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What pregnancy tests do you actually need, and which ones could change everything? Dr. Amanda Horton, a double board-certified OB-GYN and Maternal-Fetal Medicine specialist with more than 23 years of experience caring for high-risk pregnancies, breaks down the screenings, ultrasounds, and genetic tests every expecting parent should know about. From IVF pregnancies and carrier screening to NIPT, anatomy scans, and the red flags doctors are looking for, Dr. Horton explains what these tests can reveal, what questions you should be asking, and why being your own advocate during pregnancy is so important. Thank you for supporting our sponsors!BabyGang is presented by Better Help. Sign up and get 10% off at https://BetterHelp.com/BABYGANGSkylight Frames: Go to https://MySkylight.com/BABYGANG for $30 off your 15-inch Calendar.HERS: Ready to reach your goals? Visit https://forhers.com/babygang to get personalized, affordable care that gets you.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
# Understanding Amniotic Fluid Embolism: Key Insights and Management StrategiesLearn about amniotic fluid embolism (AFE), its diagnosis, and management strategies. Essential for healthcare providers dealing with maternal emergencies.In this blog post, we delve into the complexities of amniotic fluid embolism (AFE), a rare but critical condition that can occur during or after labor. As healthcare professionals, understanding AFE is crucial, given its potential to cause rapid maternal deterioration. We will explore its diagnostic criteria, management strategies, and why effective communication within the healthcare team is vital.## What is Amniotic Fluid Embolism?Amniotic fluid embolism is often misunderstood. It is not simply a blockage caused by amniotic fluid but rather a severe reaction that occurs when amniotic fluid, fetal cells, or other debris enter the mother's bloodstream, resulting in an acute immune response. This condition can lead to serious complications, including cardiac arrest and significant hemorrhage.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
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.
Dr Gabriela Dellapiana is an Assistant Professor in Maternal-Fetal Medicine and Associate Director of the OBGYN Residency Program at Cedars-Sinai Medical.https://www.cedars-sinai.org/hereforla.html https://www.instagram.com/diprimaradio/
In the world of healthcare, documentation is more than just a routine task—it's a crucial aspect of patient care that can have significant legal implications. Have you ever considered how your notes could be interpreted in a court of law? In this post, we'll explore essential tips for effective medical documentation and why it matters for both patient care and legal protection.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
Today, I'm joined by Dr. Tiffany Tonismae, an OB/GYN clinician specializing in maternal-fetal medicine. Dr. Tonismae is an Assistant Professor at the University of Louisville and serves as the Maternal-Fetal Medicine Fellowship Program Director, where she's helping train the next generation of MFM specialists.In 2025, Dr. Tonismae joined Obtelecare as a TeleMFM clinician, supporting programs that expand access to high-risk pregnancy care through telemedicine—especially in rural communities.In this conversation, we'll talk about access to maternal care, the future of the MFM workforce, and how telemedicine is changing what's possible for patients and providers.
Navigating the Challenges of Free Birth: Insights from the Critical Care Obstetrics Podcast** Discover the complexities of free birth and the challenges faced in emergency settings. Learn from experts in maternal-fetal medicine about patient care without medical intervention.OpeningMany expectant mothers are opting for free birth—a choice that has gained traction despite the risks involved. In this post, we'll explore the insights shared by Dr. Stephanie Martin and nursing director Suzanne McMurtry Baird in their podcast about the challenges healthcare providers face when dealing with such patients. By understanding these dynamics, you can better appreciate the importance of trust and support in maternal care.Understanding Free Birth and Its ImplicationsFree birth, defined as delivering without medical assistance, raises critical questions about safety and maternal care. - **Why This Matters:** Many women believe they can have a safe delivery outside of traditional medical settings. However, statistics show that maternal mortality rates have significantly decreased with medical interventions. - **What the Transcript Reveals:** Dr. Martin emphasizes that while women have been giving birth for centuries, the medical system has evolved to ensure safer childbirth through interventions. - **How to Apply This Insight:** If you're considering a free birth, it's essential to weigh the risks versus benefits and understand the potential complications that could arise. The Role of Trust in Maternal HealthcareThe erosion of trust in the medical community has led many to seek alternatives, such as free birth. - **Conventional Thinking:** Traditionally, patients trusted their healthcare providers to guide them in their decisions. - **Current Reality:** As discussed in the podcast, factors like social media misinformation and experiences during the pandemic have contributed to a decline in trust. - **Key Insight:** Building relationships and open communication can help restore this trust, making patients feel more comfortable with medical interventions when necessary. The Importance of Support During LaborSupport systems play a crucial role in the birthing process, especially for women who choose to free birth. - **What We Learned:** During the podcast, it became evident that patients often arrive at the hospital without adequate support, which cThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
Preeclampsia Awareness Rates of the serious and sometimes deadly pregnancy condition, preeclampsia, have climbed 25% over the past two decades, yet there is little research on its cause, and no cure besides giving birth, which can lead to a difficult situation when the complication is discovered weeks or even months before the baby's due date. Preeclampsia, which causes high blood pressure, affects about 1 in every 12 pregnancies in the U.S., with certain groups at increased risk, including women over 35 and Black women. On Tuesday's "Sound of Ideas," we're going to talk to mothers who have survived preeclampsia, and we'll talk to healthcare workers and advocates who are working to improve the outcomes for mothers and babies. Guests:- Kelly Gibson, M.D., Division Director, Maternal Fetal Medicine, MetroHealth- Tonae Bolton, Senior Director, Strategy and Engagement, Birthing Beautiful Communities & Full Spectrum Doula & Certified Diversity Practitioner- Victoria McGinnis, Mother- Liz McCrea, Mother
