Podcasts about obstetric

Dr. Helen Hurst emphasizes the rising rates of syphilis in pregnant individuals and pinpoints the critical need for open, nonjudgmental conversation and education between clinicians and their patients. Use this episode as a guide to discuss sexual health, address myths, implement talk, test, treat at the point of entry to care, and collaborate with community partners to create campaigns that will improve the awareness and health of those in your surrounding zip codes. Meet our guests: Helen M. Hurst, DNP, RNC-OB, APRN-CNM Read More Dr. Helen Hurst is a distinguished leader in nursing education, research, and clinical practice. She's served as Associate Dean of Nursing and Professor at Creighton University since July 2022, where she provides oversight and leadership for the College of Nursing. Her years in clinical practice encompassed being an RN in L&D and women's health. As a CNM, she provided antepartum, intrapartum, postpartum, and women's health care at a community hospital in southwestern Louisiana. For more than 30 years, Dr. Hurst has cultivated expertise in academic administration, innovative curriculum development, and healthcare partnerships, positioning her as a pivotal force in advancing nursing education. Among her notable achievements is being a co-patent holder along with her team at the University of Louisiana at Lafayette, for a women's mobile health unit for use in emergency preparedness. Dr. Hurst is an esteemed member of professional organizations, including the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), Sigma Theta Tau International Honor Society of Nursing, and the National League of Nursing. As a nationally sought-after speaker, Dr. Hurst is committed to advancing nursing education, empowering women's health, and fostering scholarly excellence to inspire and shape the next generation of nursing professionals. Her dedication to nursing education, maternal health, and nursing leadership has been recognized with numerous awards, including the Certificate of Achievement in Innovation, and the Cols. Jean & Philip Piccone Nursing Faculty Development Award. Additionally, Dr. Hurst was a Fellow in the American Association of Colleges of Nursing Leadership in Academic Nursing Program. Episode Resources CDC Talk, Test, Treat  AWHONN Syphilis Infectious Disease Resources  Interpret Lab Values  Educating Your Patients  Provider-to-Provider Conversation  CLIA-Waived Syphilis Point-of-Care Testing Options for Providers  FDA Marketing Authorization Enables Increased Access to First Step of Syphilis Diagnosis  FDA Approves First At-Home Syphilis Test    The post Breaking the Silence on Syphilis appeared first on AWHONN.

On today's show, a new conservation project is bringing the Illinois River Watershed Partnership to Prairie Grove Battlefield State Park, and UAMS is working to make sure hospitals are better prepared for obstetric emergencies.

In this episode, I discuss with fellow physiotherapist and researcher, Gráinne Donnelly, the effect that social media has on diastasis rectus abdominis:The recent study published that evaluated Instagram content related to DRA, exercise, and sports, and explored its perceived impact on the behaviours of women with DRA.The majority of diastasis related content on Instagram is not evidence basedFear based vs empowering based information Gráinne Donnelly is an Advanced Physiotherapy Practitioner in pelvic health with over 15 years of experience spread across the public health, private practice and clinical research. She is on the Board of Trustees for the Pelvic, Obstetric and Gynaecological Physiotherapy (POGP) professional network and charitable body where she is the Editor for the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. She is currently completing her PhD at Cardiff Metropolitan University and her recently edited book “Sports Medicine and the Pelvic Floor: Science to Practice” was released by Elsevier in November 2025 and will be officially published in April 2026.HOW TO CONTACT GRÁINNEInstagramWebsiteLINKS MENTIONED#diastasisrecti: a mixed-methods analysis of Instagram posts and their influence on women's exercise and sports participationhttps://pubmed.ncbi.nlm.nih.gov/40618057/Lead researcher: @silviagiagio.physioTHANK YOU TO THIS EPISODE SPONSORSRC Health:  Use the link below for a discount at checkout!https://srchealth.com/?ref=PELVICFLOORPROJECTThanks for joining me! Here is where you can find out how to work with me:  www.pelvicfloorprojectspace.com/mel@pelvicfloorprojectspace.comSupport the show

Maternal safety has never mattered more, and the stakes span far beyond the delivery room. We revisit four decades of progress in obstetric anesthesia—from safer neuraxial techniques and airway strategies to medication safeguards—and then get honest about what still puts patients at risk. With author insights and frontline examples, we connect the dots between evidence, teamwork, and the lived experience of childbirth to show where anesthesia can lead meaningful change.Rising patient complexity reshapes our role. We lean into risk stratification with the Obstetric Comorbidity Index, proactive antenatal planning, and sustained postpartum follow-up. We address maternal mental health and substance use disorder with trauma-informed care and smarter pain plans. And we face inequity directly—why Black women bear disproportionate harm and how standardized pathways, equitable escalation, and advocacy move outcomes in the right direction. Looking ahead, we explore point-of-care ultrasound for neuraxial guidance and aspiration assessment, AI-driven tools for early detection, wearables for postpartum monitoring, and enhanced recovery after cesarean to cut variation and strengthen reliability.Subscribe, share with a colleague on labor and delivery, and leave a review with one change you'll make this week to advance maternal safety.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/292-forty-years-of-obstetric-anesthesia-progress-and-the-work-ahead/© 2026, The Anesthesia Patient Safety Foundation

ANESTHESIOLOGY® 2025, Andy Cumpstey and Kate Leslie speak with Ruthi Landau, Virginia Apgar, Professor of Anesthesiology, Columbia University Medical Center and recently appointed editor-in-chief of the International Journal of Obstetric Anesthesia. The conversation dives deep into the importance of writing, reviewing, and publishing high-quality research. Dr. Landau highlights the significance of addressing relevant research questions, improving patient outcomes, and the evolving landscape of scientific publishing. The episode also explains strategies for reviewers and authors aiming to contribute impactful studies and the value of editorials in contextualizing research. The discussion concludes with the importance of social media and digital tools in disseminating and engaging with published content. -- Super Early Bird registration is now open for The Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London, but it ends on 31 January! We are right now offering the best available rates to attend the Congress. We encourage you to register early and take advantage of this opportunity while you still can. Register here - https://ebpom.org/product/ebpom-world-congress-2026/

Hanging in the balance are the health of pubescent girls, expectant moms and their babies and menopausal women, basically, all those along the spectrum of care.

Hanging in the balance are the health of pubescent girls, expectant moms and their babies and menopausal women, basically, all those along the spectrum of care.

