A mall is not, per se, a sensitive place. Now, there can be rules regarding malls where they say, hey, no guns in the mall. We don’t want guns, you know. And any Page – 2 – of 11 private property, whether open to the public or not, can have a prohibition privately saying we don’t want any guns here. In the same way they could say, we don’t want any dogs. We don’t want any bare feet. You know, things like that. The property owner has certain control. But if there is such a sign, if there is such a statement by a property owner, then if you come on to that property and they don’t want you on that property for a reason such as that. They can’t say, hey, we don’t allow minorities on our property. You know, they can’t. You can’t have racial discrimination in a place open to the public. But you can have other restrictions. Evan Nappen 04:07 Now, I happen to personally think that firearms should be viewed as a civil right and in the same category as discrimination, because it is a civil right. But that’s not currently how the law is. So, if a private entity prohibits gun, says no guns, then if you still go on that property and you’re specifically told to leave and don’t, then you’re what’s known as a defiant trespasser. So, what we’re talking about is trespassing, but trespassing is not a sensitive place violation. Sensitive place violations are specific gun law violations that create a certain place that becomes a prohibited area under the law to carry a gun, even if you have a permit to carry. So, this person is in the mall and apparently gets approached by mall security, who has allegedly dogs that can sniff gunpowder. Believe it or not, they’re out there. Apparently, he’s approached and they say, we think you have a gun. Please leave. And he does. No problem. He was asked to leave, and he leaves. Evan Nappen 05:30 After leaving, while in his car, driving, he gets stopped by police. More than even one because, oh, there’s a gun, right? Because, obviously, security called it in, I guess, at some point, and he was stopped. He is stopped for violating, in their minds, the sensitive place prohibition under Section 24 under Chapter 58 of the sensitive places. And what is that? What is that sensitive place that they believe he’s in violation of? Oh, New Jersey’s version of the vampire rule. The vampire rule is that you need permission before you go onto any private property. That is the issue that’s before the United States Supreme Court. The Hawaii, you know, the Woolford case in front of SCOTUS. We’re waiting for a decision. Evan Nappen 06:43 Now, Hawaii had the law just like New Jersey. The only difference is New Jersey’s vampire rule case saying that you can’t go on to private property, whether open to the public or not open to the public, you cannot go on any private property in New Jersey unless you first have permission to carry your gun there. In other words, they needed to have a sign, you know, that says we love guns. You know, basically, guns welcome. You know, guns permitted. Essentially, a sign. Or you got specific permission from the property owner before you enter the property. Hence the vampire rule. You know, as long as you don’t invite the vampire in to your place. That’s where that comes from. Evan Nappen 07:34 Well, New Jersey’s vampire rule, to impose this, you need permission first, before you can go on private property, even private property open to the public, has been found and was found unconstitutional in the Koons versus Platkin case. In Koons. And in that case, as you may recall, Judge Bump found it was unconstitutional and put an injunction on that section, saying it is unenforceable. It’s Page – 3 – of 11 unconstitutional. That any private property that is open to the public, you’re allowed to bring your gun on unless it’s otherwise a sensitive place. So, you know, if you want to go into a 7-11 with your carry gun, you can. It’s open to the public, even though it’s privately owned by 7-11. Now, if you want to go to a private residence, a private place that’s not open to the public, then you do need advanced permission for that. If you go into even your friend’s house, your friend needs to be able to say, yeah, you have permission to have your gun at my house. But not open to the public. Evan Nappen 09:00 So, the mall is open to the public. The mall is not a per se sensitive place. Yet, in this case, the basis for stopping and arresting this man or woman, I won’t even tell you what the sex is, the basis for the arrest is an alleged violation of the sensitive place section for which there is a federal injunction against enforcement. Then because somehow there’s this belief that if you are in violation of sensitive place, you’re also unlawfully carrying even though you have a carry permit, which makes absolutely no sense. There’s no logic to that. He’s charged with unlawful possession of a handgun without a carry permit, even though he has a carry permit. And, of course, with those gun charges, off to the Gulag you go. So, you are arrested, and you are put in jail. Evan Nappen 10:16 Now, the Gulag kicks in, where there’s 48 hours in which the prosecutor gets to decide whether to seek pretrial detention. It is solely within the discretion of the prosecutor. And if the prosecutor decides to seek pretrial detention, you’re going to be held for another five days before there’s a hearing when we can actually argue to get you out. And with the new law that was just signed by Murphy, they can get an additional five days to make sure that the gun is operable, to get an operability report, which is irrelevant to the charges anyway. So, by this arrest, you actually have the opportunity to be incarcerated basically for two weeks, guilty of nothing. Evan Nappen 11:08 What happened? Well, luckily, I got a call very quickly. When this person was in jail, loved ones got a hold of me. And this is on a Saturday, my friends, on a Saturday. Yeah. They do these on Saturday. They just hired me in time that I was able to get onto the court hearing 15 minutes before that first 48 hour time period, for that very first hearing where there’s no argument. The prosecutor either is going to say we’re seeking pretrial detention or not, but at least I could get on. And, lo and behold, I get on, and the prosecutor, big shock, is seeking pretrial detention, which means he’s going to be held or she is going to be held another five days or so, to have that hearing. It may be longer if they’re going to go for the operability nonsense, too. Teddy Nappen 12:11 Doesn’t Bergen County always seek pretrial detention? Evan Nappen 12:16 Well, it’s not just Bergen. And let me say this isn’t necessarily even Bergen, by the way, Teddy. But most counties have a policy of just automatically seeking pretrial detention on most gun cases. So, that’s not a big surprise. But what happens is, in this 48 hour period here, we still have the court appearance. But there’s nothing an attorney officially can do, because the prosecutor is given the sole Page – 4 – of 11 discretion. The prosecutor says, well, it’s gun charges with the Graves Act. Because, of course, the seriousness of the charge is second degree. You’re looking up to 10 years in State Prison. You’ve got a minimum mandatory three and a half years with no chance of parole. So, because of the seriousness of that offense and the Graves Act and it’s guns, we’re going to seek pretrial detention. Evan Nappen 13:13 And the court says, you know, Mr. Nappen, do you have anything that you want to add? And I say, and here’s exactly what I did them. I said, look, I understand how much discretion the prosecutor has here. Normally, we just have to wait until the hearing in order to argue. But I have to say, and I make it clear here. I say, look, my client not only had a permit to carry and why the state can’t access it, you know, they took his wallet and he can’t get to his wallet. And for whatever reason, there’s some glitch in them trying to get it out of the State Police. I don’t know why, but the very basis for his arrest was for a law for which there is an injunction, a federal injunction, that’s been upheld even by the Appeals Court. So, you have law enforcement violating a federal court injunction and charging and utilizing a statute that is enjoined from being enforced. Evan Nappen 14:19 So, in complete violation of that injunction, I make it clear that that is what is going on here with someone who has a permit, who has the lowest scores on the PSA of a one, one, that’s the lowest you can get. The PSAs are your flight risk and danger risk that they calculate into whether you’re to be released. Now they’re looking to hold them for another five to 10 days to even try to get them argued out. And at that point, the court officer actually says, well, counselor, there’s no argument here at this level. You’ll have to argue, you know, at the hearing when it gets scheduled. And I said, look, I’m not arguing anything. I said, do you know what I’m doing? I’m putting the State on notice as to the civil rights violation taking place on my client. At which time, the prosecutor says, look, we haven’t even had a chance to talk, and I said, no, we haven’t. I just got hired and got on here 15 minutes ago. Well, let’s talk. I said, okay. Evan Nappen 15:24 We had a private conference, and when we came back, I’m happy to say that the prosecutor withdrew their motion for pretrial detention. My client got out of jail that day, and now we will fight these charges. I’m extremely confident in how that fight is going to go as well. So, folks, what are the takeaways? Look at the risk you’re running. Look at the utter and complete failure of the Attorney General of New Jersey to inform law enforcement as to the changes in the law by these court actions. Why are the police charging an offense which has been enjoined? Police should know better, but I’ll tell you what else. The Attorney General should be instructing, the way they’ve done so many other times on so many other things, to all law enforcement, explaining how that sensitive place has been enjoined. And how on public property, it is not a sensitive place where you need prior permission under the vampire rule. This hasn’t been done. So, you have what is essentially a false arrest taking place. Evan Nappen 17:06 You have a system designed to incarcerate gun owners. It is outrageous, and you need to know that this what you’re up against. So, what do you need to do to protect yourself? Where’s the GOFU aspect? Well, let me tell you something that would be really important. Here’s what everybody should Page – 5 – of 11 do. Make sure your carry permit, make sure your gun licenses, are also, copies are given to your loved ones. People you can count on. Because if you get incarcerated and your wife or your parents or your brother is calling me and if they can get me copies of your carry permit or gun license that you otherwise can’t access, I can get that to the prosecutor. There doesn’t have to be a dependency for somehow getting it out of the State Police in time. Or finding it in some wallet that’s been confiscated and held in evidence in some other place, in some other room, somewhere else. That can be of great assistance, immediate assistance, in addressing your arrest and avoiding further gulaging of you. So, make sure. The takeaway is to make sure that folks that care about you, that would be the people you would go to if you had a problem, that they can provide and have access to copies of your gun licenses. That would be incredibly important. The other thing is make sure you have an attorney that you can get a hold of right away. An attorney that can come to your aid, argue, to get you out on a Saturday where time is of the essence. Those are the takeaways that are critical from this experience. Evan Nappen 19:08 Let me tell you, the GOFU has taken on a life of its own, and I’m glad about it. I have here a listener who sent a GOFU that they wanted to make our other listeners aware of, and I appreciate that. They asked that I not use a name, but here’s the GOFU letter. It says, I have a GOFU for you. It’s important for people to know to do this, so please share it on your show. This past fall, I planned a trip to Western New York to visit my family. I have a New Jersey PTC, also a PA PTC. I really like to have my gun along on trips with the highway driving. So, I asked a few guys at the shooting range what I should do with the gun when I got to New York state line. They told me to stop at a rest stop before I enter the state, put the unloaded gun in a car safe, and I should be good. That’s what I did. When I reached my destination, I told my family I had brought it, since they like guns, and they absolutely freaked out. They told me, the police would arrest me. It was illegal to bring a gun into a destination in New York. I better bring it in the house and keep it hidden. And hide it really well on the drive back. They really got me worried. So worried, in fact, I couldn’t get to sleep. So, I checked New York gun laws, and sure enough, she was correct. I was scared and felt terrible. I was incriminating my family members. Needless to say, the gun and the safe box and its cable were very hidden on the way back. I was careful not to break any speed limits. You can sum it up this way, but my takeaway is you have to do your own research before you take your gun out of state. Otherwise, you might end up in jail, and I’m very thankful that I didn’t. Evan Nappen 20:50 This is very true. State lines mean something. Now, here’s where the GOFU was. The GOFU was not following Title, 18, 926A thoroughly. That’s the federal preemption that lets you transport interstate. You have to be going from one place where you lawfully can possess and carry to another place. Your end destination has to be a place where you can lawfully possess and carry. Since New York does not recognize New Jersey’s permit or Pennsylvania’s permit, and unless you have a New York non-resident permit, that will not cover you. So, bringing your cased and unloaded gun into New York, now you’re possessing a handgun in New York, and you don’t have the protection of federal preemption. That’s the problem. Page – 6 – of 11 Evan Nappen 21:42 And it is a GOFU. This person is absolutely right. Make sure you know the laws. Make sure you clear it with counsel, so that you do not end up a GOFU. Because if that person had been stopped in New York with that handgun while in New York, they would face dire consequences. So, know the gun laws. Know the state laws. Do your research. Best bet? Well, you can always ask me, that’s one thing you want to do. Get my book, New Jersey Gun Law. I’ll shamelessly plug my book right now, because right in my book is a chapter on how to properly interstate transport, right in there on transportation of guns. What you need to know. Go to EvanNappen.com and get your copy of my book, New Jersey Gun Law. It’s the bible of New Jersey gun law. That’s the kind of stuff you need. That’s the kind of information you must have. That’s what you need to do. You cannot take these things lightly, because the consequences can be dire, and we see it. So, I appreciate this GOFU. I appreciate it being pointed out. These are real people experiencing the horrors of gun laws that are designed to ruin people’s lives and to turn law-abiding citizens into criminals. To oppress our Second Amendment rights. That’s all these laws do. You’ve got to protect yourself, folks. Learn from these tips and learn from these cases so you don’t become the next GOFU. Evan Nappen 23:16 Hey, let me tell you about our friends at WeShoot. WeShoot is an range indoor range in Lakewood, New Jersey. The range where Teddy and I both shoot. We love WeShoot. Great training. Great range facilities. Great pro shop, and a great bunch of folks. This week they’re running some great specials. They have the Chiappa Rhino 60DS, which is a futuristic revolver with its low bore access design. It’s kind of cool. It delivers, you know, reduced recoil because of that and fast follow up shots. They’ve got a Mossberg Gold Reserve Sporting shotgun. It’s an over and under, built for clay and field. It has engraving, premium walnut, and it’s competition ready. It’s a beautiful gun. Check out the Mossberg Gold Reserve Sporting. They also have a Springfield Prodigy Comp gun, comp gun. A modern double-stack 1911-style performer. It has an integrated compensator, and it’s optics ready. It has serious speed for duty or competition. Check out that Springfield. And you can also check out Sarah Sablom. She is on the hunt for a perfect carry gun. You can check out one of these WeShoot girls there. Go to weshootusa.com for their great website with amazing photography. They’re running great deals. They look forward to helping you and making you part of the WeShoot family. Go to weshootusa.com. Evan