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In this episode, we review the high-yield topic Group B Streptococcus Colonization from the Obstetrics section at Medbullets.comFollow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbulletsLinkedin: https://www.linkedin.com/company/medbullets
Traditionally, we have learned that any imbalance in the estrogen: progesterone relationship can trigger irregular uterine bleeding. That makes sense, right? During anovulation, prolonged unopposed estrogen can result in HMB. In such a case, we give progesterone as both a therapeutic as well as diagnostic intervention. On the contrary, with progestin only contraception, we consider estrogen predominant products when progesterone breakthrough bleeding (BTB) occurs to restore endometrial stabilization. But a new RCT (AJOG) adds credence to adding MORE progesterone in cases of progesterone associated BTB. Listen in for details.1. Zigler RE, Madden T, Ashby C, Wan L, McNicholas C. Ulipristal Acetate for Unscheduled Bleeding in Etonogestrel Implant Users: A Randomized Controlled Trial. Obstet Gynecol. 2018 Oct;132(4):888-894. doi: 10.1097/AOG.0000000000002810. PMID: 30130351; PMCID: PMC6153077.2.ANDRADE MCR, et al. Norethisterone for Prolonged Uterine Bleeding Associated with Etonogestrel Implant (IMPLANET): A Randomized Controlled Trial, American Journal of Obstetrics and Gynecology (2025), doi: https://doi.org/10.1016/j.ajog.2025.08.029.
Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a specific frequency for cervical examinations during labor, and examinations should be performed as clinically indicated. Now, a recently published RCT form AJOG MFM is adding additional credence to that. Can we space out clinical exams in otherwise “low-risk” laboring women to 8 hours? Listen in for details. 1. AJOG MFM: (08/18/25) Routine Vaginal Examination Scheduled At 8 vs 4 Hours In Multiparous Women In Early Spontaneous Labour: A Randomised Controlled Trial https://www.sciencedirect.com/science/article/abs/pii/S25899333250016122. Nashreen CM, Hamdan M, Hong J, et al.Routine Vaginal Examination to Assess Labor Progress at 8 Compared to 4 h After Early Amniotomy Following Foley Balloon Ripening in the Labor Induction of Nulliparas: A Randomized Trial. Acta Obstetricia Et Gynecologica Scandinavica. 2024;103(12):2475-2484. doi:10.1111/aogs.14975.3. First and Second Stage Labor Management: ACOG Clinical Practice Guideline No. 8. Obstetrics and Gynecology. 2024;143(1):144-162. doi:10.1097/AOG.0000000000005447.4. Moncrieff G, Gyte GM, Dahlen HG, et al. Routine Vaginal Examinations Compared to Other Methods for Assessing Progress of Labour to Improve Outcomes for Women and Babies at Term. The Cochrane Database of Systematic Reviews. 2022;3:CD010088. doi:10.1002/14651858.CD010088.pub3.5. Gluck, O., et al. (2020). The correlation between the number of vaginal examinations during active labor and febrile morbidity, a retrospective cohort study. [BMC Pregnancy and Childbirth]6. Pan, WL., Chen, LL. & Gau, ML. Accuracy of non-invasive methods for assessing the progress of labor in the first stage: a systematic review and meta-analysis. BMC Pregnancy Childbirth 22, 608 (2022). https://doi.org/10.1186/s12884-022-04938-y
Meal planning and preparation services can enhance the doula support options you provide to clients. However, doulas must consider regulations, logistics, and business implications before jumping in. Understanding the difference between meal planning and meal preparation is essential. Each service offers unique benefits for families. It is critical to understand the local cottage food laws and regulations in your community. These rules directly affect how and where meals can be prepared. It is also important to weigh the pros and cons of preparing meals in a client's home versus preparing them in your own when legality is not a factor in this decision. Tax implications, such as transaction privilege tax, are another factor to consider. These details can significantly impact the pricing and profitability of the meal services you offer. Join us for a practical conversation that explores opportunities, responsibilities, and business realities when offering meal planning and prep services.
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
Send us a textIf you enter a residency in family practice is it limiting? We've always heard things like "jack of all trade but master of none?" Not true! Listen to this D.O. who does family practice, but did extra training in Obstetrics so that she can take care of mothers in labor and other more specialized areas of medicine!
YEP…Its another episode of You Asked, We Answered! In this episode, we will look at the data to answer 2 questions that came into the show within the last 24 hrs: 1. Is oral or topical therapy best for first treatment of uncomplicated vulvovaginal candidiasis? (We have new data- AJOG, Sept 2025, to answer that), and 2. Is urine PCR testing for UTI diagnosis a “routine practice”? (We will look at 4 sources of information to answer that one). Listen in for details. 1. Gardella, Barbara et al. Treatment of uncomplicated vulvovaginal candidiasis: topical or oral drugs? Single-day or multiple-day therapy? A network meta-analysis of randomized trials. American Journal of Obstetrics & Gynecology, Volume 233, Issue 3, 152 - 1612. Invited Commentary: JAMA Netw Open: Published Online: November 26, 20242024;7;(11):e2446711. doi:10.1001/jamanetworkopen.2024.467113. March 2025 (AAFP): Are the Advantages of Urine PCR Testing Worth the Higher Costs? https://www.aafp.org/pubs/afp/afp-community-blog/entry/are-the-advantages-of-urine-pcr-testing-worth-the-higher-costs.html4. July 2025: PALTmed: https://paltmed.org/news-media/paltmed-calls-providers-stop-using-routine-pcr-urine-tests-utis5. https://pathnostics.com/limitations-of-pcr-only/
In the last 2 episodes we covered new updates in menopausal hormone therapy. However, we did not address TESTOSTERONE use. This episode idea comes from one our podcast family members and good friend, Eric. Eric is 100% correct: Testosterone replacement, when done correctly, has come along way. When is this indicated? Is this endorsed by professional medical/endocrine groups? What's the dose? We have fun stuff to review, so listen in!1. Davis SR, Baber R, Panay N, Bitzer J, Perez SC, Islam RM, Kaunitz AM, Kingsberg SA, Lambrinoudaki I, Liu J, Parish SJ, Pinkerton J, Rymer J, Simon JA, Vignozzi L, Wierman ME. Global Consensus Position Statement on the Use of Testosterone Therapy for Women. J Clin Endocrinol Metab. 2019 Oct 1;104(10):4660-4666. doi: 10.1210/jc.2019-01603. PMID: 31498871; PMCID: PMC6821450.2. Sharon J. Parish, James A. Simon, Susan R. Davis, Annamaria Giraldi, Irwin Goldstein, Sue W. Goldstein, Noel N. Kim, Sheryl A. Kingsberg, Abraham Morgentaler, Rossella E. Nappi, Kwangsung Park, Cynthia A. Stuenkel, Abdulmaged M. Traish, Linda Vignozzi, International Society for the Study of Women's Sexual Health Clinical Practice Guideline for the Use of Systemic Testosterone for Hypoactive Sexual Desire Disorder in Women, The Journal of Sexual Medicine, Volume 18, Issue 5, May 2021, Pages 849–867, https://doi.org/10.1016/j.jsxm.2020.10.0093. Levy, Barbara MD, MSCP; Simon, James A. MD, MSCP. A Contemporary View of Menopausal Hormone Therapy. Obstetrics & Gynecology 144(1):p 12-23, July 2024. | DOI: 10.1097/AOG.00000000000055534. NAMS The 2022 hormone therapy position statement of The North American Menopause Society: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://menopause.org/wp-content/uploads/professional/nams-2022-hormone-therapy-position-statement.pdf
A New Podcast from Obstetrics & Gynecology, featuring members from the Editorial Team and contributing authors, each month as they highlight the latest research and practice updates in the field. This episode feature an interview with Dr. Alex F. Peahl, author of “Stakeholder Perspectives of New Tailored Prenatal Care Delivery.”