Hypothetical Case: You are called to MFAU to see a woman who has just arrived via RFDS (royal flying doctor service) She is a 23 y.o indigenous woman from the Kimberley in the far north of WA. She is 33/40 G1P0 complex social history and possible substance use disorders She has PPROM (pre term premature rupture of membranes) and suspected early chorioamniotis and has been given antibiotics / nifedipine and a few litres of crystalloid fluid during the flight. The obstetric team have evaluated her – she has small for gestational age baby, and is complaining of dyspnoea. Her observations are: HR 110, NIBP 124/60, SpO2 91% on room air, T38.1 Her bloods are relatively normal except for an unexpected high BNP. You do a focussed bedside transthoracic ECHO and unexpectedly see on the PLAX (parasternal long axis view) a classical hockey stick / domed appearance of severe mitral stenosis. She also has Pulmonary B-lines (indicating pulmonary oedema) and a flattened interventricular septum, very large atrium & doppler through the tricuspid valve confirms severe pulmonary hypertension. The team decides she would be better cared for in a hospital with cardiothoracic services – however she suddenly becomes more breathless – SpO2 86% on oxygen, NIBP 80/40 HR 125, and there is a prolonged foetal bradycardia………………… Hi Everyone, This week I am joined by Dr Clinton Ellis, a cardiothoracic anaesthetist based in Sir Charles Gairdner Hospital, and Graeme. We discuss the management of rheumatic heart disease in pregnancy – a challenging condition which unfortunately is still relatively prevalent amongst indigenous women here in Australia. This was a wide ranging discussion so I have decided to split this into two 40min episodes. Even though we talk for over 80min I feel like we just scratched the surface on this! If you have any questions or comments send them through – I will try and get Clinton to answer them. Finally a huge shout out and thank you to the Darwin based authors of the ANZCA 2023 Blue Book article on this condition: Namrata Jhummon-Mahadnac, Matthew Mathieson, and Akshay Hungenahally! See the link to their well written narrative review on this topic below: References Australasian Anaesthesia 2023 (aka the Blue Book) – see page 39 “Obstetric anaesthesia in rheumatic heart disease – a unique perspective from the Top End” Oral vaccine could prevent rheumatic heart disease in NZ VIDEO: Researchers close to a vaccine for strep-A and rheumatic heart disease

Hypothetical Case: You are called to MFAU to see a woman who has just arrived via RFDS (royal flying doctor service) She is a 23 y.o indigenous woman from the Kimberley in the far north of WA. She is 33/40 G1P0 complex social history and possible substance use disorders She has PPROM (pre term premature rupture of membranes) and suspected early chorioamniotis and has been given antibiotics / nifedipine and a few litres of crystalloid fluid during the flight. The obstetric team have evaluated her – she has small for gestational age baby, and is complaining of dyspnoea. Her observations are: HR 110, NIBP 124/60, SpO2 91% on room air, T38.1 Her bloods are relatively normal except for an unexpected high BNP. You do a focussed bedside transthoracic ECHO and unexpectedly see on the PLAX (parasternal long axis view) a classical hockey stick / domed appearance of severe mitral stenosis. She also has Pulmonary B-lines (indicating pulmonary oedema) and a flattened interventricular septum, very large atrium & doppler through the tricuspid valve confirms severe pulmonary hypertension.  The team decides she would be better cared for in a hospital with cardiothoracic services – however she suddenly becomes more breathless – SpO2 86% on oxygen, NIBP 80/40 HR 125, and there is a prolonged foetal bradycardia………………… Hi Everyone, This week I am joined by Dr Clinton Ellis, a cardiothoracic anaesthetist based in Sir Charles Gairdner Hospital, and Graeme. We discuss the management of rheumatic heart disease in pregnancy – a challenging condition which unfortunately is still relatively prevalent amongst indigenous women here in Australia. This was a wide ranging discussion so I have decided to split this into two 40min episodes. Even though we talk for over 80min I feel like we just scratched the surface on this! If you have any questions or comments send them through – I will try and get Clinton to answer them. Finally a huge shout out and thank you to the Darwin based authors of the ANZCA 2023 Blue Book article on this condition: Namrata Jhummon-Mahadnac, Matthew Mathieson, and Akshay Hungenahally! See the link to their well written narrative review on this topic below: References Australasian Anaesthesia 2023 (aka the Blue Book) – see page 39 “Obstetric anaesthesia in rheumatic heart disease – a unique perspective from the Top End” Oral vaccine could prevent rheumatic heart disease in NZ VIDEO: Researchers close to a vaccine for strep-A and rheumatic heart disease

"How Africa is Revolutionizing Obstetric Anesthesia for Safer Births." From ASRA Pain Medicine News, November 2025. See the original article at www.asra.com/november25news for figures and references. This material is copyrighted. Support the show

Guest: Rebecca Smith, Ph. D, APRN, CNM Hosts: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Rebecca Smith provides a comprehensive overview of labor and delivery, including the stages of labor, assessment techniques, and monitoring practices. The episode also addresses potential complications and their management. Learning Objectives: Describe the stages, duration, and monitoring of labor and delivery. Compare and contrast complications that may arise during pregnancy and delivery. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Guest: Julie Lamppa, APRN, CNM Hosts: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Julie Lamppa discusses complications that can arise during pregnancy, including gestational diabetes, preeclampsia, and other abnormalities. This episode emphasizes early recognition and multidisciplinary management. Learning Objectives: Differentiate various pregnancy complications and their clinical implications. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Guest: Jenna Wygant, APRN, CNP, DNP Hosts: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Jenna Wygant discusses common gynecologic pain disorders such as endometriosis and pelvic inflammatory disease. The episode highlights diagnostic challenges and treatment strategies to improve patient outcomes. Learning Objectives: Identify conditions contributing to gynecologic pain. Review signs/symptoms, risk factors, diagnostic approaches, and treatment options. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Guest: Casey Lawler, P.A.-C Hosts: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP This episode provides an overview of gynecologic cancers, including cervical, ovarian, uterine, and vulvar cancers. Casey Lawler shares insights into the causes, risk factors, and clinical management of these conditions. Learning Objectives: Describe the major types of gynecologic cancers. Compare and contrast causes, risk factors, signs/symptoms, diagnostic methods, and treatment options.   Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Guest: Susan Kok, M.D. Hosts: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Dr. Susan Kok joins the podcast to explore both non-invasive and invasive breast cancers. This episode covers risk factors, symptom recognition, diagnostic tools, and treatment modalities, with a focus on individualized care and shared decision-making. Learning Objectives: Understand the spectrum of non-invasive breast cancers. Identify risk factors, symptoms, and diagnostic tools for invasive breast cancers. Discuss treatment options tailored to diagnosis and patient preferences. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Guest: Danielle O'Laughlin, PA-C, MS Hosts: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP In this episode, Danielle O'Laughlin discusses benign breast tumor conditions and other non-cancerous growths. Listeners will gain insight into the clinical presentation, diagnostic evaluation, and management strategies for these common breast findings. Learning Objectives: Review the types of benign breast tumors and their clinical features. Differentiate between symptoms, diagnostic approaches, and treatment options for various benign breast conditions. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Dr. Heather Nixon is a Professor of Anesthesiology and the Division Chief of Obstetric Anesthesiology at the University of Illinois Hospital at Chicago where she has worked for the last 15 years. She completed her residency at the University of Illinois at Chicago Medical School and her Obstetric Anesthesiology Fellowship at Northwestern Memorial Hospital – Feinberg School of Medicine.  Her previous academic appointments include Residency Program Director, Associate Head for Education and Obstetric Anesthesiology Fellowship Director.    Dr. Nixon served on the Illinois Maternal Mortality Review Committee for 6 years.  She currently serves as the Anesthesiology Representative on the AWHONN (Association of Women's Health, Obstetric and Neonatal Nurses) Respectful Care Collaborative and a Contributor to the ELEVATE (Elevating Anesthesia Choices for Cesarean Delivery: A Roadmap to Patient-Centered Research and Quality Improvement) project. Nationally, she served as the Vice Chair for the American Society of Anesthesiologists Committee on Obstetric Anesthesia for six years and a member of the board of directors for the Society of Obstetric Anesthesia and Perinatology for the last 10 years.  Heather is the current Immediate President of the Society of Obstetric Anesthesia and Perinatology.  She is a recognized national and international speaker and is a passionate advocate for patient safety as it relates to medication management in anesthesiology and the patient experience in obstetric anesthesia care.  Notably, she is featured in the New York Time and Serial Productions “The Retrievals Season 2” for her quality improvement and safety work in the clinical area of intraoperative pain during cesarean delivery. Dr. Nixon has received numerous teaching awards from the Society of Obstetric Anesthesia and Perinatology, the American Society of Anesthesiologists, the Society of Education in Anesthesia and the American Medical Association.    CONNECT WITH DVORA ENTIN: Website: https://www.dvoraentin.com/ Instagram: https://www.instagram.com/dvoraentin YouTube: https://www.youtube.com/@misconceptionspodcast  