Nappen 25:05 Let me also mention our friends at The Association of New Jersey Rifle & Pistol Clubs, who just recently, through my friend and colleague, Dan Schmutter, argued in the Coons case at the Appellate level. And we’re looking good. I’m cautiously optimistic. And that’s your Association at work in the courts, fighting the Carry Killer bill. They’re also fighting the assault firearm ban and the large capacity magazine ban. You need to be a member. Go to anjrpc.org. Make sure you belong to your state Association. They are the gun rights defenders for New Jersey. You’ll get a great emails of what’s going on. You’ll get the alerts. You’ll know that you’re part of the solution and helping to fight the gun rights oppressors in New Jersey. Go to anjrpc.org and join today. Teddy, what do you have for us today in Press Checks? Page – 7 – of 11 Teddy Nappen 26:08 Well, as you know, Press Checks are always free, and this is something I want people to understand. We cannot take our foot off the gas when it comes to fighting the good fight for our rights. Because, look, we have had a lot of great victories when it comes to Second Amendment, to the conservative movement, and to getting the word out there, thanks to Alternative tech. But the Left are slowly trying to crawl back their power. What do I mean by that? Well, our friends at Bearing Arms did an article. Cam Edwards says, NBC decided to give a platform to the anti-gun activists. (https://bearingarms.com/camedwards/2026/02/10/nbcs-today-show-gives-anti-2a-activist-platform-for-propaganda-n1231508) Oh, gee, what a shocker! Teddy Nappen 26:59 It was Nicole Hockley out of the Sandy Hook Promise. You know, another one of Bloomberg’s groups who called in to demonetize online influencers in the 2A space. You know, someone like you and I, Dad. You know, people like a Brandon Herrera or Grantham, Mr. Gunzing. You know, any individual who is a pro-gun influencer they want to demonetize. That’s their call to action. I love the framework that she abuses in this. Sandy Hook and the group called Untargeting Kids, a call for platform transparency, putting parents back in charge of firearm safety. You know, whenever I hear the Democrats try to say, we need to stand on parents rights, it’s always comes down to oh, when it comes to firearm safety. But, you know, when it is hardcore pornography being offered to children, oh, that’s fine. Or, you know, a drag queen story hour. Oh, that’s fine. But oh no, when it comes to firearms, we need to give it back to the parents. So, they were trying to, yeah, they were trying to run this experiment, testing YouTube accounts mimicking a nine to 14 year old. Evan Nappen 28:21 Wait. Are you telling me that the Left are hypocrites? Teddy Nappen 28:26 Oh, well, as the saying goes. Evan Nappen 28:28 I don’t know about that. Teddy Nappen 28:30 As the saying goes, they only have double standards, or they would not have any standards at all. Evan Nappen 28:37 Exactly. Teddy Nappen 28:39 That’s how it always is with them. Whenever you see the term parental rights, you can see in the very corner, TM. It’s their version. Not when it comes to gender ideology, not when it comes to abortion, not when it comes to any other thing, but parents rights, TM. That’s their abuse of the language. Did you ever hear the word Democracy, TM. Or Second Amendment, TM. That is their version. Not what we know to be fact and truth. It’s their version. But anyways. So, they ran this experiment, which, you Page – 8 – of 11 know, these experiments can easily be debunked just by the abuse of algorithms. But whatever. We will say, for the sake of argument, we will say this data is true. So, they ran this experiment, and then 14 year old received 1300 firearm-related video recommendations after watching video games and movies that included firearm content. So, you know, a kid watches a bunch of Let’s Plays on Call of Duty, and then all a sudden, he gets a breakdown of an unboxing of a ACOG scope or something stupid. It’s one of those where they’re trying to make this argument, this very weak argument, on saying, oh, these videos are being monetized to target advertising, targeting our children. So, if a kid is interested in firearms, what is the problem with that? Why? He gets bombarded with tons of movies on all forms of graphic violence that goes into that. Then all of a sudden, it comes up with ad on any other influencer regarding firearm breakdown, because that’s the goal. They want you to get engagement. That’s it. And then I love this one. 54% of boys from 10 to 17 report sexually charged firearm content. Now, they do not define what sexually charged firearm content is. Evan Nappen 30:40 What is sexually charged firearm content? What is that? Teddy Nappen 30:43 It’s called we made it up! Because they love to just define terms. Evan Nappen 30:52 They just threw sex with guns, and don’t define it. Teddy Nappen 30:55 Correct. It’s just, and by the way, they don’t list any of the materials that was reviewed by the bots. Evan Nappen 31:02 Wait, it sounds like ammosexuality. Teddy Nappen 31:05 I know. Yeah, it is the hopalosexual all over again. Evan Nappen 31:10 What is that? That’s really interesting. Teddy Nappen 31:12 Yeah, and they don’t list any of the video game content that was reviewed. It doesn’t list any of the movies reviewed or the TV shows. Oh, because they don’t want to show the sexually graphic material that is pushed by the Left. You know, that’s why, you know, ask them. Evan Nappen 31:28 They should list it. They should list all that so that we could carefully review it, Teddy. Teddy Nappen 31:32 Well, unfortunately. Page – 9 – of 11 Evan Nappen 31:34 All these sexual . . . Teddy Nappen 31:37 I know, right? I love, and then she goes on where they’re forming the sense of self-identity that the get, that getting, they’re getting content that is talking about firearms makes you powerful. Firearms makes you sexually attractive. Firearms are the way to solve your conflict. Firearms are used to solve very certain conflicts. You know, when defending yourself against a rapist or a pedophile. You know, in certain situations, it’s a very good solution. It’s not a magic wand, but it solves certain issues. But there’s more. They like to always equate, like, oh, why do you need a gun? Because your penis is small? Like, it’s one of the small ones. Like, it’s that. They always do that. We’re like, what does that have to do with the aspect of your rights to defend yourself? Like that is the goal that they always try to play. And then she goes off on this whole thing of, we need to demonetize this. We need to review this content and look at the algorithms of YouTube transparency on firearms. And there must be. We need to sense. It goes. This long-winded conversation is just, we need to have time to deletion for videos for unsafe handling of firearms. What’s unsafe? Oh, there’s a firearm in the video. It’s just that. It’s just we need it. That censorship is not our goal, though. Yes, it is. Evan Nappen 33:06 I’ll tell you what. Here’s where I’ll take them up on it. Before any movie or TV show where a gun is improperly handled, you know, shows produced by all these major media producers, just have a warning. Just the way they warn about profanity, and they warn about smoking. Put a warning that says “unsafe firearm use is in this movie”. Unsafe firearm use. Do you know how many times we’ll see that? Because the Left media is the largest actual demonstrator of unsafe and unlawful use of firearms. It’s not conservatives. It’s the opposite. And so, let’s see those warnings. That way people suddenly say, wow, look how many times firearms are abused, used improperly and used illegally in the movies? I mean, if you can warn about smoking, you should be able to warn about that. Just put it. Don’t, don’t, don’t suppress it. Don’t try to have prior restraint or ban it, the showing of any of these movies. Just put the warning up front, and let people see just what’s being promoted by Hollyweird. Teddy Nappen 34:33 Well, and also, Hollyweird promotes all the sexual deviancies, where they push it on children. Where you have, you know, children have access to now hardcore pornography all across the internet, thanks to YouTube. Thanks to social media. Like, the level of it’s so disingenuous. Making this argument that we need to protect our children. Except when it comes to the LGBTQAI+ in schools, when it comes to all the other things that they want to sexually groom children. But, oh, firearm content, that’s the issue. When you get down to it, this is what they want. They want the 2019, they want the Biden Administration censorship. Where, right here, out of the House Judiciary Committee where the chairman approves and shows, oh, Google was pressured by the Biden administration to censor Americans. (https://www.pbs.org/newshour/politics/zuckerberg-says-the-white-house-pressured-facebook-to-censor-some-covid-19-content-during-the-pandemic) Page – 10 – of 11 Evan Nappen 35:30 That’s right. This is a really good point. They went after our First Amendment rights, just like the Second Amendment, and we lived through a period of Government censorship attempts that, when you look back, it was, it’s absolutely disgusting, what they pulled and what they were able to accomplish, even in achieving it, Teddy. It’s just insane. You would never think that could happen in America, because originally, the Left was for free speech. The Free Speech Movement was the Left, and now that’s no longer the case. They want the opposite. They don’t want free speech. Oh, hell no. But it used to be part of what true liberals, not today’s progressive, totalitarian liberals want, so-called. No, the classic liberal was absolute free speech, true, and they’ve abandoned that. They’ve abandoned it. Teddy Nappen 36:41 Well, it comes back to the idea of what the Left always does. They have no moral framework. The idea of, oh, what feels good? What is the cultural shift? What is the shifting ideology currently? Where you now have these massive purity tests on the Left, and that’s why they’re in a shooting war against each other as to who controls the party. But to even highlight this fact, Mark Zuckerberg said and admitted to the White House, yeah, I was pressured by the White House to censor people during Covid, over Covid 19 content. Doctors admitting all the false information that was out there. Bring that up. Completely censored off of Facebook, off of YouTube, all these platforms. X. You remember, you remember the Twitter files. Musk is releasing them weekly, showing the insidious combination of Government and censorship on the public square. This is what the Left wants. They are so upset that they have lost their ministry of truth. You remember that push? Evan Nappen 37:51 And they want to, right, and they want to use the same techniques to oppress the Second Amendment. It’s all part of the game plan. Teddy Nappen 38:02 Yeah. Evan Nappen 38:03 Well, Teddy, I appreciate you pointing this out, and I’m sure our listeners do as well. Let me tell you, we had a three round burst for GOFUs, and we only got two of the rounds out. Let me end here with the GOFU number three. And again, we saw this in action. These are actual cases, actual realities. I had a fellow client give me a call and say, hey, they were in court and they didn’t have counsel. Their guns were taken in an allegation of a so-called domestic violence, in which everything got dismissed. But there was an outstanding criminal charge that’s unfounded and going to the court. The so-called victim does not want to proceed. Does not want to proceed. So, what does the prosecutor do? The prosecutor tells this person, look, we’re going to downgrade this to a noise ordinance. Okay? So, it’s no longer in the category of domestic violence. If it stayed in that DV category, it makes you the equivalent of a convicted felon under federal law, and you’re banned from guns. The prosecutor said this way, with it as a noise ordinance, you’re fine. You’ll be perfectly fine. This will not affect your gun rights. Page – 11 – of 11 Evan Nappen 39:52 Now, this is a person who doesn’t have a lawyer. Who’s listening to the prosecutor, who is telling them they can plead this down to an ordinance. When the State’s key witness does not want to proceed and knows that the allegations that were made were not true and knows that it needs to be dropped. So, normally, the thing is, dismiss it straight out, because the complainant, the complaining witness, is not going to be real good for your case here. Okay? We all kind of see that, and it needs to go. But instead, the prosecutor is trying to convince this person to take this ordinance and pay a fine, get an ordinance hit, and saying that it won’t affect their gun rights. Evan Nappen 41:02 Here’s the deal, folks. It does affect your gun rights. You see, when a prosecutor says it doesn’t affect gun rights, that prosecutor is not representing you. They’re representing the State. They’re representing the Government. And if you don’t have counsel to explain to you the actual ramifications and you try to believe this, you know, however well intentioned it may have been, they failed to mention here that, yeah, it’s not a per se disqualifier, meaning, like being a convicted felon or having a conviction for domestic violence, sure, where you’re just out of the box. You’re done. But the reality in New Jersey is that if you plead to even this dopey ordinance for noise, you now have a conviction for an ordinance that started out as a domestic violence charge. Then when you try to apply to get a new pistol purchase permit or renew your carry permit or do a change of address on your Firearm’s ID Card, they go, oh, public health, safety, and welfare. That’s what they’re going to use to deny your application. Public health, safety, and welfare. Based on character, temperament. You know, I call that disqualifier the all-inclusive miscellaneous weasel clause, because that’s where the abuse of discretion comes in. And if you were to fall for this, oh, plead to the ordinance, it won’t affect your gun rights. Wait and see. Because now that comes up on your record and it links to the original charges, those police reports and all. And you ended up taking a plea, which has this appearance that you were guilty of something, and that’s why you pled. It sure as hell can affect your gun rights. So, friends, the takeaway is this. The GOFU is when you’re dealing on any criminal charge, make sure you have counsel that understands the gun laws and don’t try to rely on what a prosecutor may be telling you about how your rights will or won’t be affected. Evan Nappen 43:20 This is Evan Nappen and Teddy Nappen reminding you that gun laws don’t protect honest citizens from criminals. They protect criminals from honest citizens. Speaker 2 43:30 Gun Lawyer is a CounterThink Media production. The music used in this broadcast was managed by Cosmo Music, New York, New York. Reach us by emailing Evan@gun.lawyer. The information and opinions in this broadcast do not constitute legal advice. Consult a licensed attorney in your state. Downloadable PDF TranscriptGun Lawyer S5 E277_Transcript About The HostEvan Nappen, Esq.Known as “America's Gun Lawyer,” Evan Nappen is above all a tireless defender of justice. Author of eight bestselling books and countless articles on firearms, knives, and weapons history and the law, a certified Firearms Instructor, and avid weapons collector and historian with a vast collection that spans almost five decades — it's no wonder he's become the trusted, go-to expert for local, industry and national media outlets. Regularly called on by radio, television and online news media for his commentary and expertise on breaking news Evan has appeared countless shows including Fox News – Judge Jeanine, CNN – Lou Dobbs, Court TV, Real Talk on WOR, It's Your Call with Lyn Doyle, Tom Gresham's Gun Talk, and Cam & Company/NRA News. As a creative arts consultant, he also lends his weapons law and historical expertise to an elite, discerning cadre of movie and television producers and directors, and novelists. He also provides expert testimony and consultations for defense attorneys across America. Email Evan Your Comments and Questions  talkback@gun.lawyer Join Evan's InnerCircleHere's your chance to join an elite group of the Savviest gun and knife owners in America.  Membership is totally FREE and Strictly CONFIDENTIAL.  Just enter your email to start receiving insider news, tips, and other valuable membership benefits.   Email (required) *First Name *Select list(s) to subscribe toInnerCircle Membership Yes, I would like to receive emails from Gun Lawyer Podcast. (You can unsubscribe anytime)Constant Contact Use. Please leave this field blank.var ajaxurl = "https://gun.lawyer/wp-admin/admin-ajax.php";