In episode #389 of The Hormone Puzzle Podcast, our guest Dr. Roxanne Pero, talks about Toxins and Infertility. More about Dr. Roxanne: Dr. Roxanne Pero is a triple-board certified OB/Gyn with expertise in Obstetrics, Gynecology, Infertility, Functional Medicine, and Lifestyle Medicine. She earned her M.D. from Louisiana State University Health Sciences Center and completed her residency at UT Southwestern/Parkland Hospital in Dallas. After 12 years in private practice, guiding women through complex and high-risk pregnancies, she transitioned into holistic care. For the past three years, she has focused on root-cause healing and is board certified through the Institute for Functional Medicine and a Fellow of the American College of Lifestyle Medicine. Dr. Pero now practices at Alive & Well Dallas, where she helps patients address chronic conditions through integrative, lifestyle-driven protocols, combining conventional and functional approaches for whole-person healing. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Dr. Roxanne on Instagram: @drroxannepero Follow Dr. Kela on Instagram: @kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com/ FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com
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.
Tom Frieden is the president and chief executive officer of Resolve to Save Lives and former director of the Centers for Disease Control and Prevention. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T.R. Frieden. Dismantling Public Health Infrastructure, Endangering American Lives. N Engl J Med 2025;393:625-627.
A dedicated office space for a doula business can bring professionalism, visibility, and a central hub for meetings and classes. It can also come with significant costs and added responsibilities. Understanding the pros and cons is essential before making the investment. Calculating the potential return on investment provides a clear picture of whether it is a worthwhile investment. It is important to weigh costs such as rent, utilities, insurance, and furnishings. Compare them to potential income, client convenience, and growth opportunities. Carefully exploring these factors can reveal if an office space for your doula business will truly support long-term goals. It may also show if your resources are better used elsewhere. Join us as we discuss location evaluation, shared versus private spaces, and creative ways to maximize usage. Learn how to align your decision with your overall business strategy.
Thank goodness for William Morton and Horace Wells- pioneers in anesthesia. Anesthesia has come a long way since them and there is even a professional medical society for OB anesthesia called SOAP. Today, August 07, 2025, there is a new Clinical Expert Series which was just released in the Green Journal. That publication (which is ahead of print) is titled, Key Management Considerations in Obstetric Anesthesiology, is our episode focus. Can you safely have an epidural placed if the patient has platelets under 100K? Can labor epidurals cause pyrexia alone? Do labor epidurals slow labor? Listen in for details. 1. Clinical Expert Series, Key Management Considerations in Obstetric Anesthesiology. Obstet Gynecol; ePub 08/07/2025. 2. ACOG PB 2017; 20193. Adams AK. Tarnished Idol: William Thomas Green Morton and the Introduction of Surgical Anesthesia. J R Soc Med. 2002 May;95(5):266–7. PMCID: PMC1279690.4. Hegvik, Tor-Arne et al. Labor epidural analgesia and subsequent risk of offspring autism spectrum disorder and attention-deficit/hyperactivity disorder: a cross-national cohort study of 4.5 million individuals and their siblings.American Journal of Obstetrics & Gynecology, Volume 228(2): 233.e1 - 233.e125. https://med.stanford.edu/news/all-news/2021/04/Epidural-use-at-birth-not-linked-to-autism-risk-study-finds.html
Welcome to Perimenopause WTF!, brought to you by Perry—the #1 perimenopause app and safe space for connection, support, and new friendships during the menopause transition. You're not crazy, and you're not alone! Download the free Perry App on Apple or Android and join our live expert talks, receive evidence-based education, connect with other women, and simplify your perimenopause journey.Today's Episode, “Pain with Sex During Perimenopause & Reclaiming Pleasure” is brought to you by Replens™ - the #1 Doctor-recommended vaginal moisturizer brand. Visit Replens™ to learn more about the products mentioned in this episode such as Replens™ Long-Lasting Vaginal Moisturizer, clinically tested to help alleviate vaginal dryness, replenishingn vaginal moisture for up to 3 days.Dr. Laurie Mintz and Dr. Suzette Johnson get real about pain with sex during perimenopause and how to reconnect with pleasure. In this episode they chat about why sex can hurt, the importance of lube, finding the right specialist, and the different ways couples can stay close. Best of all, they answer honest, questions from the Perry community!
The unexpected sight of blood when you're eight years post-menopause can trigger immediate alarm bells. That's exactly what happened to me in September 2024, launching me on a journey that ultimately led to having a hysterectomy at age 55.This very personal episode takes you through my complete hysterectomy experience – from the shocking discovery of post-menopausal bleeding to my recovery two weeks after robotic laparoscopic surgery. I share the medical investigations that revealed my significantly thickened uterine lining (likely caused by previous Tamoxifen treatment for Breast Cancer), the decision-making process that led to surgery, and exactly what happened during my hospital stay.You'll hear all the details about my physical recovery and my gradual return to movement and normal activities. I discuss my frustrations with vague post-surgery exercise guidelines and how I advocated for more personalised recovery information as someone who regularly engages in heavy resistance training.Throughout this episode, I emphasise that while I'm sharing my story to help others, everyone's hysterectomy journey is unique. Your body, your choices, and your recovery will follow their own path. I've included practical tips about freezing meals before surgery, focusing on healing nutrition, and the importance of gentle movement in recovery.This is the first in what will be a five-part series documenting my hysterectomy journey, with future episodes at weeks 4, 6, 9 and 12 post-surgery.If you're facing a hysterectomy, supporting someone who is, or simply curious about what this experience entails, I hope my candid sharing provides insight, reassurance, and perhaps some practical guidance for your journey.You can send me any questions or share your story with me on my Instagram @sonyalovell or email sonya@sonyalovell.comResources:Sonya Lovell on InstagramTamoxifen and Uterine Lining ACOG paperJournal of Obstetrics and Gynaecology paperThank you for listening to my show! Join the conversation on Instagram
Guest: Brian Slomovitz, MD Our treatment approach for patients with endometrial cancer is evolving, with antibody-drug conjugates (ADCs) and biomarker-driven therapies showing promise. Dr. Brian Slomovitz highlights future directions that could redefine treatment pathways for patients with advanced or recurrent disease. Dr. Slomovitz is the Director of Gynecologic Oncology and Co-Chair of the Cancer Research Committee at Mount Sinai Medical Center as well as a Professor of Obstetrics and Gynecology at Florida International University in Miami.