Send us a textWelcome to the August Q&A episode! What is your secret quirk? We want to know! We share a few of yours along with our own. Today's first question is from a mother who had a large first baby without a diagnosis of gestational diabetes. She's concerned in her second pregnancy that she might develop late-onset gestational diabetes.Next, a pregnant mother's mother is a medical doctor and is having a hard time supporting her daughter's natural birth choices because of her experiences in the medical system. Another mom is struggling with sugar cravings in pregnancy and is wondering what advice we have to reduce those cravings.In the extended episode, available on Patreon and Apple subscriptions,  we address the benefits of exclusive breastfeeding over exclusive bottle-feeding, whether or not you should have a planned cesarean after a shoulder dystocia, and if moxibustion works to turn a breech baby. Quickies: Fundal height measurements, prenatal appointments at the end of pregnancy, hemorrhoids, spotting postpartum, short breastfeeds, LEEP procedure and cervical scar tissue, high lipase milk, laboring down, restless legs in pregnancy, and finally, would we tell anyone about our pregnancy before 12 weeks? Call us with your questions, comments or stories at 802-GET-DOWN!Watch this episode in full video format on YouTube.**********Our sponsors:Postpartum Soothe -- Herbs and padsicles to heal and comfort.Needed -- Our favorite nutritional products for before, during, and after pregnancy. Use this link to save 20%DrinkLMNT -- Purchase LMNT with this unique link and get a FREE sample packUse promo code: DOWNTOBIRTH for all sponsors. Needed

 Critical care nurse practitioners have few opportunities to care for obstetric patients in the critical care setting and, therefore, may lack competence and confidence in caring for them. In this podcast, Jennifer Brower and Caitlin Luebcke describe their work and insights from an integration of obstetric-focused, multimodal instruction in an acute care nurse practitioner program. They share more details about their strategies for integration of a critical care obstetric curriculum in a nurse practitioner program and describe the challenges and opportunities they experienced in their article.

A new research paper is causing concern amongst the birthing community this week after a local newspaper said that the study shows that outcomes are better in private obstetric-led care compared to the public maternity care system. Of course, there is more to the story (remember newspapers write at a 12 year old reading level). Come be part of a grown up and nuanced conversation about this new research with Dr Melanie Jackson and Prof Hannah Dahlen. We explore the possibility of if this research is true and accurate. Get more from the Great Birth Rebellion Podcast Join the podcast mailing list to access the resource folder from each episode at www.melaniethemidwife.com Join the rebellion and show your support! Grab your Great Birth Rebellion merchandise now at www.thegreatbirthrebellion.com Follow us on social media @thegreatbirthrebellion and @melaniethemidwife or watch this podcast on Youtube here If this podcast has improved your knowledge or pregnancy, birth or postpartum journey please consider thanking us financially by donating to support the ongoing work of this podcast. Disclaimer The information and resources provided on this podcast does not, and is not intended to, constitute or replace medical or midwifery advice. Instead, all information provided is intended for education, with its application intended for discussion between yourself and your care provider and/or workplace if you are a health professional. The Great Birth Rebellion podcast reserves the right to supplement, edit, change, or delete any information at any time. Whilst we have tried to maintain the accuracy and completeness of information, we do not warrant or guarantee the accuracy or currency of the information. The podcast accepts no liability for any loss, damage or unfavourable outcomes howsoever arising out of the use or reliance on the content. This podcast is not a replacement for midwifery or medical clinical care. The below transcript was created with AI and may contain errors.

In this episode of The Birth Trauma Mama Podcast, I'm joined by Ashley Rainey, labor and delivery nurse, educator, clinical director, and PhD candidate, whose passion for improving birth outcomes for Black women is rooted in her own experiences at the bedside and in the system.Together, we dive into the heavy reality of navigating pregnancy while carrying the weight of maternal mortality statistics, the lasting emotional impact of both big and small traumas, and how we can build a healthcare system that actually meets people where they are, with dignity, awareness, and trauma-informed care.What You'll Hear in This Episode:⚠️ How textbook myths and provider bias still shape patient care

In this episode of the SMFM Podcast, Dr. Rupesh Patel welcomes Dr. Kay Daniels and Dr. Carey Eppes for an important conversation on emergency preparedness in the setting of obstetric (OB) care. Together, they break down the four key principles of emergency preparedness—mitigation, preparedness, response, and recovery—and explore how these apply to both OB clinicians and their patients.  Using real-world examples like wildfires, poor air quality, tropical storms, flooding, tornadoes, extreme heat, and mass casualty events, the discussion provides a comprehensive overview of what OB clinicians need to know in the face of natural disasters. Drs. Daniels and Eppes explain how hospitals are structured to respond to emergencies, what resources are typically available, how OB and maternity care units manage care during emergencies and most importantly, the role OB providers play during these critical situations.  The episode also offers actionable guidance for helping pregnant and postpartum patients prepare for emergencies. From what to include in an emergency kit to how clinicians can effectively communicate and stay connected with patients during and after a disaster, this episode is a must-listen for providers committed to delivering safe care—even in the most unpredictable circumstances.    Click here for the full episode transcript. For more educational resources, visit education.smfm.org. 

Dr. Adam Urato grew up in Framingham, Massachusetts—and returned to serve the same hospital he was born in. But over the course of his career as a maternal-fetal medicine specialist, he discovered a troubling truth: much of what passes for “standard of care” in obstetrics isn't grounded in good science—it's driven by pharmaceutical profit.In this gripping episode, Dr. Urato unpacks the decades-long use of Makena, a drug prescribed to prevent preterm birth that was ultimately pulled after being proven ineffective. He details how the same pattern of flawed trials, exaggerated benefits, and minimized risks is playing out again with SSRI use during pregnancy—putting fetal brain development at risk without informed consent.Together with hosts Drs. May and Tim Hindmarsh, Dr. Urato questions the systems that keep patients in the dark, the media silenced, and doctors bound by legal handcuffs to outdated protocols. He reminds us that medications are chemicals—and chemicals have consequences, especially during pregnancy.If you've ever trusted a prescription without questioning where the science really comes from, this episode might just change the way you see modern medicine.Our Advice!Everything in this podcast is for educational purposes only. It does not constitute the practice of medicine and we are not providing medical advice. No Physician-patient relationship is formed and anything discussed in this podcast does not represent the views of our employers. The Fine Print!All opinions expressed by the hosts or  guests in this episode are solely their opinion and are not to be used as specific medical advice.  The hosts,  May and Tim Hindmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice.Thanks for joining us! You are the reason we are here.  If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG.Please check out our every growing website as well at  bsfreemd.com (no www) GET SOCIAL WITH US!We're everywhere here: @bsfreemd 