In today's episode, we dive into the world of birth plans with Jen Hamilton, an OB nurse and soon-to-be author of *Birth Vibes*. She shares her journey from the ED to OB, revealing the challenges of navigating patients' expectations in labor and delivery.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
The SOGC Women’s Health Podcast / Balado sur la santé des femmes de la SOGC
Disclaimer: The views and opinions expressed during this podcast are those of the individuals participating and do not necessarily represent the official position or opinion of the SOGC. Summary: Join guest host Julia Wykes for a second conversation with Ms. Janet Christie and Dr. Nirmala Chandrasekaran as they continue their discussion on alcohol use and cessation around pregnancy, lactation, and parenting. Ms. Christie brings her lived experience from a patient and certified addiction recovery coach perspective, and Dr. Chandrasekaran brings her many years of clinical knowledge and expertise. Together, they discuss helpful strategies for healthcare providers and patients. About Dr. Nirmala Chandrasekaran:Dr. Chandrasekaran is a Maternal–Fetal Medicine specialist and Assistant Professor in the Department of Obstetrics and Gynecology at the University of Toronto. She is a Staff Perinatologist at St. Michael's Hospital, where she serves as Lead for Obstetrical Ultrasound, Lead for Obstetrics Quality Improvement and Patient Safety, and MFM Lead for the Perinatal Addictions Clinic. She holds multiple fellowships from the Royal Colleges in the UK and Canada and has received international distinctions. Her clinical and research interests include high-risk pregnancy, obstetric ultrasound, preeclampsia, gestational diabetes, perinatal addictions, patient safety, and quality improvement. About Janet Christie: Janet is a Certified Addiction Recovery Coach, speaker, and facilitator with over 30 years of personal recovery from multiple addictions. She helps women heal from the pain and stigma of addiction by challenging stereotypes and shifting societal paradigms. Janet has been instrumental in developing the FASD Key Worker Program in BC and the Moms Mentoring Moms initiative, supporting women in recovery and families affected by FASD. Her story has been widely published as an inspiring example of resilience and hope.
The SOGC Women’s Health Podcast / Balado sur la santé des femmes de la SOGC
Disclaimer: The views and opinions expressed during this podcast are those of the individuals participating and do not necessarily represent the official position or opinion of the SOGC. Summary: Join guest host Julia Wykes, public education liaison at the SOGC, as she speaks with Dr. Nirmala Chandrasekaran and Ms. Janet Christie about the new SOGC guideline on alcohol use and cessation in pregnancy. The combination of personal, lived experience, with practical advice for both patients and healthcare providers, creates an emotional and memorable conversation. About Dr. Nirmala Chandrasekaran:Dr. Chandrasekaran is a Maternal–Fetal Medicine specialist and Assistant Professor in the Department of Obstetrics and Gynecology at the University of Toronto. She is a Staff Perinatologist at St. Michael's Hospital, where she serves as Lead for Obstetrical Ultrasound, Lead for Obstetrics Quality Improvement and Patient Safety, and MFM Lead for the Perinatal Addictions Clinic. She holds multiple fellowships from the Royal Colleges in the UK and Canada and has received international distinctions. Her clinical and research interests include high-risk pregnancy, obstetric ultrasound, preeclampsia, gestational diabetes, perinatal addictions, patient safety, and quality improvement. About Janet Christie: Janet is a Certified Addiction Recovery Coach, speaker, and facilitator with over 30 years of personal recovery from multiple addictions. She helps women heal from the pain and stigma of addiction by challenging stereotypes and shifting societal paradigms. Janet has been instrumental in developing the FASD Key Worker Program in BC and the Moms Mentoring Moms initiative, supporting women in recovery and families affected by FASD. Her story has been widely published as an inspiring example of resilience and hope.
### Key Takeaways- Policies must be easily accessible to all healthcare providers. - Understanding the difference between policies, guidelines, and protocols is crucial for effective patient care. - Ongoing training and communication are necessary for ensuring that clinical staff can effectively implement policies.#Nursing #Healthcare #ClinicalGuidelines #PatientCare #ObstetricsThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
Dr. Adam Urato, Chief of Maternal-Fetal Medicine at MetroWest Medical Center, spent decades on the front lines of obstetric care before he couldn't ignore what the data was showing. In this episode, he walks Drs. May and Tim through the rise and fall of Makena — a drug prescribed to prevent preterm birth that was ultimately pulled by the FDA in 2023 after being proven ineffective — and connects it to a larger pattern of flawed trials, minimized risks, and industry-driven guidelines that have shaped standard obstetric care for years. Dr. Urato then turns to SSRIs, now taken by roughly 1 in 10 pregnant women. He breaks down what the research actually shows about how these drugs cross the placenta, disrupt fetal serotonin pathways, and may impact long-term brain development in children — findings that rarely make it into the exam room conversation. He also addresses the fierce pushback from major medical organizations after an FDA advisory panel hearing, and why he believes the response had more to do with protecting a narrative than protecting patients. The throughline: informed consent is broken in obstetrics, and fixing it starts with physicians being willing to say the uncomfortable things out loud. GUEST BIO Dr. Adam Urato is the Chief of Maternal-Fetal Medicine at MetroWest Medical Center in Framingham, Massachusetts — the same hospital where he was born. A Harvard Medical School graduate with nearly 30 years of experience caring for high-risk pregnancies, Dr. Urato has become one of medicine's most outspoken voices on pharmaceutical safety in obstetrics. He has testified before the FDA, written and lectured extensively on antidepressant use during pregnancy, and played a key role in exposing the failures of Makena. His free course, Antidepressants and Pregnancy, is available through Mad in America. CONNECT WITH DR. URATO Mad in America course: madinamerica.com Follow on X: @AdamUrato1 CONNECT WITH US Thanks for joining us — you are the reason we are here. Have questions? Reach out at doc@bsfreemd.com or find Tim and May on Facebook and Instagram.