As BMIs and weights increase across the US population, there have been increased calls for universal screening for existing DM at entrance to prenatal care, if under 20 weeks. Others, including the ACOG, prefer to screen early those with additional risk factors (like prior GDM HX, prior macrosomia, BMI >30, PCOS, first degree relative with diabetes, or age >40). In July 2024, the ACOG released its publication, “Screening for Gestational and Pregestational Diabetes in Pregnancy and Postpartum”. In this guidance, it states, “At this time, there are insufficient data to support the best screening modality for pregestational diabetes in pregnancy, but consideration can be made to use the same diagnostic criteria as for the nonpregnant population (A1c value 6.5 or higher, or fasting plasma glucose value 126 mg/dL or higher, or 2-hour plasma glucose value 200 mg/dL or higher during a 75-g OGTT, or random plasma glucose value 200 mg/dL or higher in patients with classic hyperglycemia symptoms)”. However, a new proposed protocol has been published in AJOG for early screening for DM in pregnancy. This also describes the differences in diagnosis and care for Standard GDM diagnosed at 24-28 weeks, vs a diagnosis of pregestational DM diagnosis made prior to 20-weeks vs “early” GDM also diagnosed under 20 weeks of gestation. Listen in for details. 1. McLaren, Rodney et al.nA Proposed Classification of Diabetes Mellitus in PregnancyAmerican Journal of Obstetrics & Gynecology, Volume 0, Issue 0. Epub Feb 2, 2026; https://www.ajog.org/article/S0002-9378(26)00061-X/fulltext2. ACOG Clinical Practice Update: Screening for Gestational and Pregestational Diabetes in Pregnancy and Postpartum; July 2024; https://journals.lww.com/greenjournal/abstract/2024/07000/acog_clinical_practice_update__screening_for.34.aspx3. Simmons, David et al. “Treatment of Gestational Diabetes Mellitus Diagnosed Early in Pregnancy.” The New England journal of medicine vol. 388,23 (2023): 2132-2144. doi:10.1056/NEJMoa2214956