Send us a textPelvic floor dysfunction. Diastasis. Returning to sport.There's a lot of noise online about what postpartum women should or shouldn't do—and most of it is confusing, fear-based, or missing the bigger picture.In this episode, I'm joined once again by Gráinne Donnelly—Advanced Practice Pelvic Health Physiotherapist, Doctoral Researcher, and Editor-in-Chief of the Journal of Pelvic, Obstetric and Gynaecological Physiotherapy. She brings a powerhouse combo of clinical and research expertise to the messy, nuanced world of postpartum rehab and performance.This conversation is a must-listen for clinicians, coaches, and postpartum athletes who want evidence-informed guidance with real-world application.We talk about:

Obstetric anaesthesiologist Dr Anne Doherty steps into the guest spotlight on the Baby Tribe Podcast, ready to dismantle myths and address the intricacies of weight issues in pregnancy with candour and empathy. Anne shares her wealth of knowledge on the medical implications of obesity during pregnancy, from maternal morbidity to the complexities of labour analgesia and anaesthesia. With our previous episode sparking spirited debate, particularly among those with strong opinions on weight management, this episode aims to further the conversation with a focus on empathetic communication and understanding the emotional landscape that accompanies these discussions. Anne, alongside Afif, navigates through the sensitive terrain of weight-related topics with precision and care. They tackle the role of language in healthcare discussions, the importance of factual communication, and the nuances of weight gain during pregnancy. From enhanced recovery to GLP-1 agonists and the potential role of bariatric surgery, this episode equips listeners with valuable insights to make informed healthcare decisions. Tune in for a compassionate exploration of a complex issue, where informed choices and sensitive dialogue are at the forefront. Sponsored by: https://www.happytummy.ie/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Host: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Guest: Nicole Callahan, APRN, CNP, MS In this episode, along with guest Nicole Callahan, APRN, CNP, MS, we explore reproductive health challenges. Starting with the different types of miscarriage—identifying their unique anatomic changes, symptoms, and outcomes. We will cover the basics of both female and male infertility, including when it's the ideal time to refer patients for specialized care. Finally, we explore ectopic pregnancy, discussing common locations, risk factors, clinical presentation, diagnostic approach, and treatment options. By the end of this podcasts, listeners will be able to:  Identify the differences in anatomic changes, symptoms, and outcomes in the types of miscarriage. Understand the basics in female and male infertility and when to refer for more advanced care. Describe an ectopic pregnancy in regard to most common location, risk factors, signs and symptoms, diagnosis, and treatment options. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development  

Julie Arafeh and Dr. Stephanie Martin discuss 3 commonly encountered issues with communication during obstetric emergencies.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: Instagram: 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: https://www.facebook.com/clinicalconceptsinobstetricsDr Ma...

Women frequently report receiving inadequate or incomplete information about procedures, risks, benefits, and alternatives in perinatal healthcare, with communication often falling short of what is needed for truly informed consent. Informed decision-making is too often rushed during labour instead of being initiated earlier during antenatal care. Proactive discussions about birth plans, potential interventions, and complications can lay the foundation for more informed and confident choices during labour and birth.In this episode of No Place Like Homb, host Kath speaks with midwife Rachel Wilson to explore some of the most common obstetric terms and abbreviations—when you're likely to hear them, what they mean, and why it's important to understand them.An informed and empowered pregnancy and birth experience can positively shape your postpartum journey and help you thrive in the early stages of parenthood.

In this episode, AAOMPT interviewer Nick Rainey is joined by Dr. Natalie Turrentine, orthopedic physical therapist and educator at Rosalind Franklin University, to unpack her CSM 2024 research on obstetric education in DPT programs.They cover:Differences between pelvic health and obstetric terminologyWhy orthopedic PTs need training in pregnancy-related considerationsAccessibility issues and referral trendsCAPTE standards and what's actually required in PT educationHow her program threads obstetric content across curriculumOpportunities to better prepare students without extending program length

Host: Danielle O'Laughlin, PA-C, MS Guest: Jenna Wygant, APRN, CNP, DNP In this episode, Jenna Wygant, APRN, CNP, DNP, walks listeners through the most common types of vaginitis, helping providers to confidently differentiate between them. We'll explore the definitions, causes, risk factors, signs and symptoms, as well as diagnostic methods and treatment options for each condition. Comparing the features of these common vaginitis conditions will be emphasized throughout the episode. By the end of this podcasts, listeners will be able to: Differentiate common vaginitis conditions. Understand the definition, causes/risk factors, signs and symptoms, diagnosis, and treatment for common vaginitis conditions. Identify features that help compare common vaginitis conditions. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

In this episode, Dr. Charles Schauberger discusses the difficulties clinicians face when identifying and treating inhalant use in pregnant patients, and the findings from his recent article Systematic Review of Obstetric and Child Outcomes of Prenatal Exposure to Inhalants in the Context of a Use Disorder.   Dr. Charles Schauberger lives and practices in La Crosse, Wisconsin.  He is board-certified in both Obstetrics and Addiction Medicine, and has developed a specialized pregnancy addiction clinic that champions a patient-centered approach to addiction care for pregnant women.  While he is mostly retired from obstetrics, he continues to provide addiction care and continues his interest in performing research studies to advance our knowledge of treatment for substances in pregnancy. - Article Link: Systematic Review of Obstetric and Child Outcomes of Prenatal Exposure to Inhalants in the Context of a Use Disorder

Host: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Guest: Jenna Johnson, APRN, CNP, DNP In this episode, we focus on understanding and differentiating common vulvar conditions with guest Jenna Johnson, APRN, CNP, DNP. We will cover how to recognize conditions such as risk factors, signs and symptoms, and gain insight into how these conditions are diagnosed and treated. We'll also highlight helpful ways to compare these common vulvar health conditions. By the end of this podcast, listeners will be able to: Differentiate common vulvar conditions. Understand the definition, causes/risk factors, signs and symptoms, diagnosis, and treatment for common vulvar conditions. Identify features that help compare common vulvar conditions. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host Courtney Manthey unpack the obstetric dilemma with Dr. Anna G. Warrener. Dr. Anna G. Warrener earned her PhD from Washington University in St. Louis in 2012. She is now an assistant professor of anthropology at the University of Colorado Denver. She specializes in human evolutionary biology, biomechanics, and the evolution of locomotion. Her research explores how skeletal morphology influences movement, with a particular focus on the biomechanics of the pelvis, gait, and bipedal efficiency. Through experimental and comparative approaches, Dr. Warrener investigates how evolutionary pressures have shaped human locomotion and what these adaptations reveal about our ancestors. She is also passionate about mentoring students and fostering interdisciplinary research that bridges anthropology, biology, and biomechanics. ------------------------------ Find the paper discussed in this episode: Warrener, A. (2023). The multifactor pelvis: An alternative to the adaptationist approach of the obstetrical dilemma. Evolutionary Anthropology, 32(5), 260-274. https://doi.org/10.1002/evan.21997 Warrener, A. (2024). Human lower limb muscle cross sectional area scales with positive allometry reflecting bipedal evolutionary history. Frontiers in Earth Science. https://doi.org/10.3389/feart.2023.1301411 ------------------------------ Contact the Sausage of Science Podcast and Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Courtney Manthey, Host, Website: holylaetoli.com/ E-mail: cpierce4@uccs.edu, Twitter: @HolyLaetoli Anahi Ruderman, SoS Co-Producer, HBA Junior Fellow E-mail: aniruderman@gmail.com, Twitter: @ani_ruderman