April 2, 2026 ~ Dr. Pooja Green, Principal Investigator SOS MATERNITY Network, Maternal Fetal Medicine Specialist, Trinity Health Ypsilanti joins Dr. Sonia Hassan in for Paul W. Smith. Hosted by Simplecast, an AdsWizz company. See https://pcm.adswizz.com for information about our collection and use of personal data for advertising.
The Barbell Mamas Podcast | Pregnancy, Postpartum, Pelvic Health
Your pregnancy gets labeled “high risk,” and suddenly the default advice can feel like a single blunt command: stop moving. That can be crushing if exercise is how you regulate stress, manage pain, and feel at home in your body. We go straight at the uncomfortable question many active moms are asking quietly: is activity restriction actually helping, or are we sometimes making outcomes worse by prescribing fear and deconditioning?I'm Christina Previtt, pelvic floor physical therapist and pregnancy researcher, and I walk through what we know and what we still do not know about pregnancy complications and exercise. We unpack why bed rest and strict “no exercise” rules became common, why the Society for Maternal-Fetal Medicine has moved away from routine activity restriction for certain preterm birth risks, and why so many providers still reach for restrictions as a knee-jerk response. We also talk about the real-world costs of sedentary behavior during pregnancy, from mental health to loss of strength and capacity that you need for birth, postpartum recovery, and motherhood.Then we get specific about the studies that are shifting the conversation: the AWARE study on short cervix and step count, the AMBL study on PPROM patients walking on the hospital ward, and research on pelvic rest with placenta previa. The theme is nuance. Movement is not the same as high-intensity training, and “strain” is relative to your fitness, your symptoms, and what your day demands.If you're pregnant, navigating cervical insufficiency, a short cervix, PPROM, placenta previa, or other complications, I share practical prompts to bring to your OB or maternal-fetal medicine visit so you can find the safest middle ground. Subscribe for more evidence-based pregnancy fitness conversations, share this with a friend who was told to stop moving, and leave a review so more moms can find it.___________________________________________________________________________Don't miss out on any of the TEA coming out of the Barbell Mamas by subscribing to our newsletter You can also follow us on Instagram and YouTube for all the up-to-date information you need about pelvic health and female athletes. Interested in our programs? Check us out here!
High-risk pregnancies can be stressful, but specialized care is now closer to home. In this episode of Live Well with Southwell, we sit down with Dr. Anne Patterson, lead physician and founder of Women's Telehealth, to talk about Southwell's new Maternal-Fetal Medicine (MFM) program.Dr. Patterson shares how Southwell and Women's Telehealth are working together to provide advanced care for women and families in South Georgia, including real-time ultrasounds, seamless coordination with OB/GYNs, and the latest in telemedicine technology.Whether you're an expectant mother, a family member, or just interested in how healthcare is evolving in rural communities, this conversation offers insight into how Southwell is making a difference.
Having a pregnant patient arrive to an adult ED after minor trauma presents several challenges for care teams. Maternal and fetal assessment with communication between the adult ED and OB teams is needed. In this episode, Dr. Stephanie Martin and Dr. Suzanne McMurtry Baird discuss these issues.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women.Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics.Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women.Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us:Patreon: patreon.com/CCOBYouTube: @CriticalCareOBPodcastInstagram: https://www.instagram.com/criticalcareob/Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112aCCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/Twitter/X: https://twitter.com/OBCriticalCareCCOB Facebook: ...
Did you know that the presence of a stethoscope on every caregiver is a huge green flag?
The insights shared in this podcast episode underscore the importance of vigilance in healthcare settings. Recognizing red flags—whether they pertain to patient care, workplace culture, or system processes—can significantly enhance patient safety and care quality. By fostering a culture of awareness and prioritizing structured training methods like simulation, healthcare professionals can work towards creating safer environments for both patients and staff.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
Today is all about induction at 39 weeks- something I hear often when my students approach that point in pregnancy. We'll take a closer look at the ARRIVE Trial and explore whether the data truly reflects what's happening in labor and delivery units. What are the real pros and cons of elective induction? What are the risks and potential benefits? Join us as we unpack this nuanced and often debated topic. On this episode of Yoga | Birth | Babies I am joined by Dr. Elizabeth Langen. Dr. Elizabeth is a Maternal-Fetal Medicine specialist and Associated Professor at the University of Michigan. She currently directs the Cardio-Obstetrics program at the University of Michigan that provides patient-centered care for women with cardiovascular disease before, during, and after pregnancy. Get the most out of each episode by checking out the show notes with links, resources and other related podcasts at: prenatalyogacenter.com Don't forget to grab your FREE guide, 5 Simple Solutions to the Most Common Pregnancy Pains HERE If you love what you've been listening to, please leave a rating and review! Yoga| Birth|Babies (Apple) or on Spotify! To connect with Deb and the PYC Community: Instagram & Facebook: @prenatalyogacenter Youtube: Prenatal Yoga Center Learn more about your ad choices. Visit megaphone.fm/adchoices
Today's episode was inspired by a conversation with a woman in the Mind Your Hormones Method. Progesterone absolutely matters and the fact that some doctors say it doesn't is alarming. Low progesterone isn't the real issue, it's a symptom of deeper hormone and ovulation imbalances. In this episode, I explain why progesterone is essential for pregnancy, when supplementation makes sense, and why addressing the root cause is the only way to truly heal your hormones and protect your long-term health.Ways to work with Corinne: Join the Mind Your Hormones Method, HERE! (Use code PODCAST for 10% off!!)Mentioned in this episode:Shop our sponsor of today's episode TempDrop here! (Use code AFCORINNE to save 10%!) Mentioned Episodes:Signs of low progesteroneHow to support progesterone naturallyFREE TRAINING! How to build a hormone-healthy, blood-sugar-balancing meal! (this is pulled directly from the 1st module of the Mind Your Hormones Method!) Access this free training, HERE!Join the Mind Your Hormones Community to connect more with me & other members of this community!Come hang out with me on Instagram: @corinneangealicaOr on TikTok: @corinneangelicaEmail Fam: Click here to get weekly emails from meMind Your Hormones Instagram: @mindyourhormones.podcast Disclaimer: always consult your doctor before taking any supplementation. This podcast is intended for educational purposes only, not to diagnose or treat any conditions.