Learn how ACOG turns advocacy into action, supports clinicians, and creates community. Plus, get tips on how you can get involved. In this episode of BackTable OBGYN, Dr. Sivani Aluru from Endeavor Health in Chicago shares her journey and involvement with ACOG, from her medical school days to her current role as the national JFCAC Chair. --- SYNPOSIS Dr. Aluru describes her experiences on various task forces, including the ACOG 75th Anniversary Task Force, and emphasizes the importance of education, advocacy, and community within the organization. She offers insights into the challenges and benefits of participating in ACOG, provides tips for getting involved, and highlights the ongoing efforts to address critical issues in women's health. The conversation also touches on adapting to the changes brought by the COVID-19 pandemic and the value of staying organized and connected in a demanding field. Find out what ACOG is working on, how it benefits patient care, how it benefits provider education and resources, how it builds community. Get involved! Go to meetings! There are so many roles. If you don't get your role on the first go, try again. Showing up is huge! --- TIMESTAMPS 00:00 - Introduction03:41 - Residency and Early Involvement in ACOG07:29 - Advocacy and Government Affairs18:40 - Balancing Professional and Organizational Work24:28 - Listening to Members' Needs26:36 - Challenges and Value of ACOG Membership29:00 - The Importance of In-Person Meetings34:45 - ACOG's Legislative Advocacy and Future Plans35:48 - Advice for Getting Involved with ACOG40:16 - Conclusion --- RESOURCES ACOG (American College of Obstetricians and Gynecologists)https://www.acog.org/ ACOG CAARE Delegation https://www.acog.org/about/diversity-equity-and-inclusive-excellence/collective-action-strategy/caare-delegation ACOG CREOG (Council on Resident Education in Obstetrics and Gynecology) https://www.acog.org/education-and-events/creog/about