In this episode of The Critical Care Obstetrics Podcast, Dr. Stephanie Martin sits down with Dr. Lexi Hill, an MFM specialist delivering high-risk pregnancy care via Telehealth to rural communities across the country.They discuss:✅ The realities of practicing MFM remotely✅ Gaps in rural obstetric care✅ What every clinician should know about managing high-risk pregnancies when specialists aren't on siteThe 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...
Working with clients who hold status, whether they are medical providers, influencers, politicians, or public figures, can present unique opportunities and challenges for doulas. Supporting high-visibility clients while maintaining the same standards of care, boundaries, and intent you offer every other family may not come as easily as you think. While there are potential benefits of these connections, there can also be stumbling blocks. It can be tempting to hope for public praise or referrals from influencers, but doulas must not bank on that exposure or let it influence their role. Confidentiality is non-negotiable, and these clients deserve the same privacy, respect, and space to be vulnerable without fear of judgment. Join us for a candid and professional conversation about supporting clients with influence, while staying grounded in ethics, integrity, and the heart of doula work.
Did you know that environmental factors, rather than hereditary factors, are taking the lead in driving illness and early mortality? That shift is primarily due to the harm caused by corporations and their products, says Dr. Tracey Woodruff, PhD, MPH, a professor in the Department of Obstetrics, Gynecology, and Reproductive Services at the University of California, San Francisco, and Director of the Program on Reproductive Health and the Environment and the new Center to End Corporate Harm. A world-recognized expert and scientist who studies how exposures to environmental chemicals affect children's development and health and translates scientific findings to improve clinical care. Dr. Woodruff previously served as a scientist and policy advisor in the US EPA Office of Policy. During our discussion, we discussed how the current administration's policy will make people sicker. She noted the potential benefit of the MAHA Commission Report, which brings attention to the health harms from chemicals. Still, at the same time, the administration is eliminating funding and rules that protect people from exposure to harmful chemicals in air, food, and water. Unlike RFK Jr., she is solidly pro-vaccine. Dr. Woodruff stated that a third of deaths globally were associated with five commercial products, according to data from WHO and other sources listed in the resources below: 1) Tobacco; 2) Alcohol; 3) Sugar and ultra-processed food; 4) Toxic Chemicals; 5) Fossil Fuels/ Air Pollution. Citizens and Private Foundations must step up since the Trump administration is intent on helping irresponsible corporations. We MUST look to healthcare experts like Dr. Woodruff who rely on sound science and solid research. This is a vitally important interview! Learn more about your ad choices. Visit megaphone.fm/adchoices
Gladys (Sandy) Ramos, M.D. outlines the comprehensive maternal care services at UC San Diego, emphasizing clinical excellence, innovation, and community impact. She highlights programs in diabetes and pregnancy, high-risk obstetrics, postpartum and HIV care, and maternal mental health. Ramos describes cutting-edge capabilities in fetal and placental imaging, including expertise in placenta accreta and genetic counseling. A fetal surgery program is launching soon, expanding access to specialized care and research. The department's patient population closely reflects San Diego County's demographics, which informs both clinical care and research priorities. Ramos also details a collaborative structure with multidisciplinary conferences and welcomes partnerships in research related to maternal, placental, and fetal health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40669]
Gladys (Sandy) Ramos, M.D. outlines the comprehensive maternal care services at UC San Diego, emphasizing clinical excellence, innovation, and community impact. She highlights programs in diabetes and pregnancy, high-risk obstetrics, postpartum and HIV care, and maternal mental health. Ramos describes cutting-edge capabilities in fetal and placental imaging, including expertise in placenta accreta and genetic counseling. A fetal surgery program is launching soon, expanding access to specialized care and research. The department's patient population closely reflects San Diego County's demographics, which informs both clinical care and research priorities. Ramos also details a collaborative structure with multidisciplinary conferences and welcomes partnerships in research related to maternal, placental, and fetal health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40669]
Gladys (Sandy) Ramos, M.D. outlines the comprehensive maternal care services at UC San Diego, emphasizing clinical excellence, innovation, and community impact. She highlights programs in diabetes and pregnancy, high-risk obstetrics, postpartum and HIV care, and maternal mental health. Ramos describes cutting-edge capabilities in fetal and placental imaging, including expertise in placenta accreta and genetic counseling. A fetal surgery program is launching soon, expanding access to specialized care and research. The department's patient population closely reflects San Diego County's demographics, which informs both clinical care and research priorities. Ramos also details a collaborative structure with multidisciplinary conferences and welcomes partnerships in research related to maternal, placental, and fetal health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40669]
Gladys (Sandy) Ramos, M.D. outlines the comprehensive maternal care services at UC San Diego, emphasizing clinical excellence, innovation, and community impact. She highlights programs in diabetes and pregnancy, high-risk obstetrics, postpartum and HIV care, and maternal mental health. Ramos describes cutting-edge capabilities in fetal and placental imaging, including expertise in placenta accreta and genetic counseling. A fetal surgery program is launching soon, expanding access to specialized care and research. The department's patient population closely reflects San Diego County's demographics, which informs both clinical care and research priorities. Ramos also details a collaborative structure with multidisciplinary conferences and welcomes partnerships in research related to maternal, placental, and fetal health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40669]
Gladys (Sandy) Ramos, M.D. outlines the comprehensive maternal care services at UC San Diego, emphasizing clinical excellence, innovation, and community impact. She highlights programs in diabetes and pregnancy, high-risk obstetrics, postpartum and HIV care, and maternal mental health. Ramos describes cutting-edge capabilities in fetal and placental imaging, including expertise in placenta accreta and genetic counseling. A fetal surgery program is launching soon, expanding access to specialized care and research. The department's patient population closely reflects San Diego County's demographics, which informs both clinical care and research priorities. Ramos also details a collaborative structure with multidisciplinary conferences and welcomes partnerships in research related to maternal, placental, and fetal health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40669]
Gladys (Sandy) Ramos, M.D. outlines the comprehensive maternal care services at UC San Diego, emphasizing clinical excellence, innovation, and community impact. She highlights programs in diabetes and pregnancy, high-risk obstetrics, postpartum and HIV care, and maternal mental health. Ramos describes cutting-edge capabilities in fetal and placental imaging, including expertise in placenta accreta and genetic counseling. A fetal surgery program is launching soon, expanding access to specialized care and research. The department's patient population closely reflects San Diego County's demographics, which informs both clinical care and research priorities. Ramos also details a collaborative structure with multidisciplinary conferences and welcomes partnerships in research related to maternal, placental, and fetal health. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40669]
Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Whitney Trotter Ross, MD, MSCI Despite advances in endometriosis treatment, bias and stigma continue to delay diagnosis and disrupt care for many patients. Informed, empathetic care is key for supporting diverse patient populations. Dr. Charles Turck sits down with Dr. Whitney Ross to unpack how historical misconceptions still influence prescribing habits and discuss actionable strategies for counseling, selecting a treatment plan, and building trust. Dr. Ross is an Assistant Professor of Obstetrics and Gynecology in the Division of Minimally Invasive Gynecologic Surgery at Washington University in St. Louis.