Description: In this episode of the SMFM Podcast, we continue our American Heart Month series highlighting Patient Safety and Quality (PSQI) tools designed to improve cardiovascular outcomes in pregnancy. Dr. Melissa Spiel is joined by Dr. Andy Combs and Dr. Jamie Morgan to discuss the updated 2026 SMFM Checklist for Preeclampsia Risk-Factor Screening to Guide Recommendations for Prophylactic Low-Dose Aspirin. The conversation reviews key updates to the USPSTF recommendations, how the checklist supports systematic identification of eligible patients, and practical strategies for implementation in diverse practice settings. The episode also explores the companion process-based quality metric aimed at improving aspirin initiation by 16 weeks and helping practices measure adherence and equity in care. Resources: Society for Maternal-Fetal Medicine Special Statement: Updated checklists for preeclampsia risk-factor screening to guide recommendations for prophylactic low-dose aspirin - SMFM Publications and Clinical Guidelines Society for Maternal Fetal-Medicine Special Statement: Prophylactic low-dose aspirin for preeclampsia prevention—quality metric and opportunities for quality improvement - SMFM Publications and Clinical Guidelines Disclaimer: "The Public Health System Components: Clinicians who are related to Maternal-Fetal Medicine program is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award to the Society for Maternal-Fetal Medicine (SMFM) totaling $1,278,000 with 100 percent funded by CDC/HHS. The contents are those of the authors and do not necessarily represent the official views of nor endorsement, by CDC/HHS or the U.S. Government."
Women's health is at a pivotal moment in Ohio. From maternal care deserts and rising maternal mortality, to oncology advances and long-overdue conversations about menopause and postpartum mental health, this Columbus Metropolitan Club forum explores what our region is getting right—and where the system is still failing Ohio's women. Featuring Panelists: Jatu Boikai, Founder and CEO, Central Ohio Postpartum Extended Respite Center Dr. Kamilah Dixon, Director of the General Division of Obstetrics and Gynecology, The Ohio State University Wexner Medical Center Dr. Shilpa Padia, Co-Medical Director of Oncology, Mount Carmel Health System Dr. Mona Prasad, System Chief, Maternal Fetal Medicine, OhioHealth Physicians Group Your host is Tracy Townsend, News Anchor and Medical Correspondent, WBNS 10TV. The presenting sponsors of CMC's long-running Optimal Health Series are Nationwide Children's Hospital, OhioHealth, and The Ohio State University Wexner Medical Center. This forum was also sponsored by Mount Carmel Health System. The presenting sponsor of the CMC livestream is The Center for Human Kindness at the Columbus Foundation. CMC's livestream partner is The Columbus Dispatch. This forum was also supported by Downtown Columbus, Inc. and The National Veterans Memorial and Museum. If you would like to keep exploring this week's forum topic, our partners at The Columbus Metropolitan Library recommend reading "The New Rules of Women's Health: Your Guide to Thriving at Any Age" by Meghan Rabbitt (2026). This forum was recorded before a live audience at the National Veterans Memorial and Museum in Columbus, Ohio on Wednesday, February 18, 2026.
In this rich and reassuring conversation, Debbie sits down once again with Dr. Lexi Hill, a Maternal–Fetal Medicine specialist, to unpack what advanced maternal age really means today. Together, they demystify the risks, clarify what's truly important in prenatal care, and offer practical guidance for parents, educators, and birth professionals alike. From essential screenings and advocacy tips to emotional wellness and preparing for birth, this episode blends evidence-based insight with compassion and clarity. Whether you work with expectant families or are navigating pregnancy yourself, you'll walk away feeling informed, empowered, and ready to support safer, more confident journeys into parenthood. About Dr. Lexi Hill Dr. Lexi is a board-certified Maternal–Fetal Medicine specialist dedicated to supporting people through high-risk and medically complex pregnancies with clarity, compassion, and evidence-based care. With extensive experience in fetal imaging, prenatal diagnostics, and managing conditions such as advanced maternal age, hypertension, diabetes, and IVF-related risks, she is known for her ability to translate complex medical information into practical guidance for patients and professionals alike. In addition to her clinical work, Dr. Lexi creates educational resources—including courses, videos, and advocacy tools—that empower families to ask informed questions and navigate pregnancy with confidence. Listen & Learn: Why "advanced maternal age" begins at 35, and why that number isn't magical but part of a gradual risk continuum. That flexible, well-communicated birth plans are still absolutely possible, and valuable, for AMA pregnancies. How to recognize red flags in prenatal care and advocate for clear communication and shared decision-making. Which screenings and scans are essential during AMA pregnancies, especially the importance of a detailed anatomy ultrasound. The key maternal risks that rise with age, including preeclampsia, gestational diabetes, and preterm birth. The fetal risks associated with AMA, from chromosomal differences to growth concerns and stillbirth risk. How AMA care typically includes early screening, mid-pregnancy anatomy scans, third trimester growth checks, and late-pregnancy monitoring pregnancy anatomy scans, third trimester growth checks, and late pregnancy monitoring. Why combining IVF with AMA adds layers of risk, making early ultrasound, anatomy scans, and fetal echocardiograms even more important. How a preconception consultation can help you understand risks, optimize health, and prepare for pregnancy with confidence. Resources & Mentions: Dr. Lexi's website (free resources for students and clients) FREE Hypertensive High Risk Pregnancy Module Dr. Lexi's YouTube channel(opens in a new tab) Related Products from InJoy: Understanding Pregnancy Book + Web App Understanding Birth Book + Web App Related InJoy Podcasts Expert Insights: Latest Updates on Gestational Diabetes with Lily Nichols, RDN 1 Kick, 2 Kicks, 7 Kicks More! A Stillbirth Prevention Program With Megan Aucutt of Healthy Birth Day, Inc Preeclampsia: What Every Educator Should Know with Adriane Burgess