Many studies demonstrate the benefits of yoga during pregnancy, including shorter labor and improved newborn outcomes. The American College of Obstetricians and Gynecologists states that modified yoga is one of the safest exercises for pregnant women. But what exactly does modified yoga mean? ACOG cautions against specific poses and hot yoga. As with any activity, there is nuance in determining which activities are safe. This episode will examine the research on specific poses and on practicing yoga in a heated environment. Plus, the physical changes that can affect your practice, precautions, and tips for modifying yoga during pregnancy. Full article and resources for this episode: https://pregnancypodcast.com/yoga/ Thank you to the brands that power this podcast: The True Belly Serum from 8 Sheep Organics is specially formulated with clinically proven ingredients that penetrate deep into the skin to effectively prevent stretch marks. Like all 8 Sheep products, the True Belly Serum comes with a 100-day Happiness Guarantee. You can try it completely risk-free for 100 days! If you feel the serum has not worked for you, or if you're not 100% happy with your purchase, simply send them an email and they will get you a refund, no questions asked. Save 10% off 8 Sheep Organics at https://pregnancypodcast.com/8sheep/ AG1 is the Daily Health Drink that combines your multivitamin, pre- and probiotics, superfoods, and antioxidants into one simple, green scoop. It's one of the easiest things you can do to support your body every day. When you first subscribe to AG1, you'll get an AG1 Welcome Kit, a bottle of Vitamin D3+K2, AND you'll get to try each new flavor of AG1 and their new sleep supplement, AGZ: https://drinkAG1.com/pregnancypodcast Get More from the Pregnancy Podcast Join thousands of expecting parents who stay up to date with the latest pregnancy news, new episode alerts, exclusive offers, and more: https://pregnancypodcast.com/newsletter Upgrade to Pregnancy Podcast Premium for ad-free episodes, full access to the back catalog, and a free copy of the Your Birth Plan book: https://pregnancypodcast.com/premium Save with discounts and deals available for Pregnancy Podcast listeners: https://pregnancypodcast.com/resources Follow your pregnancy week-by-week with the 40 Weeks podcast. Learn how your baby grows, what's happening in your body, what to expect at prenatal appointments, and get tips for dads and partners: https://pregnancypodcast.com/week Find more evidence-based information on the Pregnancy Podcast website: https://pregnancypodcast.com