Katie Watson is a professor of medical education, medical social sciences, and obstetrics and gynecology at the Northwestern University Feinberg School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. K. Watson. Brain Death in Pregnancy — Abortion, Advance-Directive, or End-of-Life Law? N Engl J Med 2025;393:313-315.
Dr. Scott Guthrie joins us to explore the significant advances in neonatal care and the critical partnership between obstetricians and neonatologists to improve outcomes for newborns. Highlights include: • Successful implemented delayed cord clamping across Tennessee hospitals through collaborative quality improvement project• Neonatal mortality has decreased 30% between 1999-2022 due to advances in medical care and prenatal management• Survival rates for 22-week premature infants have improved to 30-40%, with many having normal development• Modern ventilation strategies now allow extremely premature babies to avoid intubation completely• Delivery room practices have shifted from routine suctioning to prioritizing effective ventilation• Therapeutic cooling has revolutionized treatment for hypoxic ischemic encephalopathy when initiated within 6 hours• Historical treatment of meconium stained fluid has evolved as we better understood its pathophysiology• Neonatal intensive care advances were catalyzed by Patrick Kennedy's death from hyaline membrane disease in 1963Join us for our continuing exploration of obstetrical and neonatal advances as we work together to improve outcomes for mothers and babies.00:00:00 Introduction to Neonatal Care Advances00:10:13 Neonatal Mortality Trends and Challenges 00:16:27Technological Evolution in NICU Care00:24:07 Periviable Infants: Improved Survival Rates00:31:09 Delivery Room Best Practices for Newborns00:38:44 Modern Meconium Management Approaches00:47:19 Therapeutic Hypothermia for HIE00:55:42 Causes and Detection of Hypoxic Ischemic Encephalopathy01:03:01 History of Neonatal Care Evolution01:12:25 Concluding Thoughts on Collaborative CareFollow us on Instagram @thinkingaboutobgyn.
In this episode Stephanie and Suzanne discuss acute onset of anxiety in an OB patient. They will also talk about possible pathology of anxiety and the possibility as a warning sign of compromise. 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...
What's best for skin closure at C-Section? Staples or suture? This debate has raged for over 20 years. Past data has shown greater odds of wound complications with metal staples compared to suture. But new a meta-analysis from June 2025 is challenging the prior results. In this episode, we will explore the data from 2010 to present day. PLUS, we will summarize a separate meta-analysis examining if wound dressing removal is tied to any wound complication. This was just published July 15, 2025 in the “Pink” journal. Listen in for details. 1. 2010: Basha SL, Rochon ML, Quiñones JN, Coassolo KM, Rust OA, Smulian JC. Randomized controlled trial of wound complication rates of subcuticular suture vs staples for skin closure at cesarean delivery. Am J Obstet Gynecol. 2010 Sep;203(3):285.e1-8. doi: 10.1016/j.ajog.2010.07.011. PMID: 20816153.2. 2015: Mackeen AD, Schuster M, Berghella V. Suture versus staples for skin closure after cesarean: a metaanalysis. Am J Obstet Gynecol. 2015 May;212(5):621.e1-10. doi: 10.1016/j.ajog.2014.12.020. Epub 2014 Dec 19. PMID: 25530592.3. Jan 2025: Gabbai D, Jacoby C, Gilboa I, Maslovitz S, Yogev Y, Attali E. Comparison of complications and surgery outcomes in skin closure methods following cesarean sections. Arch Gynecol Obstet. 2025 Jul;312(1):125-129. doi: 10.1007/s00404-024-07911-6. Epub 2025 Jan 25. PMID: 39862268; PMCID: PMC12176926.4. June 2025: Post-cesarean skin closure with metal staples versus subcuticular suture in obese patients: A systematic review and meta-analysis of randomized controlled trials. Luis Sanchez-Ramos et al (Univ Florida). https://onlinelibrary.wiley.com/doi/pdf/10.1002/pmf2.700615. DRESSING REMOVAL: July 15, 2025: Leshae A Cenac, Serena Guerra, Alicia Huckaby, Gabriele Saccone, Vincenzo Berghella. Early Wound Dressing (soft gauze/tape dressing) Removal after Cesarean Delivery: A Meta-Analysis of Randomized Trials: Short title: early wound dressing removal after cesarean, American Journal of Obstetrics & Gynecology MFM, 2025; https://doi.org/10.1016/j.ajogmf.2025.101739.6. https://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf
What is selective bias, and how does it show up in our work as doulas? We all interpret and retain information in ways that align with our pre-existing beliefs, often unknowingly dismissing data that challenges our biases. From interpreting research to making decisions in birth spaces, selective bias can shape the care we provide and can influence the experiences of our clients. As doulas, we have a responsibility to recognize and confront our own biases, especially when it comes to topics like interventions and birth preferences. Are you open to thinking critically about your own biases, considering how they affect your practice, and exploring ways to actively seek out diverse perspectives? Join us for an honest conversation about learning and growing in our doula practice, and how embracing discomfort can lead to more effective, unbiased support for the families we serve.
A New Podcast from Obstetrics & Gynecology, featuring members from the Editorial Team and contributing authors, each month as they highlight the latest research and practice updates in the field. This episode feature interviews with Dr. Lindsay Robbins, author of “Association of Maternity Care Deserts With Maternal and Pregnancy-Related Mortality,” and Dr. Katy Backes Kozhimannil, author of the accompanying editorial, “Perinatal Health in U.S. Communities Without Maternity Care.”
How do you find a good OBGYN when you’re pregnant? Ever felt a sharp pain in the butt during your period? And what role does testosterone play in perimenopause? In this episode, we talk to Kirsten Palmer, Professor in Obstetrics and Gynaecology with Monash University to find out what’s happening throughout your pregnancy including morning sickness (just why?), preeclampsia, gestational diabetes, food safety, immunisations, and what impact being pregnant may have on your prescription medication. Plus, why do you fill up with fluid? We also talk about why you’re so tired in the first trimester and whether to announce your pregnancy before 12 weeks so you get the support you need. Plus, Mariam talks about why new national guidelines that redefine what we call 'recurrent miscarriage' really matter. THE END BITS For information on food safety Dr Mariam recommends NSW Food Authority Guide. If you're pregnant or want to learn more about pregnancy, check out Mamamia's pregnancy podcast Hello Bump. For information on perimenopause and menopause Dr Mariam recommends the Australasian Menopausal Society. Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. All your health information is in the Well Hub. Support independent women’s media by becoming a Mamamia subscriberCREDITS Hosts: Claire Murphy and Dr Mariam Guest: Professor Kirsten Palmer Senior Producers: Claire Murphy and Sasha Tannock Audio Producer: Scott Stronach Mamamia studios are styled with furniture from Fenton and Fenton. Visit fentonandfenton.com.au Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.