Host: Danielle O'Laughlin, PA-C, MS Guest: Jenna Wygant, APRN, CNP, DNP Guest, Jenna Wygant, APRN, CNP, DNP, joins us to explore the full spectrum of contraception options - from natural family planning to non-hormonal and hormonal methods. For each type of contraception, an understanding of how each type works, their efficacy, and the potential risks and benefits will be covered. We also break down the different types of emergency contraception and considerations to review when consulting with patients. By the end of this podcast, listeners will be able to:  Define natural family planning, non-hormonal, and hormonal contraceptives. Understand the use, efficacy, mechanism of action, and risks and benefits for the different types of contraception. Explain the types and uses of emergency contraception. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Host: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Guest: Jissy Cyriac, M.D. In this episode, guest Jissy Cyriac, M.D., will walk us through the complexities of menstrual health by comparing a normal menstrual cycle with the key causes of abnormal uterine bleeding and menopause. Recognizing the signs, symptoms, and treatment options for conditions like endometriosis, adenomyosis, and endometrial hyperplasia. Plus, we'll highlight essential buzzwords, the gold-standards and helpful ways to help solidify understanding of key aspects of gynecologic health for menstrual cycles, abnormal uterine bleeding causes, and menopause. By the end of this podcasts, listeners will be able to: Differentiate the normal menstrual cycle versus causes of abnormal uterine bleeding and menopause. Recognize the signs and symptoms, diagnosis, and treatment options for a few of the abnormal uterine bleeding causes including endometriosis, adenomyosis, and endometrial hyperplasia. Identify BUZZ words, gold standards, and helpful ways to remember components of the normal menstrual cycle, abnormal uterine bleeding causes, and menopause. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

In this special data-driven edition of the EMS One-Stop podcast, host Rob Lawrence is joined by Dr. Brent Myers, chief medical officer, ESO, and Dr. Remle Crowe, ESO's director of clinical and operational research, to unpack the newly released 2025 ESO EMS Index. This annual report provides a powerful, real-world snapshot of national EMS trends — drawing on more than 14 million anonymized records to surface opportunities for clinical and operational improvement. The conversation dives into key metrics that move beyond response times and into areas like pain management, opioid overdoses, airway confirmation, obstetric emergencies, whole blood use, pediatric behavioral health and high-utilization patient populations. Throughout the episode, Drs. Myers and Crowe share the motivation behind each metric, explain how the data was gathered and analyzed, and reflect on how EMS agencies can use these insights to guide better care delivery and system design. From confronting equity in pain management, to pushing forward innovations like buprenorphine administration and whole blood programs, this is a compelling call to turn data into meaningful change. Timeline 01:08 – Overview of the ESO EMS Index and its intent 02:59 – Origins of the report and data methodology 05:46 – Database scale: 14M+ records, 3,000+ agencies 07:14 – Metric 1: Pain management for long bone fractures 10:53 – Documentation, AI in EMS, and future documentation tools 14:30 – Metric 2: Suspected opioid overdose and buprenorphine use 18:51 – Best practices, COWS scoring, and naloxone delivery strategy 21:31 – Metric 3: Invasive airway confirmation using waveform capnography 28:06 – Metric 4: Obstetric emergencies (postpartum hemorrhage & hypertension) 34:34 – Metric 5: Prehospital whole blood surveillance 40:22 – Metric 6: Pediatric behavioral health and substance use disorder cases 44:54 – Metric 7: High utilization patient group (HUG) 52:48 – Final thoughts, calls to action, and Rob's reflections 55:47 – Episode wrap-up and subscription reminder

Host: Danielle O'Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Guest: Danielle O'Laughlin, PA-C, MS In this episode, along with host/guest Danielle O'Laughlin, PA-C, MS, we will discuss benign, inflammatory breast conditions. We will cover how to differentiate between common issues such as mastitis, breast abscess, fat necrosis, galactorrhea, and gynecomastia. We'll walk through the key signs and symptoms to watch for and explore how each condition is diagnosed and treated. This episode offers valuable insights into these non-cancerous yet very important conditions. By the end of this podcasts, listeners will be able to: Differentiate the benign, inflammatory breast conditions including mastitis, breast abscess, fat necrosis, galactorrhea, and gynecomastia. Recognize the signs and symptoms for benign, inflammatory breast conditions. Summarize the diagnosis and treatment options for benign, inflammatory breast conditions. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

Julie, Stephanie and Suzanne address listener questions posted about obstetric hemorrhage. We talk about transfusion thresholds, vital signs in hemorrhage, QBL, postpartum monitoring and many other aspects of hemorrhage management and recognition.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: Instagram: 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: https://www.facebook.com/clinicalconceptsinobstetricsDr Ma...

Dr. Melissa Drake, MD pulls the curtain back on obstetric care and take us behind the scenes, discussing commonalities about the typical patient experience. Why do appointments feel rushed? Why do doctors seem burnt out? She discusses how she found herself drained by the demands of the modern medical system and decided to transform her practice model. She stepped away from the larger insurance driven system, seeking a new offering of personalized, patient focused care. Connect with Dr. Drake: @dr_melissa_drake and melissadrakeobgyn.com Want more pregnancy + parenting?  Informed Pregnancy Media and Mahmee present an all new podcast by Dr. Elliot Berlin. One Way or a Mother is a new narrative podcast from Dr. Elliot Berlin, DC. Each season is an intimate story of one woman, one pregnancy, and all of the preparations, emotions, and personal history leading up to the birth. Episodes feature the expectant mother along with her family, doctors, and birth work team. Coming 4/1. Start your FREE TRIAL of Informed Pregnancy+ and get early access to One Way or a Mother today! Keep up with Dr. Berlin and Informed Pregnancy Media online! informedpregnancy.com @doctorberlin Youtube LinkedIn Facebook X Learn more about your ad choices. Visit megaphone.fm/adchoices

On Critical Care Time we are no strangers to topics that make us uncomfortable. There may be no topic in the world of critical care more stress provoking than OB emergencies! Now… We didn't say we are tackling this alone! Join us as we explore the wide world obstetrics in the ICU with Drs. Stephanie Levine and Adam Mora! Together we review the physiologic changes in pregnancy, unique considerations when it comes to general ICU management of the OB patient and then we delve into some OB cases where we tackle things like postpartum hemorrhage, cardiac arrest and more! Give us a listen and let us know what you think! Hosted on Acast. See acast.com/privacy for more information.