Three facts are scientifically undisputed: Serotonin is essential for fetal brain development. SSRIs disrupt the serotonin system. SSRIs freely cross the placenta. So why are pregnant women being told these drugs carry "little or no risk"?In this rare head-to-head debate, Dr. Adam Urato—maternal-fetal medicine specialist and FDA expert panelist—faces off against Dr. Robert Chen, a psychiatry resident willing to do what most of his colleagues won't: step into the arena and defend the establishment position.What unfolds is a striking conversation where both physicians actually agree on more than you'd expect—including that informed consent is failing pregnant women, that the chemical imbalance theory is dead, and that "untreated depression" is a misleading frame designed to sell drugs. The uncomfortable question neither side can fully answer: If SSRIs are correcting depression, why does the research show worse outcomes for women who stay on them?This isn't anti-medication propaganda. It's the conversation your doctor isn't trained to have with you.Listen before you fill that prescription. Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

Send us a textThe first days of feeding a newborn can feel like a test you didn't study for: alarms go off every two hours, pumps take over your counter, and every ounce feels like a verdict. We open up about low milk supply, the pull to “keep trying,” and the quiet relief that comes from choosing what actually works for your baby and your life. No shaming, no perfect-parent script—just honest stories and practical paths forward.We dig into the real costs of chasing a plan that doesn't fit: hours spent researching pumps and flanges, returning to shift work with a cooler bag in hand, and the mental math of leaving tables to pump in cramped back offices. There's room here for the science and the context. Breast milk has well-documented benefits, yes, and there are safe, tested alternatives when your body says not today. We talk donor milk banks, how formula has evolved, and why cow's milk shouldn't replace breast milk or formula before age one. Along the way we unpack the long, messy history of feeding trends and remind ourselves that pressure often hides behind the word “support.”The heart of the conversation is a mindset shift: do the best you can with the resources you have right now and let that be perfect. That means asking your pediatrician for alternatives if advice doesn't fit your reality. It means measuring success by a fed baby, a calmer home, and a parent who still feels like a person. You're not required to carry a story about what would have happened 200 years ago. You are allowed to choose the option that keeps your family steady today.If this resonates, follow the show, share it with a friend who needs a kinder take on newborn feeding, and leave a quick review to help more parents find us. Your stories help others breathe easier—what choice brought you peace? Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly at kellyhof.com Join the Bump & Beyond Online Community!https://www.facebook.com/groups/bumpnbeyondGrab The Book of Hormones on Amazon!Medical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

Send us a textA healthy baby and a healthy mom can still leave a complicated story behind. We open the door to a birth that didn't follow the plan: an epidural that didn't work, Pitocin contractions that crashed like waves, and a mind trying to keep pace with a body doing the unimaginable. What sounded like chaos turns out to be wisdom—instinctive movement that helped a baby rotate and descend, progress made in spite of pain, and a partner steadying the room when words ran out.Together we examine where control slipped and why that matters. We talk plainly about augmentation, how to assess whether an epidural is effective, and when dialing back Pitocin should be on the table. We explore the emotional fallout of early moments—jealousy when a partner holds the baby first, the sting of being told rather than asked, the reality of stitches and exhaustion. Along the way, we track how hospital culture is changing, from the golden hour of skin-to-skin to more thoughtful language that invites consent and restores agency.This isn't a tidy highlight reel. It's a reframed narrative that honors labor as both physical work and emotional landscape. If your birth story still makes your throat tighten, you're not broken—you're human. Come hear how naming the moment things went sideways can loosen the knot, how instinct deserves credit, and how small shifts in communication can transform the way we remember meeting our children. If this conversation helps you see your own story with kinder eyes, share it with a friend, hit follow, and leave a quick review to help more parents find their footing.Listen to the full episode where Erin Hall shares her birth stories here: https://www.thebirthjourneyspodcast.com/hurricanes-epidurals-and-holding-on-with-erin-hall/ Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly at kellyhof.com Join the Bump & Beyond Online Community!https://www.facebook.com/groups/bumpnbeyondGrab The Book of Hormones on Amazon!Medical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

Luis Herrero analiza con Alfonso Egea y Lorena López Lobo las novedades del caso.

Send us a textA hurricane on the horizon, contractions five minutes apart, and a quick detour through a Chick-fil-A drive-thru—Erin's first birth story doesn't read like any class manual. What followed was a long labor, Pitocin without pain relief when an epidural failed, and a body contorting into whatever position brought a sliver of relief. When the anesthesiologist finally got it right and her waters were broken, everything shifted—one push and Kylie arrived. Together we unpack why that experience felt traumatic, how back labor can hint at a sunny-side-up baby, and why instinctive movement often becomes the most powerful tool you have.The second time was a different world. Early March 2020, open triage bays, “flu” precautions that turned out to be COVID, and a race to get an epidural before the cutoff. Her water broke at home, the pressure told the real story, and a few pushes later, Kason was here. We compare what changed—baby position, timing, hospital flow, mindset—and explore the myth that a smooth birth equals success while a hard birth equals failure. Birth plans help, but listening to your body, asking for options, and protecting your headspace matter more.We also go deep on postpartum truths: breastfeeding pressure versus low supply, family history that reframes expectations, and the permission to choose formula or donor milk without shame. Erin talks candidly about body image, the relief of having her partner home during lockdown, and how building Bump and Beyond became a lifeline for parents who need more than advice—they need a village. If you've ever felt out of control, second-guessed every choice, or wondered whether you did enough, this conversation offers clarity, compassion, and practical insight.If this resonated, follow the show, share it with a friend who needs reassurance, and leave a review telling us one belief about birth or postpartum you're ready to let go. Your story can help someone else find theirs. Join the Bump & Beyond Online Community for moms & moms-to-be! Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly at kellyhof.com Join the Bump & Beyond Online Community!https://www.facebook.com/groups/bumpnbeyondGrab The Book of Hormones on Amazon!Medical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

HCG is a heterodimeric glycoprotein typically produced by trophoblastic tissue. However, there are occasions where a serum HCG is obtained that remains low level POSITIVE, yet the patient is not pregnant, nor does she have a gynecologic malignancy. Why dose this happen. Not all these instances can be explained by the “PHANTOM” HCG. In this episode, we will review a new Clinical Consensus guideline from the ACOG officially being released in Feb 2026. Like the finding of an aberrant aneuploidy on cell-free DNA testing in pregnancy (NIPT) where the child is found to NOT be affected, where that abnormal result may signal a hidden malignancy, a persistent low level positive HCG that cannot be explained by pregnancy or a gyn cancer may signal a hidden malignancy elsewhere. Listen in for details. 1. ACOG CC #11, February 2026

In January 2026, the ACOG released its Practice Advisory on Screening for fetal Chromosomal Abnormalities. This comes after its Nov 2025 endorsement of the SMFM's Consult Series #74, “Cell-free DNA screening for aneuploidies: Updated guidance”. In this episode we will review the key parts of this PA. Is screening for microdeletions recommended? PLUS, we will focus on cfDNA for sex chromosomal abnormalities. Should screening for sex chromosomal abnormalities (SCAs) be an “opt in” or “opt out” process for patients? What are nest steps after an abnormal SCA screening result? Are commercial tests available for fetal gender recommended? Listen in for details. 1. ACOG PA Jan 2026: https://www.acog.org/clinical/clinical-guidance/practice-advisory/articles/2026/01/screening-for-fetal-chromosomal-abnormalities?utm_source=higher-logic&utm_medium=email&utm_content=Jan-07&utm_campaign=acog2026-digest2. Society for Maternal-Fetal Medicine Consult Series #74: Cell-free DNA screening for aneuploidies: Updated guidance1 in November 2025.