Another Best Of Episode with Dr. Mary Claire Haver as this episode is TOO GOOD not to share again!If you've been gaslit by healthcare providers who dismiss your symptoms as “just getting older,” this episode will validate EVERYTHING you're experiencing and give you the tools to reclaim your power.Brain fog? Unexplained weight gain? Feeling invisible in a healthcare system that doesn't get it? You are not alone, and you are NOT imagining it.Dr. Mary Claire Haver is board-certified in Obstetrics and Gynecology and is a Certified Culinary Medicine Specialist from Tulane University. She is also a Certified Menopause Specialist through The Menopause Society. In 2021, she opened Mary Claire Wellness, a clinic dedicated to caring for menopausal patients. Her educational background and her own experience led Dr. Haver to develop the national bestselling book and online program, The Galveston Diet, a three-pronged lifestyle plan that encourages fuel refocusing, intermittent fasting, and anti-inflammatory nutrition to manage hormonal symptoms, stabilize weight, and revitalize the body as it ages to provide benefits that will last a lifetime. Dr. Haver's second book, The New Menopause, released in April 2024. What You'll Learn:Nutrition & Supplements That Work:Exact nutrients your menopausal body needs and how muchWhy your old diet stopped workingVitamin D, Turmeric, Probiotics, and Creatine - what's worth itThe truth about sugar, alcohol, and inflammationExercise & HRT:Muscle-building strategies to prevent osteoporosisHormone replacement therapy without the fear-mongeringExercise that works WITH your changing bodyThe 70 Symptoms No One Talks About:From frozen shoulder to burning tongue to sexual dysfunctionWhy your vertigo, tinnitus, and dry skin might all be connectedReal solutions for symptoms you didn't know were menopause-related This isn't about surviving menopause - it's about using this transition as your launching pad for the most empowered, healthy, and vibrant chapter of your life! Dr. Mary Claire Haver Says: You're Not Too F***ing Old! To do anything!Learn more about Jen Marples at https://www.jenmarples.comWant to work with Jen? Book a complimentary 20-minute call HERE. Follow Jen @jenmarples on Instagram, LinkedIn, TikTok and YouTubeSubscribe to Jen's NewsletterUnedited AI Transcript HereCONNECT WITH DR MARY CLAIRE HAVER:The Galveston DietThe Pause LifeMary Claire WellnessInstagramTikTok
In this episode, Julie, Suzanne, and Stephanie answer the listeners' questions regarding acute respiratory distress syndrome (ARDS) and Cardiomyopathy. These 2 diagnoses can appear with similar symptoms. 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...
Unveiling Hormone Secrets: Balancing Health with Dr. Edward Eckert Hormonify.com About the Guest(s): Dr. Edward Eckert is a renowned expert with over 30 years of experience in women's health and bioidentical hormone replacement therapy. A board-certified OB-GYN by the American Board of Obstetrics and Gynecology, Dr. Eckert received his training at Emory University, the University of Florida, and New York University's affiliated hospital. He graduated from the Medical College of Wisconsin and founded the Menopause Institute in 1994 to delve into menopause research. Dr. Eckert later created HormoneModify.com to focus on personalized bioidentical hormone treatments. Episode Summary: In this engaging episode of the Chris Voss Show, Dr. Edward Eckert shares his wealth of knowledge on bioidentical hormone replacement therapy and the intricacies of balancing hormones for both men and women. The discussion delves deep into the flawed perceptions and misinformation surrounding menopausal symptoms and hormone imbalances that prevail even in today's medical practices. Dr. Eckert candidly demystifies concepts like perimenopause and underscores the critical nature of hormone balance at all ages. Dr. Eckert provides a comprehensive look at the realities of hormone imbalances and the impact on both physical and mental health. He explains how he dedicated years to develop scientifically-backed, individualized hormone treatments. This fascinating dialogue explores how imbalanced hormones can manifest as anxiety, depression, weight issues, and more. Dr. Eckert also shares insights into the influences of external factors like diet and environment on hormone levels, calling attention to modern issues of early menstruation and diminished hormone production due to environmental estrogens. Key Takeaways: Dr. Eckert highlights the inadequacies in traditional hormone treatment methods and emphasizes the need for personalized, well-researched approaches. Hormone imbalances can contribute to a wide range of symptoms, including fatigue, mood disorders, osteoporosis, and more, impacting overall health dramatically. The podcast underscores the importance of monitoring hormone levels for both men and women as early as their late 20s if symptoms arise, despite common misconceptions about age-related norms. Environmental influences significantly affect hormone levels, with newer studies indicating the impact of multiple COVID-19 vaccinations on premature hormone deficiencies. Dr. Eckert offers a fresh perspective on menopause and urges individuals to seek expert evaluations to properly address their hormone health concerns. Notable Quotes: "In reality, I see problems that occur could be from adolescent years that progress onto the young reproductive years… there's a trend, and the trend is the ratios of hormones that exist." "What we really do differently is that I spent about 10 years researching the whole aspect of what it takes to balance a woman's hormones." "We have literally tens of thousands of patients all over the world." "We eliminate stage two, three, and four breast cancer. We have zero in 30 years." "One of the most common reasons women come in to see us is that their husbands or boyfriends tell 'em they can't have sex with them."
Doula work can be incredibly rewarding, but it won't be the right fit for everyone. In this episode, we talk openly about why someone shouldn't become a doula. Birth work requires a specific mindset, skills, and responsibilities. Being judgmental, struggling to hold space, or expecting birth work to be all about personal fulfillment can create harm. Becoming a doula means running a doula business, and passion alone isn't enough if you're not prepared to market, manage, and sustain a professional practice. This honest conversation takes a raw and real look at what it takes to be a doula. It is essential to preserve the integrity of the profession and support future doulas in entering the work with clarity and intention. If you or someone you know is considering becoming a doula, this is a must-listen episode.
In this episode, join Dr. Rachel Pope and her colleagues, Dr. Anne Sammarco and Dr. Maria Shaker, as they reflect on their recent trip to Tanzania. Dr. Pope shares the personal connection she has with the country, dating back to her early career when she worked on a research project about obstetric fistulas. Fast forward nearly two decades, and she returns with her colleagues to assist with fistula surgeries, childbirth injuries, obstetrics, and women's health care.Key Takeaways: The Early Days in Tanzania: Dr. Pope recounts her initial time in Tanzania working with Utu Mwanamke (Women's Dignity Project) and conducting a study on the social reintegration of women who underwent obstetric fistula surgeries. CCBRT Hospital: Now a much larger charity hospital, Dr. Pope reflects on how much the Comprehensive Community Based Rehabilitation in Tanzania (CCBRT) hospital has grown, offering services for vulnerable populations and providing high-quality care in a resource-limited setting. A Team of Experts: Dr. Pope, alongside Dr. Sammarco and Dr. Shaker, shares their unique collaboration during the trip, combining their skills in obstetrics, gynecology, and urogynecology to provide critical care and training at CCBRT. Cultural Exchange: The episode highlights the importance of exchanging knowledge with local medical professionals, offering education to Tanzanian medical students and residents while learning valuable insights from their practices. Global Health Impact: The trio discusses the complexities of global health, including how resources and cultural factors shape patient care. They stress the importance of capacity building and sustainable healthcare practices that extend beyond short-term missions.The episode also covers the broader themes of women's healthcare advocacy, access to surgery, and the need for global solidarity in providing equitable health services to underserved populations.Resources Mentioned: CCBRT – Comprehensive Community Based Rehabilitation in Tanzania Roe Green Foundation – Support for global health initiatives What is Obstetric Fistula?If you're passionate about global health, women's empowerment, or the importance of providing sustainable medical care, this episode will inspire you to consider the ways we can all make a positive impact.A huge thank you to the Roe Green Foundation for sponsoring this impactful journey, CCBRT for hosting the team, and all the medical professionals involved for their dedication to women's health globally.