Summary:In this episode of the Critical Care Obstetrics podcast, the hosts discuss the implications of a 'can-do' culture in healthcare, particularly in obstetrics. They explore how this attitude can lead to workarounds that, while initially well-intentioned, can negatively impact patient safety and staff well-being. The conversation delves into the importance of leadership in addressing these issues, the need for standardized assessments, and the dangers of normalizing deviations from best practices. The hosts emphasize the significance of clear roles during emergencies and the impact of burnout on healthcare professionals. They conclude with a call to action for team collaboration and empowerment to drive positive change in healthcare settings.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the SMFM Podcast, we continue a three-part American Heart Month series highlighting Patient Safety and Quality (PSQI) tools developed to improve cardiovascular outcomes during pregnancy and the postpartum period. Dr. Bart Staat is joined by Dr. Kelly Gibson and Dr. Ralph Burns, authors of the SMFM Checklist for Postpartum Discharge of Women with Hypertensive Disorders. The discussion focuses on how a standardized postpartum checklist can reduce preventable morbidity and mortality by ensuring consistent patient education, supporting home blood pressure monitoring, promoting timely follow-up, and improving transitions to ongoing care. The episode also explores practical implementation strategies, systems-level considerations, and the associated quality metric designed to help practices measure adherence and impact. A link to the checklist and quality metric is included in the show notes and is available on the Society for Maternal-Fetal Medicine website under Clinical Guidance → Patient Safety and Quality. https://publications.smfm.org/publications/331-society-for-maternal-fetal-medicine-special-statement-checklist/ Disclaimer: "The Public Health System Components: Clinicians who are related to Maternal-Fetal Medicine program is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award to the Society for Maternal-Fetal Medicine (SMFM) totaling $1,278,000 with 100 percent funded by CDC/HHS. The contents are those of the authors and do not necessarily represent the official views of nor endorsement, by CDC/HHS or the U.S. Government."
In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and her colleagues discuss the concept of 'Can-Do Culture' in healthcare, particularly in obstetrics. They explore personal stories that illustrate the challenges and consequences of this mindset, especially regarding patient safety and staffing issues. The conversation emphasizes the importance of understanding the scope of service, the impact of a can-do attitude on patient outcomes, and the need for structured processes in healthcare settings. They also highlight the role of simulation as a tool for improving efficiency and problem-solving in clinical practice. The episode concludes with a call for further discussion on the implications of can-do culture on individual healthcare providers and the potential for burnout.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the SMFM Podcast, we launch a three-part series in recognition of American Heart Month focused on Patient Safety and Quality (PSQI) tools that support standardized, evidence-based cardiovascular care across pregnancy and the postpartum period. Dr. Melissa Spiel is joined by Dr. Andrew Combs, former Chair of the SMFM Patient Safety and Quality Committee and one of the authors of the SMFM Cardiovascular Symptom Checklist, to discuss a concise, one-page tool designed to guide systematic triage of cardiovascular symptoms in pregnant and postpartum patients. The conversation highlights how structured symptom assessment can help distinguish physiologic findings from those warranting further evaluation, reduce missed diagnoses, and promote consistency across care settings. This episode is intended for maternal-fetal medicine subspecialists and obstetric clinicians involved in outpatient care, phone triage, urgent care, and emergency settings. A link to the checklist can be found below and is available on the SMFM website under Clinical Guidance → Patient Safety and Quality. Society for Maternal-Fetal Medicine Special Statement: Checklists for triage and work-up of persons with symptoms suggestive of cardiovascular disease in pregnancy and postpartum - SMFM Publications and Clinical Guidelines Disclaimer: "The Public Health System Components: Clinicians who are related to Maternal-Fetal Medicine program is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award to the Society for Maternal-Fetal Medicine (SMFM) totaling $1,278,000 with 100 percent funded by CDC/HHS. The contents are those of the authors and do not necessarily represent the official views of nor endorsement, by CDC/HHS or the U.S. Government."
Dr. Rupsa Boelig, a 2025 March of Dimes Discovery Research Grant winner and an Associate Professor of Obstetrics and Gynecology in the Division of Maternal Fetal Medicine at Philadelphia's Thomas Jefferson University, discusses her new study on the metabolism of aspirin in pregnant women with diabetes or a higher BMI. She hopes the study findings will shed light on whether these women may benefit from a higher aspirin dose to help prevent preeclampsia and/or preterm birth.