In this episode, we explore the concept of a highly functional team, its characteristics, and the importance of fostering interdisciplinary teamwork among healthcare professionals such as anesthesiologists, obstetricians, nurses, and others. Dr. Girnius emphasizes that such collaboration enhances communication and efficiency and improves patient outcomes. Additionally, we discuss the process of identifying and implementing what … Read More Read More

Send us a textIn this powerful episode, we dive into a life-saving conversation about postpartum warning signs and why recognizing them early can make all the difference. Naiomi speaks with Jessica Irrobali, MSN, RNC-OB, C-EFM, CHSE, C-ONQS, Director of Collaborative Clinical Programs at AWHONN (Association of Women's Health, Obstetric, and Neonatal Nurses). Jessica has played a pivotal role in developing a critical postpartum health resource, designed to help both healthcare providers and families identify when a new mother needs urgent medical attention.Episode Highlights:

Join Howard with guest host Jacqueline Vidosh as we explore the challenges of maternal cardiac arrest. This episode emphasizes the urgent need for specialized training in obstetric life support. From discussing causes of maternal mortality to sharing practical tips for first responders, the insights presented aim to enhance awareness and preparedness in critical situations.• Discussing the alarming rise in maternal mortality rates• Identifying common causes of maternal cardiac arrest• The importance of OBLS training and education for healthcare providers • Emphasizing the need for left uterine displacement during resuscitation • Addressing healthcare disparities affecting Black women • Sharing unique physiological adaptations in pregnant patients • Strategies for improving outcomes in maternal cardiac arrest cases • Highlighting the value of simulation training for all healthcare personnel Every healthcare professional plays a role in improving maternal health outcomes. Listen in for tips and insights on how we can enhance readiness for maternal cardiac arrest situations.00:00:01 Obstetric Life Support00:03:34 Maternal Mortality and OBLS Training00:15:23 Maternal Health Disparities and Physiologic Changes00:27:53 Cesarean Delivery and Post-Delivery Care00:41:15 History and Implementation of CPRFollow us on Instagram @thinkingaboutobgyn.

Learn more about Level 1 Functional Pelvic Health Practitioner programGet certified in pelvic health from the OT lens hereGrab your free AOTA approved Pelvic Health CEU course here.More about my guest:Kary's professional roles include being an occupational therapist, entrepreneur, consultant, and educator/guide to future OTPs, to name a few. A role central to today's conversation is her role as the Director of Community Engagement at SOLACE Foundation.Finding a way (and ways) together is central to her work.  She credits a small town upbringing and starting her career in healthcare as an addiction counselor with laying the foundation for her passion for working in settings and on projects where resources may be less obvious (or even limited) and yet infinite possibilities exist by noticing, building and maintaining relationships and networks.It also has guided her focus in the occupational therapy profession. The learnings from these experiences have led her to her latest endeavors that are focused more on collective occupational needs than individuals alone; recognizing the interconnection of these occupations requires increased community-level collaboration and attention.  It is this awareness that fuels Kary's commitment to convening and participating in spaces where being in process (as opposed to reaching solid conclusions) is expected, welcomed, and celebrated.   Collaboration and curiosity are two things she values most. If you have questions or collaboration ideas, you can reach her at lifewelloccupied@gmail.com.For more information about SOLACE, or to register for the summit about birth injuries like 3rd and 4th degree tears during childbirth.https://www.solaceforwomen.org/summitFind SOLACE on socials at:https://www.instagram.com/solaceforwomenorghttps://www.facebook.com/solaceforwomen.orghttps://www.linkedin.com/company/solaceforwomen/posts/____________________________________________________________________________________________Pelvic OTPs United - Lindsey's off-line interactive community for $39 a month! Inside Pelvic OTPs United you'll find:​ Weekly group mentoring calls with Lindsey. She's doing this exclusively inside this community. These aren't your boring old Zoom calls where she is a talking head. We interact, we coach, we learn from each other.​ Highly curated forums. The worst is when you post a question on FB just to have it drowned out with 10 other questions that follow it. So, she's got dedicated forums on different populations, different diagnosis, different topics (including business). Hop it, post your specific question, and get the expert advice you need. More info here. Lindsey would love support you in this quiet corner off social media!

Recent advancements in maternal and fetal healthcare are leading the way to improved outcomes. Join us as Dr. Katherine Bianco, a Clinical Professor of Obstetrics and Gynecology at Stanford University, sheds light on the evolving landscape of obstetric care. Explore the challenges and innovations within maternal health, particularly in lower- and middle-income countries, and learn how personalized risk management strategies can effectively address disparities faced by underrepresented populations. Discover the vital role that advancements in prenatal screening and genetic testing play in ensuring healthier outcomes for mothers and their babies. Read Transcript CME Information: https://stanford.cloud-cme.com/medcastepisode97 Claim CE and MOC: https://stanford.cloud-cme.com/Form.aspx?FormID=3168