This week on Mum's The Word, Georgia is joined by someone very special — her sister, Dr Lauren Jackson, a brilliant Obstetrics & Gynaecology doctor.It's an open, honest, and refreshingly candid chat as Dr Lauren answers YOUR listener questions about all things vaginas and pregnancy.From c-sections to coils, period pains to postpartum, no topic is off-limits.Whether you're a mum, mum-to-be, or just curious, this episode is packed with expert insight and sisterly banter.Grab a cuppa — it's about to get real!A Create Podcast Hosted on Acast. See acast.com/privacy for more information.
In this episode of the Longevity Optimization Podcast, Dr. Aimee Eyvazzadeh shares her journey into OB-GYN and her passion for helping people conceive. The conversation delves into innovative treatments for fertility, including ovarian PRP, hyperbaric oxygen therapy, and the potential of stem cells. Dr. Dr. Aimee Eyvazzadeh discusses the importance of supplements, lifestyle changes, and comprehensive fertility workups, including the TUSHY method. The episode also highlights the significance of addressing PCOS and the future of fertility medicine, emphasizing education and access to treatments.About Dr. Aimee Eyvazzadeh Dr. Aimee Eyvazzadeh—affectionately known as “The Egg Whisperer”—is a San Francisco Bay Area–based reproductive endocrinologist and fertility expert. She's the founder of her own practice where she specializes in IVF and helping women, especially those over 35, realize their dreams of becoming mothers.Her Credentials: M.D. from UCLA School of MedicineResidency in Obstetrics and Gynecology at Harvard Medical SchoolFellowship in Reproductive Endocrinology and InfertilityMaster's in Public Health (MPH) in Management and Policy from the University of MichiganBoard Certified in Obstetrics and GynecologyFellow of the American College of Obstetrics and Gynecology (FACOG)Follow her on IG Visit Her WebsiteChapters00:00 Introduction to Fertility and OB-GYN01:00 The Journey into Fertility Medicine01:48 Innovative Treatments: Ovarian PRP06:35 Understanding Ovarian PRP and Its Mechanism07:37 Hyperbaric Oxygen Therapy in Fertility09:38 The Role of Genetic Screening in Embryo Health11:32 Emerging Therapies: Stem Cells and HGH13:33 Rapamycin: A Breakthrough in Fertility Medicine19:13 The TUSHY Method: Comprehensive Fertility Testing24:10 Lifestyle Factors Affecting Fertility28:42 Supplements for Egg Health33:27 Environmental Toxins and Fertility38:25 Future of Fertility Treatments and Technologies* 10 billion platelets in PRP is what we want for clarity!
218: In this episode, I'm covering one of the most requested and controversial topics in women's health—whether breast cancer survivors can safely use hormone replacement therapy (HRT). To help answer this complex question, I'm joined by Dr. Corinne Menn, a board-certified OB-GYN, Menopause Society certified practitioner, and Fellow of the American College of Obstetrics and Gynecology. Dr. Menn brings a powerful blend of clinical expertise and lived experience. She's a 23-year breast cancer survivor, BRCA gene carrier, and went through premature menopause herself. We cover what the research really says about HRT after breast cancer, risks versus benefits, the reality of estrogen deprivation, and why “it depends” is the only honest answer. Topics Discussed: → Can breast cancer survivors safely use HRT? → Is hormone therapy after breast cancer risky? → What are the benefits of estrogen for cancer survivors? → Does HRT increase breast cancer recurrence? → Are there safe hormone options for BRCA carriers? Sponsored By: → Timeline | Head to timeline.com/DRTYNA and get 20% off with code DRTYNA → Nutrisense | Head over to nutrisense.io/drtyna to get 30% off your Nutrisense plan. Code TYNA at checkout → LVLUP | Head over to LVLUPHealth.com and use code DRTYNA at checkout to get 20% off your order sitewide. → Manukora | Head to manukora.com/DRTYNA to save up to 31% & $25 worth of free gifts in Starter Kit, which comes with an MGO 850+ Manuka Honey jar. → BIOptimizers | Go to bioptimizers.com/tyna and use promo code TYNA10 to order Masszymes now and get 10% off any order → Dr Tyna's Brain spark | Go to store.drtyna.com/products/brainspark and use code BRAINSPARK10 for 10% On This Episode We Cover: → 00:00:00 - Introduction → 00:04:51 - Dr. Menn's cancer story → 00:07:09 - Estrogen loss effects → 00:11:45 - Surgical menopause → 00:15:05 - Estrogen and cancer risk → 00:25:32 - Pregnancy after cancer → 00:31:40 - Estrogen in midlife → 00:34:45 - HRT after breast cancer → 00:37:56 - Recurrence risk → 00:44:06 - Dangers of low estrogen → 00:50:34 - New HRT options → 00:58:05 - Sexual health & dryness → 01:04:02 - You don't need to suffer → 01:08:16 - Estrogen and surgery → 01:13:04 - Estrogen for tissue health Show Links: → Estrogen Matters (book) Further Listening: → EP. 199 | Hot Flashes Are a Warning Sign: The Truth About Metabolic Dysfunction | Quick + Dirty → Hormones Playlist Check Out Dr. Menn: → Instagram → Website → More Dr. Menn Disclaimer: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.