This episode is brought to you by Cozy Earth, makers of luxuriously soft bamboo sheets, blankets, and sleep essentials. Because your rest matters, mamas. Cozy Earth makes it easier to get the cozy, breathable sleep your body (and your little one) deserve. Use code HEHE at https://cozyearth.com/ for 20% off your order and treat yourself to the sleep you've been dreaming of. Join HeHe in this re-aired episode as she dives into a super important topic: preeclampsia. She sits down with High-Risk OB/GYN and Maternal-Fetal Medicine specialist, Dr. Lexi Hill, to break down what preeclampsia really is, how it can show up after 20 weeks, and the signs to watch for—high blood pressure, persistent headaches, swelling, or proteins in your urine. Dr. Lexi shares practical guidance on monitoring yourself, key risk factors, questions to ask your provider, and the medical options you might be offered if preeclampsia arises—giving you clarity, confidence, and tools to advocate for your health and your baby's. Guest Bio: Dr. Lexi Hill obtained her BS in Nutritional Sciences with a minor in Spanish from Texas A&M University. After taking a year to volunteer abroad in Costa Rica, substitute teach, and work as a Medical Assistant, she attended medical school at Texas A&M followed by an OB/GYN residency in Phoenix, Arizona. The native Texan returned to Galveston, Texas to complete a fellowship in Maternal-Fetal Medicine at the University of Texas Medical Branch where she received multiple teaching awards for her involvement with medical students and residents. Dr. Lexi Hill is licensed in over 20 states and practices telemedicine full-time to underserved communities. She is extensively involved with the Society for Maternal-Fetal Medicine to help advocate for maternal health care at both the state and national level. She has traveled extensively and enjoys incorporating her study of the Spanish language into her daily clinical practice. Her commitment to teaching self-advocacy skills to patients, as well as physicians, led her to start her own business based on the three pillars of EXPANDING knowledge, DEVELOPING skills, IMPACTING lives (E.D.I). With this concept, Dr. Lexi Hill shares data driven pregnancy information through social media, YouTube videos, and her podcast. She also offers virtual concierge consultations which require no referral or delays due to insurance. She truly has a passion to help individuals experience a happy and healthy pregnancy. Links: Connect with Dr. Lexi: https://www.drlexihill.com/ Resources from Dr. Lexi: www.drlexihill.com/aspirin www.drlexihill.com/fetaltesting https://www.drlexihill.com/advocate Link to purchase a module or book a consultation with Dr. Lexi https://www.drlexihill.com/pregnancy-advocacy Connect with HeHe on IG: https://www.instagram.com/tranquilitybyhehe/ Join The Birth Lounge here for judgment-free childbirth education and more resources like this that prepare you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience! Check out the original episode here.
The conversation also addresses the moral distress clinicians experience when a mother dies.This episode is for anyone who cares for pregnant or postpartum patients and wants to be better prepared—not just clinically, but emotionally and ethically—when the unthinkable happens. It is a reminder that even when we cannot save a life, how we care still matters profoundly.#MaternalMortality #MaternalHealth #MaternalDeath #PreventableDeaths #MaternalSafety #Postpartum #HighRiskPregnancy #MaternalHealthCrisis #HealthEquity #PerinatalCare #OBGYNThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
Turn online alignment into an offline community — join us at TheWayFwrd.com to connect with like-minded people near you.No animal in nature needs to be taught how to give birth. So why have we convinced human mothers they do?In this episode, I sit down with Dr. Stu Fischbein, an obstetrician who spent more than two decades attending hospital births before stepping outside the system to examine it more closely. After years working in highly structured medical environments, he began asking a difficult question: why hasn't more intervention led to better outcomes?Modern approaches to birth and healthcare have drifted from basic human biology, and how fear, liability, and protocol often replace judgment and trust. This isn't a debate about extremes—it's a grounded look at how medical intervention, when applied by default, can create cycles that are hard to escape.We also touch on trusting your body, the loss of autonomy in healthcare, and why outcomes haven't meaningfully improved despite more technology, more testing, and more control. The patterns we unpack here don't stop with medicine—they show up anywhere systems replace thinking.You'll Learn:[00:00] Introduction[01:43] How birth was medicalized through vilifying midwives and destroying natural practices[12:25] The takeover of obstetrics training and the relegation of OB-GYNs to gatekeepers, while outcomes worsened[18:29] Dr. Stu's shift from classical training to questioning everything [33:33] Why we need to educate 13-15 year old women about their bodies[45:42] How and why the NICU admission rates have doubled[01:03:37] Why for-profit hospitals can't financially survive if women who don't need medical intervention go elsewhere[01:30:38] How doctors manipulate women using relative risk instead of actual risk[01:52:25] How to retrain the obstetrical system starting with medical schools[02:26:09] Why treating 99.9% of GBS-positive women with antibiotics destroys babies' microbiomes[02:36:12] Why routine pap smears and mammograms are mostly unnecessary[02:45:25] Why nature designed women to give birth alone in safe spacesResources Mentioned:Midwife books by Sara Wickham | WebsiteBreech Without Borders | WebsiteClick here to get an exclusive discount to our Birthing Instincts Podcast Patreon membership. Use promo code ALECZECK50 for half off your first month, excluding our Medical Professionals Level. This Patreon is a great way to get additional content and support from Dr. Stu and the entire Birthing Instincts family.Find more from Dr. Stu:Birthing Instincts | WebsiteBirthing Instincts | InstagramBirthing Instincts | PodcastFind more from Alec:Alec Zeck | InstagramAlec Zeck | XThe Way Forward | InstagramThe Way Forward is Sponsored By:RMDY Academy & Collective: Homeopathy Made AccessibleHigh-quality remedies and training to support natural healing.Enroll hereExplore herePaleovalley is 100% Grass-Fed Bone Broth Protein is a nutrient-dense, easy-to-digest source of collagen and essential amino acids. Sourced from grass-fed cows, this protein powder provides the building blocks for healthy joints, skin, and gut function—without fillers or artificial ingredients. Support the show and claim 15% off your PaleoValley order!New Biology Clinic: Redefine Health from the Ground UpExperience tailored terrain-based health services with consults, livestreams, movement classes, and more. Visit www.NewBiologyClinic.com and use code THEWAYFORWARD (case sensitive) for $50 off activation. Members get the $150 fee waived