Dr. Lorraine and Dr. Brie join HeHe to discuss the critical and often overlooked topic of obstetrical violence. In this eye-opening episode, they break down what obstetrical violence is, its impact on women globally, including psychological trauma and avoidable morbidity, and how it violates human rights. The discussion highlights the importance of informed consent, respectful maternity care, and midwifery as potential solutions. The duo also emphasizes the need for systemic changes within the healthcare system to prevent obstetrical violence and improve maternal outcomes. Tune in to learn about practical steps women can take to avoid birth trauma and the crucial role of midwifery in transforming maternity care.   Understanding Obstetrical Violence Examples and Impact of Obstetrical Violence Legal Recourse and Advocacy The Iceberg Analogy and Measurement Tools Respectful Maternity Care and Systemic Issues Transparency and Hospital Reporting Midwifery Care and Trauma Prevention Systemic Obstacles and Solutions Navigating the Complexities of U.S. Healthcare Challenges Faced by Healthcare Providers The Impact of Insurance on Birth Choices Midwifery Care and Its Benefits Policy and Systemic Barriers The Role of Consumer Advocacy Future Directions and Solutions Connecting and Collaborating for Change Guest Bio: Lorraine M. Garcia, PhD, WHNP-BC, CNM does research on the problem of obstetric violence in the US maternity care system and the public health and ethical duties to implement solutions. She also works as a Certified Nurse Midwife with experience in home birth, birth center, and hospital-based care. Lorraine is a reproductive justice advocate and frames most of her research with critical lenses from healthcare systems science, structural and organizational theories, and social justice in nursing. Her perspective on the systemic, normalized abuse and mistreatment of childbearing people is aligned with advocacy workers, interdisciplinary scientists, and all interested and affected parties working to end obstetric violence and achieve birth equity.   Dr. Brie Thumm is an Assistant Professor at the University of Colorado College of Nursing. She has been practicing midwifery domestically and internationally since 2001 when she completed her Masters in the Science of Nursing at Yale University. She obtained her MBA in Healthcare Administration at Baruch College in New York City and her PhD in health systems research at University of Colorado College of Nursing. Her area of research is perinatal workforce development to address disparities in maternal health outcomes and improve the well-being of health care professionals. Prior to her current position, Brie provided care at Planned Parenthood of New York City, served as the Assistant Director of the Sexual Assault Response Team for the Manhattan public hospitals, conducted mental and behavioral health research at the Rocky Mountain Regional Veteran's Affairs Medical Center, and led the clinical and research arms of the Maternal Mortality Prevention Program at the Colorado Department of Public Health and Environment. She continues to practice clinically at Denver Health. SOCIAL MEDIA: Connect with HeHe on IG    Connect with Lorraine on IG  Connect with Lorraine on LinkedIn   BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS: Lorraine's website: https://www.makingbirthbettertogether.com/ Lorraine's Online Store:https://makingbirthbetterstore.com/ Use code    References: Association of Women's Health, Obstetric and Neonatal Nurses. (2022). Respectful maternity care framework and evidence-based clinical practice guideline. Nursing for Women's Health, 26(2), S1−S52. https://doi.org/10.1016/j.nwh.2022.01.001 Beck, C. T. (2018). A secondary analysis of mistreatment of women during childbirth in healthcare facilities. Journal of Obstetric Gynecologic and Neonatal Nursing, 47(1), 94−104. https://doi.org/10.1016/j.jogn.2016.08.015    Borges, M. T. (2018). A violent birth: Reframing coerced procedures during childbirth as obstetric violence. Duke Law Journal, 67(4), 827−862.    Carlson, N. S., Neal, J. L., Tilden, E. L., Smith, D. C., Breman, R. B., Lowe, N. K., Dietrich, M. S., & Phillippi, J. C. (2019). Influence of midwifery presence in United States centers on labor care and outcomes of low-risk parous women: A Consortium on Safe Labor study. Birth, 46(3), 487-499. https://doi.org/10.1111/birt.12405    Chadwick, R. (2021). The dangers of minimizing obstetric violence. Violence Against Women, 29(9), 1899−1908. https://doi.org/10.1177/10778012211037379    Cohen Shabot, S. (2021). Why ‘normal' feels so bad: Violence and vaginal examinations during labour: A (feminist) phenomenology. Feminist Theory, 22(3), 443−463. https://doi.org/10.1177/1464700120920764   Cooper Owens, D. (2017). Medical bondage: Race, gender, and the oigins of American gynecology. University of Georgia Press.    Crear-Perry, J., Correa-de-Araujo, R., Lewis Johnson, T., McLemore, M. R., Neilson, E., & Wallace, M. (2021). Social and structural determinants of health inequities in maternal health. Journal of Women's Health, 30(2), 230−235. https://doi.org/10.1089/jwh.2020.8882    Davis, D. A., Casper, M. J., Hammonds, E. & Post, W. (2024). The continued significance of obstetric violence: A response to Chervenak, McLeod-Sordjan, Pollet et al. Health Equity, 8, 513-518. https://www.liebertpub.com/doi/10.1089/heq.2024.0093   Davis, D. A. (2019). Obstetric racism: The racial politics of pregnancy, labor, and birthing. Medical Anthropology, 38(7), 560-573. https://doi.org/10.1080/01459740.2018.1549389 Garcia, L. M. (2020). A concept analysis of obstetric violence in the United States of America. Nursing Forum, 55(4), 654−663. https://doi.org/10.1111/nuf.12482    Garcia, L. M. (2021). Theory analysis of social justice in nursing: Applications to obstetric violence research. Nursing Ethics, 28(7−8). https://doi.org/10.1177/0969733021999767   Garcia L. M. (2023). Obstetric violence in the United States and other high-income countries: An integrative review. Sexual and Reproductive Health Matters, 31(1), 2322194. https://doi.org/10.1080/26410397.2024.2322194   Garcia, L. M., Jones, J., Scandlyn, J., Thumm, E. B., & Shabot, S. C. (2024). The meaning of obstetric violence experiences: A qualitative content analysis of the Break the Silence campaign. International Journal of Nursing Studies, 160, 104911. https://doi.org/10.1016/j.ijnurstu.2024.104911   Hardeman, R. R., Karbeah, J., Almanza, J., & Kozhimannil, K. B. (2020). Roots Community Birth Center: A culturally-centered care model for improving value and equity in childbirth. Healthcare, 8(1). https://doi.org/10.1016/j.hjdsi.2019.100367    Howell, E. A., & Zeitlin, J. (2017). Improving hospital quality to reduce disparities in severe maternal morbidity and mortality. Seminars in Perinatology, 41(5), 266−272. https://doi.org/10.1053/j.semperi.2017.04.002    Jolivet, R. R., Gausman, J., Kapoor, N., Langer, A., Sharma, J., & Semrau, K. E. A. (2021). Operationalizing respectful maternity care at the healthcare provider level: A systematic scoping review. Reproductive Health, 18(1), 194. https://doi.org/10.1186/s12978-021-01241-5   Julian, Z., Robles, D., Whetstone, S., Perritt, J. B., Jackson, A. V., Hardeman, R. R., & Scott, K. A. (2020). Community-informed models of perinatal and reproductive health services provision: A justice-centered paradigm toward equity among Black birthing communities. Seminars in Perinatology, 44(5). https://doi.org/10.1016/j.semperi.2020.151267   Logan, R. G., McLemore, M. R., Julian, Z., Stoll, K., Malhotra, N., GVtM Steering Council, & Vedam, S. (2022). Coercion and non-consent during birth and newborn care in the United States. Birth (Berkeley, Calif.), 49(4), 749–762. https://doi.org/10.1111/birt.12641   Margulis, J. (2013). The business of baby. Scribner.    Mena-Tudela, D., González-Chordá, V. M., Soriano-Vidal, F. J., Bonanad-Carrasco, T., Centeno-Rico, L., Vila-Candel, R., Castro-Sánchez, E., & Cervera Gasch, Á. (2020). Changes in health sciences students' perception of obstetric violence after an educational intervention. Nurse Education Today, 88, https://doi.org/10.1016/j.nedt.2020.104364   Morton, C. H., & Simkin, P. (2019). Can respectful maternity care save and improve lives?. Birth (Berkeley, Calif.), 46(3), 391–395. https://doi.org/10.1111/birt.12444   Neal, J. L., Carlson, N. S., Phillippi, J. C., Tilden, E. L., Smith, D. C., Breman, R. B., Dietrich, M. S., & Lowe, N. K. (2019). Midwifery presence in United States medical centers and labor care and birth outcomes among low-risk nulliparous women: A Consortium on Safe Labor study. Birth (Berkeley, Calif.), 46(3), 475–486. https://doi.org/10.1111/birt.12407   Nelson, H. O. (2022). Conflicted care: Doctors navigating patient welfare, finances, and legal risk. Stanford University Press.    Niles, P. M., Baumont, M., Malhotra, N., Stoll, K., Strauss, N., Lyndon, A., & Vedam, S. (2023). Examining respect, autonomy, and mistreatment in childbirth in the U.S.: Do provider type and place of birth matter? Reproductive Health, 20(1), 67. https://doi.org/10.1186/s12978-023-01584-1    Oparah, J. C., Arega, H., Hudson, D., Jones, L., & Oseguera, T. (2018). Battling over birth: Black women and the maternal health care crisis. Praeclarus Press.    Salter, C., Wint, K., Burke, J., Chang, J. C., Documet, P., Kaselitz, E., & Mendez, D. (2023). Overlap between birth trauma and mistreatment: A qualitative analysis exploring American clinician perspectives on patient birth experiences. Reproductive Health, 20(1), 63. https://doi.org/10.1186/s12978-023-01604-0    Scott, K. A., Britton, L., & McLemore, M. R. (2019). The ethics of perinatal care for Black women: Dismantling the structural racism in "Mother Blame" narratives. The Journal of Perinatal & Neonatal Nursing, 33(2), 108–115. https://doi.org/10.1097/JPN.0000000000000394   Smith, D. C., Phillippi, J. C., Lowe, N. K., Breman, R. B., Carlson, N. S., Neal, J. L., Gutierrez, E., & Tilden, E. L. (2020). Using the Robson 10-group classification system to compare cesarean birth utilization between US centers with and without midwives. J Midwifery Womens Health, 65(1), 10-21. https://doi.org/10.1111/jmwh.13035    Smith, S., Redmond, M., Stites, S., Sims, J., Ramaswamy, M., & Kelly, P. J. (2023). Creating an agenda for Black birth equity: Black voices matter. Health Equity, 7(1), 185−191. https://doi.org/10.1089/heq.2021.0156    Thumm, E. B., & Flynn, L. (2018). The five attributes of a supportive midwifery practice climate: A review of the literature. Journal of Midwifery & Women's Health, 63(1), 90−103. https://doi.org/10.1111/jmwh.12707    Thumm, E. B., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale. Journal of Midwifery & Women's Health, 65(5), 643−650. https://doi.org/10.1111/jmwh.13142    Thumm, E. B., Shaffer, J., & Meek, P. (2020). Development and initial psychometric testing of the Midwifery Practice Climate Scale: Part 2. Journal of Midwifery & Women's Health, 65(5), 651−659. https://doi.org/10.1111/jmwh.13160  Thumm, E. B., Smith, D. C., Squires, A. P., Breedlove, G., & Meek, P. M. (2022). Burnout of the U.S. midwifery workforce and the role of practice environment. Health Services Research, 57(2), 351−363. https://doi.org/10.1111/1475-6773.13922    Williams, C. R., & Meier, B. M. (2019). Ending the abuse: The human rights implications of obstetric violence and the promise of rights-based policy to realise respectful maternity care. Sexual and Reproductive Health Matters, 27(1). https://doi.org/10.1080/26410397.2019.1691899    Yarrow, A. (2023). Birth control: The insidious power of men over motherhood. Seal Press.    Zhuang, J., Goldbort, J., Bogdan-Lovis, E., Bresnahan, M., & Shareef, S. (2023). Black mothers' birthing experiences: In search of birthing justice. Ethnicity and Health, 28(1), 46−60. https://doi.org/10.1080/13557858.2022.2027885  