Beth Giambrone, Senior Analyst at ASTHO, discusses her role on the State Health Policy team in this installment of the “Get to Know ASTHO” segment; Dr. Rose Molina, Associate Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, shares public health strategies that can help reduce the rate of pregnancy-related deaths; and ASTHO will host a desk-side media briefing at 10:30 a.m. ET on the Impact of Nutrition on Chronic Disease. ASTHO Web Page: State Health Policy JAMA Network Web Page: Pregnancy-Related Deaths in the US, 2018-2022 ASTHO Web Page: Subscribe to Public Health Weekly
Send us a textWe often hear the phrase, “Love makes a family,” and while it's true that love is the most important ingredient in creating family, for many of our LGBTQ+ kids and beloveds, love also needs to be accompanied by access to reproductive medical support. So today, we're diving into what it really means to create family—from science to love to justice. Sara sits down with reproductive endocrinologist Dr. Jacqueline Gutmann to discuss the avenues available for creating family in queer partnerships.Special Guest: Dr. Jacqueline N. GutmannDr. Jacqueline N. Gutmann (she/her) is a Reproductive Endocrinologist at RMA of Philadelphia and has devoted her career to helping people create their families of choice. She has published numerous articles and has lectured extensively on topics including LGBT family building, third party reproduction, fertility preservation including egg freezing, and the use of complementary and alternative medicine in fertility treatment. She has held numerous leadership positions in local and national professional organizations and is on the medical advisory boards of several patient advocacy groups. She is the recipient of many awards, though the one she values most is the Joyce M. Vargyas, M.D. Visionary Award from Path2Parenthood, for her impact in the fields of fertility, reproductive health, and family building within the LGBTQ+ community. Dr. Gutmann completed her medical education, residency and fellowship at Yale University. She also serves as a Clinical Associate professor of Obstetrics and Gynecology at Thomas Jefferson University.Links from the Show:More about Dr. Gutmann: https://rmanetwork.com/staff/jacqueline-n-gutmann/ Jefferson OB/GYN: https://www.jeffersonhealth.org/locations/obgyn-center-city Join Mama Dragons here: www.mamadragons.org In the Den is made possible by generous donors like you. Help us continue to deliver quality content by becoming a donor today at www.mamadragons.org. Support the showConnect with Mama Dragons:WebsiteInstagramFacebookDonate to this podcast
Abortion wasn't always controversial. In fact, in colonial America it would have been considered a fairly common practice: a private decision made by women, and aided mostly by midwives. But in the mid-1800s, a small group of physicians set out to change that. Obstetrics was a new field, and they wanted it to be their domain—meaning, the domain of men and medicine. Led by a zealous young doctor named Horatio Storer, they launched a campaign to make abortion illegal in every state, spreading a potent cloud of moral righteousness and racial panic that one historian later called "the physicians' crusade." And so began the century of criminalization. This episode originally ran as Before Roe: The Physicians' Crusade.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy
Second and/or Third trimester vaginal bleeding is a common reason for L&D Triage patient assessment. The evaluation starts with determining the status of maternal hemodynamic stability. This together with IV access are key first steps. This is followed by an assessment of fetal-placental status. Typically this includes bedside ultrasound for fetal position, visual confirmation of FHTs, amniotic fluid determination, and placental location. At the same time, lab data is obtained to guide care: CBC, fibrinogen, type and RH, and possibly type and cross. Do you order a KB test as part of the STANDRAD evaluation for suspected placental abruption? In this episode, we will review a new study released ahead of print on June 8, 2025 in the European J of Obstetrics, Gynecology, and Repro Biology. Listen in for details.
Every doula experiences it. The ups and downs of client inquiries and bookings are a normal part of running a doula business. Some months are full, while others feel uncomfortably quiet. There is often a natural ebb and flow of doula work, and it is important to stay grounded when things slow down. What can you do during slower seasons to remain productive and focused? You may start by reflecting on your current marketing strategy and identifying what is working and what needs improvement. Or maybe it's time to refresh your website and social media to reconnect with your community. There are many powerful steps you can take to strengthen your business and support long-term growth. If you have ever felt anxious during a quiet stretch, this conversation is for you. Tune in to learn how to make the most of the downtime and come back stronger.
It's been nearly three years since the Dobbs decision, which the Supreme Court used to strip women of the right to control our own bodies. In that decision—and frequently presented across the ideological spectrum as an alternative to abortion—adoption has been at the forefront of the discussion. But is adoption as benevolent and empowering as it is presented to be?Our guest today argues that it is not—and she's got compelling evidence to back that up. Dr. Gretchen Sisson is a researcher at Advancing New Standards in Reproductive Health in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California, San Francisco. Her book Relinquished: The Politics of Adoption and the Privilege of American Motherhood received a starred review from Publisher's Weekly and much more acclaim.
If you've been feeling like your energy has vanished overnight, you're not alone! But what if I told you it isn't due to stress or aging, or even hormones—it's all happening deep inside your cells? In this episode, I'm joined by the brilliant Dr. Felice Gersh to explore the powerful connection between hormone shifts and your mitochondria—the tiny engines that fuel every cell in your body. We'll uncover why fatigue, brain fog, and stubborn weight gain aren't “just signs of aging”, but signals your body is craving cellular support. Dr. Gersh breaks down how perimenopause and menopause can disrupt your mitochondrial function—and most importantly, what you can do right now to turn things around. From lifestyle tweaks to science-backed strategies, this episode is full of insights to help you restore your vitality from the inside out. Tune in here and uncover Dr. Gersh's tips to rebuild your energy, balance your hormones, and step into a new season of life with power and confidence! Felice Gersh, M.D. Dr. Felice Gersh is a multi-award-winning OB-GYN with dual board certifications in Obstetrics & Gynecology and Integrative Medicine. She's the founder and director of the Integrative Medical Group of Irvine, and is the brilliant mind behind the bestselling PCOS SOS series and her newest book, Menopause: 50 Things You Need to Know. She speaks globally on women's health, and she's regularly published in peer-reviewed medical journals. IN THIS EPISODE What it means to have good cellular health in menopause Addressing the knowledge gap in women's health care What's happening at a cellular level with hormonal changes Optimizing mitochondrial function for longevity Lifestyle factors that impact cellular aging in women The latest research on NAD and how it supports energy The future of cellular health science and how it can empower women to live longer, fuller lives QUOTES “Healthy longevity means lowering systemic inflammation, and our vital life hormones– estradiol and progesterone– are really critical for that.” “When you have unhealthy mitochondria, or dying, damaged mitochondria, the effects are not just that you make less energy, which is huge, but you also don't control the cell cycle.” “If you wanna live that beautiful, high-vitality, high-energized life in your 70s, 80s, and beyond…you talked about not even having issues until you're in your mid-90s– then we absolutely have to be proactive.” RESOURCES MENTIONED Menopause SOS: Your FREE mini menopause survival guide! Get my personal discount on Qualia Senolytic cell rejuvination regimen with code ENERGIZED >>> Integrative Medical Group of Irvine Dr. Gersh on YouTube Dr. Gersh's Socials: Instagram Facebook LinkedIn RELATED EPISODES 640: Unveiling The Essential Role of Minerals For Cellular Energy And Detoxification with Caroline Alan #623: Red Light Therapy for Upgrading Your Mitochondria, Cellular Energy, Skin and Brain Health with Jonathan Otto #551: How to Know if You Have a Sluggish Metabolism and How It Impacts Your Weight, Hormones, and Cellular Energy #330: Why Mitochondria Are the Key to Unlocking Your Best Energy Yet with Shawn Wells
In this episode, Julie, Stephanie, and Suzanne answer the listeners question of how to differentiate between signs, symptoms, and diagnosis of an AFE v. a PEThe 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...