When a pregnancy is labeled "high-risk" and families are transferred from standard pregnancy care to a Maternal-Fetal Medicine (MFM) specialist, it can feel overwhelming, disorienting, and even like a personal setback. Emotions like fear, confusion, and self-doubt are common for parents, but finding balance during this transition is essential. Staying engaged and empowered isn't just good for emotional well-being; it's critical for making informed decisions throughout their pregnancy journey. In today's episode, we'll explore practical and compassionate strategies to help educators support parents as they shift into MFM care —and how to help families maintain a sense of balance, clarity, and hope when pregnancy plans change. About Dr. Lexi Hill Our guest, Dr. Lexi Hill, is a respected Maternal-Fetal Medicine specialist who works closely with families and healthcare professionals to ensure parents receive the best possible care during their high-risk pregnancy. Dr. Hill is passionate about bridging gaps in the patient–physician relationship through education and empowerment. She believes that when parents understand their care and feel confident advocating for themselves, both outcomes and experiences improve. Listen & Learn: Why parents are referred to maternal fetal medicine and what "high-risk" really means The most common conditions MFM specialists manage, from diabetes to placenta previa What it takes to become an MFM specialist and why that expertise matters How MFMs collaborate with OBs and midwives to support safe deliveries Ways MFMs help parents cope emotionally when birth plans change Practical tips for advocacy and shared decision-making during pregnancy Creative strategies to maintain joy and build support during high-risk pregnancies Resources & Mentions: Dr. Lexi's website (free resources for students and clients) FREE Hypertensive High Risk Pregnancy Module Dr. Lexi's YouTube channel Related Products from InJoy: Understanding Pregnancy Book + Web App Understanding Birth Book + Web App Related InJoy Podcast Expert Insights: Latest Updates on Gestational Diabetes with Lily Nichols, RDN
In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and Suzanne Baird discuss the sensitive and critical topic of maternal mortality. They share a case study of a young mother with chronic hypertension, exploring the clinical challenges and management decisions that led to her tragic outcome. The conversation delves into the importance of communication, support for families, and the need for healthcare professionals to address maternal death openly. They also highlight the alarming statistics surrounding maternal mortality in the U.S. and share personal experiences that underscore the emotional toll on healthcare providers. The episode aims to foster a deeper understanding of maternal health issues and the importance of compassionate care in the face of loss.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Critical Care Obstetrics podcast, Dr. Stephanie Martin and Julie Arafey discuss a complex case involving a pregnant patient who experiences respiratory compromise leading to cardiac arrest. They explore the challenges in assessment, admission, and management of high-risk obstetric patients, emphasizing the importance of communication, monitoring, and emergency protocols. The conversation highlights the need for preparedness in handling obstetric emergencies, including the critical timing of resuscitative cesareans, and the necessity of training healthcare teams to respond effectively in such situations.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Critical Care Obstetrics podcast, Julie Arafeh discusses the significance of interprofessional training in simulation sessions for healthcare teams, particularly in obstetrics. She emphasizes the necessity of including all team members in training to enhance collaboration and patient care. The conversation covers barriers to participation, incentives for physicians, the importance of confidentiality, and strategies for engaging multiple departments in simulation training. Julie provides practical tips for simulation instructors and encourages physicians to voice their needs to improve their training experience.TakeawaysSimulation based training is practice.You need to practice with the full team to get the complete benefit.If the nurses don't have access, the simulation is very nurse-centric.Identify what is problematic for people about the topic.Let people know what you're going to work on in simulation.Time is money for physicians, so scheduling is crucial.Physicians may hesitate to attend simulation due to fear of looking bad.Confidentiality in simulation allows for mistakes without blame.Interprofessional simulation enhances teamwork and patient outcomes.Engaging multiple departments in simulation is essential for comprehensive training.Chapters00:00 The Importance of Interprofessional Training04:41 Identifying Barriers to Participation10:32 Incentives for Physician Participation14:10 Overcoming Reluctance and Building Confidence19:44 Ensuring Confidentiality in Simulation25:35 Collaborative Interdepartmental SimulationsThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Critical Care Obstetrics podcast, Dr. Courtney Martin discusses her role as an OB hospitalist and the evolving landscape of obstetric care. She emphasizes the importance of proactive measures in maternal safety, the impact of wellness bias on patient care, and the need for strong team dynamics in healthcare settings. Dr. Martin also addresses the challenges posed by COVID-19 and the necessity for hospitalists to advocate for standardized care while maintaining patient autonomy. The conversation highlights the critical role of OB hospitalists in improving outcomes for mothers and babies alike.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Critical Care Obstetrics podcast, Julie Arafeh discusses the significance of deliberate practice and team skills in managing high-risk obstetric emergencies. She emphasizes the importance of simulation training to enhance team performance, communication, and role delegation, ultimately aiming to reduce preventable maternal mortality. The conversation explores how to effectively implement deliberate practice in obstetrics, the role of checklists, and the value of video analysis in improving team dynamics during simulations.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this second episode of a collaborative series with the AHA Women in Cardiology (WIC) Committee, CardioNerds (Dr. Gurleen Kaur and Dr. Anna Radhakrishnan) are joined by four leading experts in Cardio-Obstetrics to explore this rapidly evolving field. Dr. Rina Mauricio (Director of Women's Cardiovascular Health and Cardio-Obstetrics at UT Southwestern Medical Center), Dr. Afshan Hameed (Director of Maternal Fetal Medicine and Cardio-Obstetrics at UC Irvine), Dr. Doreen DeFaria Yeh (Co-director of the MGH Cardiovascular Disease and Pregnancy Program), and Dr. Garima Sharma (Director of Women's Cardiovascular Health and Cardio-Obstetrics at Inova) define Cardio-Ob as encompassing not only care of women during pregnancy, but also the complex decision-making that extends through the preconception and postpartum periods. From counseling patients with pre-existing or congenital heart disease before pregnancy to managing cardiovascular health during pregnancy and after delivery, they trace how the field has developed in response to the urgent need to address maternal mortality. Listeners will gain valuable insight into the multidisciplinary teamwork, patient-centered decision-making, and advocacy that drive this field - along with the importance of expanding Cardio-Ob education for clinicians and trainees, and innovations and system-level changes shaping its future. Audio editing by CardioNerds academy intern, Grace Qiu. This episode was planned in collaboration with the AHA CLCD Women in Cardiology Committee with mentorship from Dr. Monika Sanghavi. The PA-ACC & CardioNerds Narratives in Cardiology PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!