In this episode, we review the high-yield topic ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Obstetric Medications⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠from the Drugs section at ⁠⁠⁠⁠⁠⁠Medbullets.com⁠⁠⁠⁠⁠⁠ Follow ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Medbullets⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets

Access to obstetric care in US hospitals has been declining, while maternal mortality is on the rise. A new research letter published in JAMA quantifies losses and gains of obstetric care at rural and urban short-term acute care hospitals in the US between 2010-2022. Author Katy Kozhimannil, PhD, MPA, discusses this and more with JAMA Deputy Editor Linda Brubaker, MD, MS. Related Content: Obstetric Care Access at Rural and Urban Hospitals in the United States

Laboring Under Pressure Episode 4: Obstetric Emergency in South Africa with Dr. Meghan Hurley Contributors: Meghan Hurley MD, Travis Barlock MD, Jeffrey Olson MS3 Show Pearls Map of South Africa Referenced South Africa Geography Lesson There is a big disparity between Cape Town and its neighbor Khayelitsha. Cape Town is the legislative capital and economic hub of South Africa, known for its infrastructure, tourist attractions, and developed urban areas. Khayelitsha Township is a large informal settlement on the outskirts of Cape Town, with limited infrastructure and services compared to the city center. Many residents live in informal housing. This disparity is the lasting effect of how land was divided up and populations were moved around during Apartheid. Apartheid was a policy of segregation that lasted from 1948 to 1994. How does medical education work in South Africa? Medical education in South Africa typically follows a 6-year undergraduate program directly after high school Registrars our the equivalent of Resident in America. They are graduated doctors who work in hospitals under the supervision of senior doctors as they progress toward becoming specialists. Pearls from the case and the discussion afterward Whole blood from a draw can be used instead of urine on a POC pregnancy test. Wait a little bit longer before making a determination because blood is more viscous. Although the casettes are not approved for whole blood several studies have shown this to be efficacious. Free fluid in the abdomen and a pregnancy of unknown location is a rupture ectopic until proven otherwise. Appendicitis can present on the left side. Most commonly from an extra appendix, but can also result from situs inversus or mid-gut malrotation. This presentation can also be the result of an atypically large appendix. Fever is common in appendicitis (~40%) and becomes less common with older patients. Don't be falsely reassured by a normal hemoglobin in acute bleeding because patients bleed whole blood and the hemoglobin concentration is not affected. These patients should be resuscitated with whole blood. Give rhesus factor negative blood to female patients of childbearing age to prevent them from developing antibodies to the rhesus factor which can lead to Rh disease in future pregnancies. Rhogam can be given in cases of ruptured ectopic pregnancies to lower the risk of alloimmunization. Blood transfusions carry the risk of lung and heart injury from the extra volume. The treatment for this condition is to diurese the patient. Other topics discussed include the complications of working in a South African township hospital at night, the epidemiology of burns, and the importance of global health.   References Akbulut S, Ulku A, Senol A, Tas M, Yagmur Y. Left-sided appendicitis: review of 95 published cases and a case report. World J Gastroenterol. 2010 Nov 28;16(44):5598-602. doi: 10.3748/wjg.v16.i44.5598. PMID: 21105193; PMCID: PMC2992678. Barash, J. H., Buchanan, E. M., & Hillson, C. (2014). Diagnosis and management of ectopic pregnancy. American family physician, 90(1), 34–40. Fromm C, Likourezos A, Haines L, Khan AN, Williams J, Berezow J. Substituting whole blood for urine in a bedside pregnancy test. J Emerg Med. 2012 Sep;43(3):478-82. doi: 10.1016/j.jemermed.2011.05.028. Epub 2011 Aug 27. PMID: 21875776. Moris, D., Paulson, E. K., & Pappas, T. N. (2021). Diagnosis and Management of Acute Appendicitis in Adults: A Review. JAMA, 326(22), 2299–2311. https://doi.org/10.1001/jama.2021.20502 Sowder AM, Yarbrough ML, Nerenz RD, Mitsios JV, Mortensen R, Gronowski AM, Grenache DG. Analytical performance evaluation of the i-STAT Total β-human chorionic gonadotropin immunoassay. Clin Chim Acta. 2015 Jun 15;446:165-70. doi: 10.1016/j.cca.2015.04.025. Epub 2015 Apr 25. PMID: 25916696.   Produced by Jeffrey Olson, MS3 | Edited by Jeffrey Olson and Jorge Chalit, OMSIII

In the US, childbirth typically occurs in hospitals or accredited birth centers. President of the American College of Obstetricians and Gynecologists Stella Marie Dantas, MD, speaks with JAMA Deputy Editor Linda Brubaker, MD, MS, about newly proposed advanced birth centers that would permit higher-risk births, with concerns for patient safety and rural obstetric care access. Related Content: Advanced Birth Centers and the Effect on Maternity Care