*Content warning: birth trauma, medical trauma, medical neglect, racism, death of an infant, infant loss, death, homicide, maternal loss, mature and stressful themes, sexual assault, disordered eating. *Free + Confidential Resources + Safety Tips: somethingwaswrong.com/resources Sources: American College of Nurse Midwiveshttps://midwife.org/ American College of Obstetricians and Gynecologists (ACOG)https://www.acog.org/ Authorities explain lack of charges in Fort Mill birthing center deathhttps://www.charlotteobserver.com/news/local/crime/article23277849.html Births in the United States, 2022https://www.cdc.gov/nchs/products/databriefs/db477.htm A brain-dead woman's pregnancy raises questions about Georgia's abortion lawhttps://www.npr.org/2025/05/21/nx-s1-5405542/a-brain-dead-womans-pregnancy-raises-questions-about-georgias-abortion-law A Brief History of Midwifery in Americahttps://www.ohsu.edu/womens-health/brief-history-midwifery-america Constructing the Modern American Midwife: White Supremacy and White Feminism Collidehttps://nursingclio.org/2020/10/22/constructing-the-modern-american-midwife-white-supremacy-and-white-feminism-collide/ The Controversial Birth of American Gynecologyhttps://researchblog.duke.edu/2023/10/27/the-controversial-birth-of-american-gynecology/ Direct Entry Midwives Across the Nationhttps://www.networkforphl.org/wp-content/uploads/2023/05/Direct-Entry-Midwives-50-State-Survey.pdf FDA raids Miami birth center; Placentas, medical records confiscatedhttps://mommyblawg.blogspot.com/2009/01/fda-raids-miami-birth-center-placentas.html Fort Mill birthing center closes following third child deathhttps://www.wbtv.com/story/28083972/fort-mill-birthing-center-closes-following-third-child-death/ Exhibit Recognizes African American Midwiveshttps://infocus.nlm.nih.gov/2010/02/05/exhibit_recognizes_african_ame/ Health E-Stat 100: Maternal Mortality Rates in the United States, 2023https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2023/maternal-mortality-rates-2023.htm#:~:text=In2023%2C669womendied,rateof22.3in2022 Hemolytic disease of the newbornhttps://medlineplus.gov/ency/article/001298.htm The Historical Significance of Doulas and Midwiveshttps://nmaahc.si.edu/explore/stories/historical-significance-doulas-and-midwives Home Births in the U.S. Increase to Highest Level in 30 Yearshttps://www.cdc.gov/nchs/pressroom/nchs_press_releases/2022/20221117.htm Honest Midwife Bloghttps://honestmidwife.com/ International School Of Midwiferyhttps://www.mapquest.com/us/florida/international-school-of-midwifery-531273160 March of Dimeshttps://www.marchofdimes.org/peristats/about-us March of Dimes, Delivery Method https://www.marchofdimes.org/peristats/data?dv=ms&lev=1&obj=9®=99&slev=1&stop=86&top=8& March of Dimes, Maternity Care Deserthttps://www.marchofdimes.org/peristats/data?top=23 Maternal Mortality in the United States After Abortion Banshttps://thegepi.org/maternal-mortality-abortion-bans/#:~:text=InthefirstfullyearofTexas%27sstateabortionban,15 Maternal Mortality: How the U.S. Compares to Other Rich Countrieshttps://www.usnews.com/news/best-countries/articles/2024-06-04/how-the-u-s-compares-to-other-rich-countries-in-maternal-mortality Medical Exploitation of Black Womenhttps://eji.org/news/history-racial-injustice-medical-exploitation-of-black-women/ National Midwifery Institutehttps://www.nationalmidwiferyinstitute.com/midwifery Necrotizing Fasciitishttps://my.clevelandclinic.org/health/diseases/23103-necrotizing-fasciitisNew Pregnancy Justice Report Shows High Number of Pregnancy-Related Prosecutions in the Year After Dobbshttps://www.pregnancyjusticeus.org/press/new-pregnancy-justice-report-shows-high-number-of-pregnancy-related-prosecutions-in-the-year-after-dobbs/#:~:text=Thereportdocumentsthati,%2Cpregnancyloss%2Corbirth. North American Registry of Midwives (NARM)https://narm.org/ Physician Suicidehttps://www.acep.org/life-as-a-physician/wellness/wellness/wellness-week-articles/physician-suicide Preeclampsiahttps://my.clevelandclinic.org/health/diseases/17952-preeclampsia Preeclampsia: Signs & Symptomshttps://www.preeclampsia.org/signs-and-symptomsRace Maternal Mortality in the U.S.: A History of Midwiferyhttps://wmberks.pages.wm.edu/2023/04/30/race-maternal-mortality-in-the-u-s-a-history-of-midwifery/ The Racist History of Abortion and Midwifery Banshttps://www.aclu.org/news/racial-justice/the-racist-history-of-abortion-and-midwifery-bans Reasons Obstetricians Are At High Risk For Claims Of Medical Malpracticehttps://www.gilmanbedigian.com/reasons-obstetricians-are-at-high-risk-for-claims-of-medical-malpractice/#:~:text=Overall%2Cabout85%25ofOB,about95%25ofthetime. The Regulation of Professional Midwifery in the United Stateshttps://midwife.org/wp-content/uploads/2024/09/Jefferson-2021-Regulation-Professional-Midwifery.pdf She said she had a miscarriage — then got arrested under an abortion lawhttps://www.washingtonpost.com/investigations/interactive/2024/abortion-law-nevada-arrest-miscarriage/ She was accused of murder after losing her pregnancy. SC woman now tells her storyhttps://www.cnn.com/2024/09/23/health/south-carolina-abortion-kff-health-news-partner South Carolina Department of Public Health, Midwifery Licensinghttps://dph.sc.gov/professionals/healthcare-quality/licensed-facilities-professionals/midwifery-licensing#:~:text=DPHlicensesmidwivesinaccordancewithRegulation,inadditiontootherprescribedrequirementson State investigating Dallas birth center and midwives, following multiple complaints from patientshttps://www.wfaa.com/article/news/local/investigates/state-investigating-dallas-birth-center-midwives-following-multiple-complaints-from-patients/287-ea77eb18-c637-44d4-aaa2-fe8fd7a2fcef The State of Reproductive Health in the United Stateshttps://thegepi.org/state-of-reproductive-health-united-states/ Texas Department of Licensing and Regulation (TDLR)https://www.tdlr.texas.gov/ Texas Maternal Mortality and Morbidity Review Committee and Department of State Health Services Joint Biennial Report 2024https://www.dshs.texas.gov/sites/default/files/legislative/2024-Reports/MMMRC-DSHS-Joint-Biennial-Report-2024.pdf Uses of Misoprostol in Obstetrics and Gynecologyhttps://pmc.ncbi.nlm.nih.gov/articles/PMC2760893/ Vicarious trauma: signs and strategies for copinghttps://www.bma.org.uk/advice-and-support/your-wellbeing/vicarious-trauma/vicarious-trauma-signs-and-strategies-for-coping Vital Signs: Maternity Care Experiences — United States, April 2023https://www.cdc.gov/mmwr/volumes/72/wr/mm7235e1.htm#:~:text=Discussion,%2CHispanic%2Candmultiracialmothers. 2022 Direct Entry Midwives Fact Sheethttps://www.dshs.texas.gov/sites/default/files/chs/hprc/publications/2022/DirectEntryMidwife2022FactSheetA.pdf *SWW S23 Theme Song & Artwork: Thank you so much to Emily Wolfe for covering Glad Rag's original song, U Think U for us this season!Hear more from Emily Wolfe:https://www.emilywolfemusic.com/instagram.com/emilywolfemusicGlad Rags: https://www.gladragsmusic.com/ The S23 cover art is by the Amazing Sara StewartFollow Something Was Wrong:Website: somethingwaswrong.com IG: instagram.com/somethingwaswrongpodcastTikTok: tiktok.com/@somethingwaswrongpodcast Follow Tiffany Reese:Website: tiffanyreese.me IG: instagram.com/lookiebooSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.