Joining us on Well Said is Dr. Caroline Pessel, a Board-Certified OB-GYN specializing in Maternal Fetal Medicine, Associate Professor at the Zucker School of Medicine at Northwell/Hofstra, and the Director of Maternal Fetal Medicine Fellowship Program at Northwell, who will discuss exercise in pregnancy and how it can lead to improved health for both mom […]
Summary:In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafey, and Suzanne McMurtry Baird discuss their pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. The hosts share their frustrations with electronic medical records (EMR) and advocate for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
About this episode: Prescribing medicine to address fever or pain in pregnancy is a delicate task with a need to consider both potential benefits and risks. In this episode: Obstetrician Dr. Angie Jelin shares how she discusses Tylenol use with expectant parents in the context of emerging evidence and recent news from the federal government. Guests: Dr. Angie Jelin is the assistant director of prenatal genetics at the Prenatal Diagnostic Center in the Division of Maternal-Fetal Medicine and an assistant professor in the Johns Hopkins Medicine Department of Gynecology and Obstetrics. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: Autism Risk Linked to Fever During Pregnancy—Columbia Mailman School of Public Health Interpreting the Data on Tylenol, Pregnancy, and Autism—Public Health On Call (September 2025) Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird discuss Suzanne's pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. Suzanne shares her frustrations with electronic medical records (EMR) and advocates for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Critical Care Obstetrics podcast, hosts Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird discuss their pet peeves related to healthcare and critical care obstetrics. They emphasize the importance of accurate vital signs, the challenges posed by technology in simulation training, and the need for effective communication in emergency situations. The conversation also touches on the role of moulage in enhancing realism during simulations and the significance of engaging physicians in training. Overall, the episode highlights the critical aspects of training and teamwork in obstetric care.00:00 Introduction to Pet Peeves in Critical Care Obstetrics02:48 The Importance of Accurate Vital Signs05:54 Challenges with Technology in Simulation08:56 The Role of Simulation in Training11:54 Moulage and Realism in Simulations14:55 Effective Communication in Emergency Situations18:03 Understanding Team Dynamics in Critical Care20:47 Engaging Physicians in Simulation Training23:56 Conclusion and Future DiscussionsThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
Case Presenter: Anna Jarvis is a current 3rd year OB/GYN resident at Johns Hopkins. She is originally from California, where she completed her MD at University of California, Irvine. She is currently applying to Maternal Fetal Medicine Fellowship this cycle! Case Discussant Greg is a current first year Maternal-Fetal Medicine fellow at the Hospital of… Read More »Episode 421: Baby on Board – and a surprise guest! Listen to Greg and Bobby discuss how to manage the guest tagging along for the ride!!
In this episode, Stephanie Martin and Suzanne McMurtry Baird speak with Nicolette Lewis, a labor and delivery nurse who shares her harrowing experience of nearly dying during childbirth due to a ruptured splenic artery aneurysm. Nicolette discusses the critical moments leading up to her emergency C-section, the challenges she faced during recovery, and how this experience has transformed her approach to nursing and patient care. The conversation emphasizes the importance of listening to patients, recognizing signs of distress, and the impact of trauma on both patients and healthcare providers.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Critical Care Obstetrics podcast, hosts Stephanie Martin, Suzanne Baird, and Julie Arafeh discuss a complex case involving a postpartum patient experiencing sepsis. They emphasize the importance of clear communication, adherence to sepsis protocols, and the critical role of nurses in monitoring patient conditions. The conversation highlights the challenges of conflict resolution in healthcare teams and the need for teamwork and collaboration. The hosts also share valuable insights from listener feedback and discuss the significance of continuous education in sepsis management. Ultimately, the episode serves as a reminder of the impact that knowledge and confidence can have on patient care.Chapters00:00 Introduction and New Developments03:00 Case Overview and Feedback Impact05:54 Challenges in C-Section Delivery08:53 Postoperative Monitoring and Communication11:56 Identifying Red Flags in Patient Condition14:40 Differential Diagnosis and Sepsis Management17:28 Nursing Assessment and Data Collection20:40 Antibiotic Protocols and Patient Response23:31 Collaboration Between Nurses and Physicians27:33 Simplifying Sepsis Concepts29:32 Recognizing Clinical Signs of Sepsis31:28 Differential Diagnosis in Sepsis33:24 The Role of Communication in Patient Care35:07 Simulation Training for Sepsis Management38:10 Overcoming Barriers in Team Communication41:19 Managing Fluid Resuscitation in Sepsis43:12 Lessons Learned from a Sepsis Case46:59 Improving Sepsis Protocols and Education48:58 Navigating Conflicting Opinions in Care51:07 The Importance of Team CollaborationThe experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
What if the medications women are told to trust during pregnancy are actually putting their babies at risk?
Cesarean Delivery: Major Abdominal SurgeryWelcome back to The Critical Care Obstetrics Podcast with hosts Suzanne McMurtry Baird (Nursing Director) and Stephanie Martin (Medical Director) of Clinical Concepts in Obstetrics.In this episode, we explore why cesarean delivery is not just another routine procedure—but truly a major abdominal surgery. While C-section is the most common surgical procedure performed in U.S. hospitals, its seriousness is often overlooked because of its frequency. We discuss:Why 1 in 3 births by cesarean should not normalize the risksThe role of evidence-based practices: avoiding the first cesarean, neuraxial anesthesia, infection prevention, and family-centered careWhat makes it a major surgery: open abdomen, incision types, considerations in obese patients, and classical cesarean challengesSafety for mothers, babies, and support persons in the ORCommon complications including VTE, infection and sepsis, blood loss, injury to other organs, and the rising risk of placenta accreta spectrumWe also highlight our new lecture in the Postpartum Course covering PACU care and Enhanced Recovery After Cesarean, including RN qualifications, complication management, and communication essentials.
We've all heard about the infamous sugary drink