Send us a textControl doesn't create a meaningful birth experience—clarity does. We dive into the real purpose of a birth plan and show how to turn a rigid checklist into a living compass that anchors your values, guides decisions, and strengthens partnership with your care team. Instead of chasing a “perfect” script, we focus on agency, communication, and the skills that keep you grounded when labor takes an unexpected turn.We trace the history of birth plans from the natural birth movement to modern templates and unpack how the purpose got lost. You'll hear a reality check on pain management—what hospitals actually offer, how relief varies, and why unmedicated goals can morph into pressure. We lay out practical prep for coping: breathwork, positions, movement, mindset, and the environmental choices that help you feel safe. Then we dismantle the myth that staff are responsible for your experience and replace it with a model of partnership in which you lead with your voice while your team supports with expertise.To move from scattered preferences to a cohesive vision, we offer coaching questions that clarify what you want to feel, which choices matter most, what's in your control, and who needs to be aligned—your provider, partner, and doula. This value-first approach reduces confusion, improves decision-making under stress, and lowers the risk of birth trauma by keeping you informed, respected, and engaged. By the end, you'll have a framework to document preferences with purpose and the confidence to adapt without self-blame.If this resonates, share it with a friend who's building a birth plan, subscribe for more coaching-led birth prep, and leave a quick review to tell us which question shifted your mindset. Coaching offerKelly Hof: Labor Nurse + Birth CoachBasically, I'm your birth bestie! With me as your coach, you will tell fear to take a hike!Support the showConnect with Kelly at kellyhof.com Join the Bump & Beyond Online Community!https://www.facebook.com/groups/bumpnbeyondGrab The Book of Hormones on Amazon!Medical Disclaimer:This podcast is intended as a safe space for women to share their birth experiences. It is not intended to provide medical advice. Each woman's medical course of action is individual and may not appropriately transfer to another similar situation. Please speak to your medical provider before making any medical decisions. Additionally, it is important to keep in mind that evidence based practice evolves as our knowledge of science improves. To the best of my ability I will attempt to present the most current ACOG and AWHONN recommendations at the time the podcast is recorded, but that may not necessarily reflect the best practices at the time the podcast is heard. Additionally, guests sharing their stories have the right to autonomy in their medical decisions, and may share their choice to go against current practice recommendations. I intend to hold space for people to share their decisions. I will attempt to share the current recommendations so that my audience is informed, but it is up to each individual to choose what is best for them.

Currently, as of today's date, neither the ACOG nor SMFM currently support routine early induction of labor for suspected fetal macrosomia, instead recommending individualized counseling and reserving elective cesarean for extreme estimated fetal weights. However, a 2025 multicenter, open-label, randomized controlled trial was published in the Lancet comparing induction of labor versus standard care in pregnant women with fetuses suspected to be large for gestational age. The study used a parallel-group design with 1:1 randomization, enrolling women from 106 NHS hospitals across England, Scotland, and Wales. The per-protocol analysis demonstrated a significant reduction (40%) in shoulder dystocia with induction of labor at 38- 38 weeks and 4 days. Is this in conflict with the ACOG current guidance? In this episode, we will review the “Big Baby study” from the Lancet and provide 3 main limitations of this very large study, review the importance of PP vs ITT results, and explain why more data is still needed. Listen in for details. 1. ACOG PB 178; 2017 (reaffirmed 2024)2. Gardosi J, Ewington LJ, Booth K, Bick D, Bouliotis G, Butler E, Deshpande S, Ellson H, Fisher J, Gornall A, Lall R, Mistry H, Naghdi S, Petrou S, Slowther AM, Wood S, Underwood M, Quenby S. Induction of labour versus standard care to prevent shoulder dystocia in fetuses suspected to be large for gestational age in the UK (the Big Baby trial): a multicentre, open-label, randomised controlled trial. Lancet. 2025 May 17;405(10491):1743-1756. doi: 10.1016/S0140-6736(25)00162-X. Epub 2025 May 1. PMID: 40319899.3. Blaauwgeers, Anne N et al. Rethinking induction of labour for LGA fetuses: the Big Baby trial. The Lancet, Volume 406, Issue 10512, 1562

Podcast Family, in our immediate past episode we tackled the discrepancy that is often found between a clinical diagnosis of intra-amniotic infection/chorioamnionitis and histological chorioamnionitis. From that episode, we received a fantastic question from one of our podcast family members: Can a patient have IAI without fever? That question is really deep and highlights a gap in the current diagnostic scheme/ criteria from the ACOG. Listen in for details!1. ACOG CO 7122. Sukumaran S, Pereira V, Mallur S, Chandraharan E. Cardiotocograph (CTG) Changes and Maternal and Neonatal Outcomes in Chorioamnionitis and/­or Funisitis Confirmed on Histopathology. European Journal of Obstetrics, Gynecology, and Reproductive Biology. 2021. C3. Romero R, Chaemsaithong P, Korzeniewski SJ, et al. Clinical Chorioamnionitis at Term III: How Well Do Clinical Criteria Perform in the Identification of Proven Intra-Amniotic Infection? Journal of Perinatal Medicine. 2015.

Depo-Provera was approved in 1992 by U.S. regulators. About 1 in 4 sexually active women in the United States have used the shot at some point, according to the U.S. Centers for Disease Control and Prevention (CDC). Meningiomas are common intracranial tumors with a female predominance. In fact, they are the most common primary brain tumor in women, with an incidence of approximately 12.76 per 100,000 in the general female population. The vast majority of these tumors are benign (World Health Organization [WHO] grade 1) while 15% to 20% of these tumors can behave atypically (WHO grade 2) and rarely, in 1% to 2% of cases, these tumors can be malignant (WHO grade 3). We covered the relationship between Depo-Provera, as a contraceptive agent, and brain meningiomas back in March 2024. With the increase in data, the ACOG released a patient centered counseling tool titled, “Counseling Patients on Birth Control Injection and Meningioma”. The most recent update on this story comes from the FDA, which has granted a medication label change to Depo-Provera (Pfizer) warning of this association. Even though association does not prove causation, the association between depo and meningiomas seems strong (with new data from the US). Does this warning extend to other progestins? Listen in for details. 1. https://podcasts.apple.com/us/podcast/dr-chapas-obgyn-clinical-pearls/id1412385746?i=10006508795722. ACOG's “Counseling Patients on Birth Control Injection and Meningioma” 3. https://www.statnews.com/pharmalot/2025/12/17/fda-pfizer-contraception-cancer-preemption-depoprovera/4. Xiao T, Kumar P, Lobbous M, et al. Depot Medroxyprogesterone Acetate and Risk of Meningioma in the US. JAMA Neurology. 2025;82(11):1094-1102. doi:10.1001/jamaneurol.2025.3011.5. de Dios E, Näslund O, Choudhry M, et al.Prevalence and Symptoms of Incidental Meningiomas: A Population-Based Study.Acta Neurochirurgica. 2025;167(1):98. doi:10.1007/s00701-025-06506-7.6. Schaff LR, Mellinghoff IK.Glioblastoma and Other Primary Brain Malignancies in Adults: A Review. JAMA. 2023;329(7):574-587. doi:10.1001/jama.2023.0023.7. BMJ 2024; 384 doi: https://doi.org/10.1136/bmj-2023-078078 (Published 27 March 2024) Cite this as: BMJ 2024;384:e078078

The second stage of labor, characterized by active pushing and the descent of the fetal head, can be a challenging and prolonged phase for both mother and baby. Various interventions have been explored to optimize this stage, and one such technique involves the application of vaginal lubricants. The rationale behind this approach is to reduce friction between the fetal head and the birth canal, potentially leading to smoother and faster delivery. Does this seemingly simple technique work? Does the ACOG mention this in the CPG 8 from January 2024? What does the latest research tell us about its effectiveness in assisting or speeding up the birthing process? Listen in for details.1. Yang Q, Cao X, Hu S, Sun M, Lai H, Hou L, Wang Q, Wu C, Wu Y, Xiao L, Luo X, Tian J, Ge L, Shi L. Lubricant for reducing perineal trauma: A systematic review and meta-analysis of randomized controlled trials. J Obstet Gynaecol Res. 2022 Nov;48(11):2807-2820. doi: 10.1111/jog.15399. Epub 2022 Aug 16. PMID: 36319196.2. ACOG: First and Second Stage Labor Management Clinical Practice Guideline Number 8: January 20243. Aquino CI, Saccone G, Troisi J, Zullo F, Guida M, Berghella V. Use of lubricant gel to shorten the second stage of labor during vaginal delivery. J Matern Fetal Neonatal Med. 2019 Dec;32(24):4166-4173. doi: 10.1080/14767058.2018.1482271. Epub 2018 Jun 27. PMID: 29804505.4. Beckmann MM, Stock OM. Antenatal Perineal Massage for Reducing Perineal Trauma. The Cochrane Database of Systematic Reviews. 2013;(4):CD005123. doi:10.1002/14651858.CD005123.pub3.

Breech presentation can bring up a lot of questions, uncertainty, and fear for expecting families—especially when conversations quickly turn to C-sections as the default option. In this episode of The New Mom Talk Podcast, we take a closer look at the current ACOG (American College of Obstetricians and Gynecologists) guidelines on breech presentation and vaginal delivery, and what they actually mean for parents navigating this situation.Our guest, Dr. Elliot Berlin, is a pregnancy-focused chiropractor, childbirth educator, and host of the Informed Pregnancy Podcast. He is also the creator of Informed Pregnancy Plus, a streaming platform for pregnancy education, and One Way or a Mother, an audio docuseries that explores real birth stories in depth. With decades of experience supporting families through pregnancy and birth, Dr. Berlin brings a balanced, evidence-based perspective to this important topic.In this conversation, we start by breaking down what ACOG stands for and why its guidelines matter when making informed decisions about birth. Dr. Berlin explains how ACOG's stance on vaginal breech birth has evolved over time, including why access to vaginal breech delivery has become more limited despite updated guidance that supports it in specific situations.We discuss the criteria providers may consider when determining whether someone is a good candidate for a vaginal breech birth, such as fetal position, gestational age, provider training, and birth setting. Dr. Berlin also shares insight into how accessible vaginal breech birth is today, why many families struggle to find supportive providers, and how parents can advocate for themselves when discussing options.Finally, we explore the risks and benefits of planned vaginal breech birth versus scheduled C-section, along with practical ways parents can educate themselves and prepare mentally, emotionally, and physically—especially if a breech presentation is discovered later in pregnancy.Whether you're currently facing a breech diagnosis or simply want to be more informed about your options, this episode empowers you with knowledge, context, and tools to have confident, informed conversations with your care team.Connect with Dr. Elliot Berlin:Official Website: https://www.doctorberlin.com/IG: @doctorberlin acog guidelines breech birth, vaginal breech delivery, breech presentation pregnancy, vaginal breech birth risks and benefits, breech birth options, informed pregnancy podcast, dr elliot berlin, breech birth advocacy, pregnancy education, childbirth decision makingwww.NewMomTalk.comBuy Me A CoffeeIG: @NewMomTalk.PodcastYouTube: @NewMomTalkMariela@NewMomTalk.comInterested in being a guest? Shoot us an email!- best parenting podcast- best new mom podcast- best podcasts for new moms- best pregnancy podcast- best podcast for expecting moms- best podcast for moms- best podcast for postpartum- best prenatal podcast- best postnatal podcast- best podcast for postnatal moms- best podcast for pregnancy moms- new mom - expecting mom- first time mom

It's so interesting to see how medical evidence evolves, and changes, over time. The result of course is that clinical practice evolves and changes as well. The story of umbilical cord management at time of delivery highlights this very issue very well. The ACOG first recommended delayed cord clamping (DCC) in 2012, for preterm infants, as data showed marked improvement in neonatal outcomes in that population. In this episode, we will briefly walk through the timeline from 2012 to the latest update on DCC which came from the AAP in October 2025, just one month after the ACOG had their DCC update. This story also exemplifies how professional medical societies don't always have the SAME recommendations, with small tweaks, in their guidance. So, Dr Chapa and I will summarize these key updates…Listen in for details!1. ACOG 2012: DCC for preterm infants only 2. ACOG 2016: ACOG Recommends Delayed Umbilical Cord Clamping for All Healthy Infants, including term: https://mdedge.com/obgynnews/article/121349/obstetrics/acog-supports-delayed-umbilical-cord-clamping-term-infants3. ACOG Dec 2020, CO 814: Delayed Umbilical Cord Clamping After Birth4. ACOG Obstet Gynecol. January 2022; 139(1): 121–137. doi:10.1097/AOG.0000000000004625. Management of Placental Transfusion to Neonates After Delivery5. ACOG (ePUB July ) Sept 2025: ACOG releases a Clinical Practice Update: An Update to Clinical Guidance for Delayed Umbilical Cord Clamping After Birth in Preterm Neonates6. AHA/AAP Oct 2025 Update: Neonatal Resuscitation: 2025 American Heart Association and American Academy of Pediatrics Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Major health organizations, including the CDC and ACOG, recommend universal Hepatitis C Virus (HCV) screening for all pregnant women during each pregnancy and at time of delivery. Ideally, pregnant women should be screened for hepatitis C virus infection at the first prenatal visit of each pregnancy. If the antibody screen result is positive, hepatitis C virus RNA polymerase chain reaction testing is done to confirm the diagnosis. The risk of perinatal transmission of HCV is up to 9%, with at least one-third of transmissions occurring antenatally. While antiviral therapy is recommended for Hepatitis B in pregnancy with a viral load greater than 200,000 international units/mL to decrease the risk of vertical transmission, the same is not the case for Hep C. According to the ACOG CPG #6 from September 2023, there are no standard treatment protocols for Hep C in pregnancy but a new publication from the PINK journal (7 Dec 2025) is calling for a change. That new publication is, “Hepatitis C Treatment During Pregnancy: Time for a Practice Change”. Listen in for details. 1. ACOG CPG #6; Sept 20262. Bhattacharya D, Aronsohn A, Price J, Lo Re V. Hepatitis C Guidance 2023 Update: AASLD-IDSA Recommendations for Testing, Managing, and Treating Hepatitis C Virus Infection. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2023;:ciad319. doi:10.1093/cid/ciad319.3. Chappell CA, Kiser JJ, Brooks KM, et al. Sofosbuvir/¬Velpatasvir Pharmacokinetics, Safety, and Efficacy in Pregnant People With Hepatitis C Virus. Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America. 2025;80(4):744-751. doi:10.1093/cid/ciae595.4. Reau N, Munoz SJ, Schiano T. Liver Disease During Pregnancy. The American Journal of Gastroenterology. 2022;117(10S):44-52. doi:10.14309/ajg.0000000000001960.5. Dutra, Karley et al. Hepatitis C Treatment During Pregnancy: Time for a Practice Change. American Journal of Obstetrics & Gynecology MFM, Volume 0, Issue 0, 1018656. Society for Maternal-Fetal Medicine Consult Series #56: Hepatitis C in Pregnancy-Updated Guidelines: Replaces Consult Number 43, November 2017. Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org, Dotters-Katz SK, Kuller JA, Hughes BL. American Journal of Obstetrics and Gynecology. 2021;225(3):B8-B18. doi:10.1016/j.ajog.2021.06.008