Podcasts about Obstetrics

Warum menstruieren der Mensch und ein paar Tierarten, aber 97 Prozent der Säugetiere nicht? Es gibt überraschende Hinweise, warum sich die Menstruation im Laufe der Evolution entwickelt haben könnte. Die Forschung hofft dabei besonders auf Erkenntnisse von einem Tier: der Stachelmaus. Ein Podcast von Roana Brogsitter. Habt Ihr Feedback? Anregungen? Wir freuen uns, von Euch zu hören: WhatsApp (https://wa.me/491746744240) oder iq@br.de Credits Autorin: Roana Brogsitter SprecherInnen: Roana Brogsitter, Gudrun Skupin, Benjamin Stedler Produktion: Peter Riegel / mars13 Redaktion: Sarah Bioly Unsere Gesprächspartner: Dr. Christian Feregrino, Evolutionsbiologe Max-Planck-Institut für molekulare Genetik, Berlin https://www.molgen.mpg.de/person/131661

Dr. Lisa-Maria Wallwiener, Gynäkologin, und Hormonärztin, München
https://hormonaerztin.de/ Prof. Günther Wagner, Zoologe und Evolutionsbiologe Yale University, USA https://medicine.yale.edu/profile/gunter-wagner/ Zum Weiterschauen ARTE: Die Kraft des Zyklus https://www.youtube.com/watch?v=2Ipyp_7aI2Y Zum Weiterlesen Max Delbrück Center: Die Evolution der Menstruation erforschen https://www.mdc-berlin.de/de/news/news/die-evolution-der-menstruation-erforschen American Journal of Obstetrics & Gynecology: Menstruation: Wissenschaft und Gesellschaft https://www.ajog.org/article/S0002-9378(20)30619-0/fulltext IQ verpasst? Hier könnt ihr die letzten Folgen hören: https://www.ardaudiothek.de/sendung/iq-wissenschaft-und-forschung/5941402

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.

Host: Brian P. McDonough, MD, FAAFP Guest: Hugh S. Taylor, MD Endometriosis care is often delayed due to diagnostic and treatment access challenges—but early recognition and proactive strategies can change that. In this expert-led discussion, Dr. Brian McDonough sits down with Dr. Hugh Taylor to explore how we can clinically diagnose endometriosis without relying on surgery, streamline prior authorizations, and guide patients toward affordable treatment options while empowering patients through advocacy and education. Dr. Taylor is the Anita O'Keeffe Young Professor and Chair of Obstetrics, Gynecology, and Reproductive Sciences at Yale School of Medicine.

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.

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 features an interview Shaconna Haley and Dr. Ebony B. Carter, authors of “Intrapartum Doula Support and Cesarean Delivery Rates: A Systematic Review and Meta-analysis.”

When it comes to fertility in your 40s, the path to parenthood can feel overwhelming and, at times, isolating. That's why we're joined today by one of the UK's leading voices in fertility care: Dr. Jyoti Taneja, Consultant in Obstetrics and Gynaecology, and a specialist in Reproductive Medicine and Surgery at Avenues London. IVF Over 40: What's Really Possible? In this episode, we'll break down what women can realistically expect from IVF after 40. This will include success rates, treatment options, tests to consider, and what's available through the NHS versus private clinics. We'll also explore some of the biggest myths surrounding age and fertility, discuss donor egg options, and gain Dr. Jyoti's perspective on hope, timing, and making informed, empowered decisions on this deeply personal journey. Whether you're just starting to explore IVF or looking for clarity after setbacks, this episode, 'IVF Over 40', is here to inform, encourage and support you. Email us at info@mybaba.com Follow us on Instagram @mybabainsta and @mybabagram Show notes What is My Baba? My Baba provides the daily scoop on family, food and lifestyle - we're not just experts at all things parenting. Visit mybaba.com  The Content on this podcast is provided by My Baba and represents our sole opinions and views. For more information on our terms and conditions please refer to the website: https://www.mybaba.com/terms-conditions/

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

Send us a textPerimenopause is one of the most misunderstood—and under-discussed—phases in a woman's life. In this episode, I sit down with Dr. Colette White, a leading voice in women's health, to unpack the physical, emotional, and hormonal shifts that come with this transition.We talk about: ✨ What perimenopause really is (and how it differs from menopause)

This episode is hosted by Emma Keel, MS, CGC, and features Ying Liu, MD, MPH, a Gynecologic Medical Oncologist & Clinical Geneticist, Memorial Sloan Kettering Cancer Center, and Nicole D. Edison, MD, Clinical Associate of Obstetrics & Gynecology, University of Chicago.The in-depth discussion focuses on managing gynecologic cancer risk in patients with Lynch syndrome, spotlighting the significant updates to the National Comprehensive Cancer Network (NCCN) guidelines released in September 2024 that have shifted the clinical approach for these patients. 

Amanda Kallen is an associate professor in the Division of Reproductive Endocrinology and Infertility at the University of Vermont Larner College of Medicine and an adjunct professor at the Yale School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.N. Kallen and Others. Undermining Women's Health Research — Gambling with the Public's Health. N Engl J Med 2025;392:2185-2187.

June is Men's Health Month, and we want to bring attention to male infertility. Why this is an important health topic is one of the questions we ask our expert for this episode, Samuel Prien, Ph.D., professor and director of clinical research laboratories in the Department of Obstetrics and Gynecology in the School of Medicine. Dr. Prien explains what factors contribute to male fertility and infertility, what is considered a healthy sperm count and what lifestyle factors could affect sperm health. He encourages us to talk about this topic more openly so couples thinking about conceiving might possibly save time and money by first checking the male's fertility. 

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...

In this episode, Dr. Carolyn Moyers breaks down the latest original research from the April 2025 issue of Obstetrics & Gynecology, focusing on the long-term cardiovascular biomarker changes in women who participated in the Women's Health Initiative Hormone Therapy Trials. What does this mean for real-life patients considering hormone therapy? Are there age-related risks? What's the deal with triglycerides?Dr. Moyers explores the clinical relevance of these findings, limitations of the data, and the questions that still remain—offering an evidence-based, patient-centered perspective for women navigating menopause and their heart health.

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

While menopause is typically a natural transition, medically-induced menopause is another scenario altogether, coming at a time in a woman's life when she is already undergoing serious health challenges. To understand more on the subject, we’re joined on the podcast by Professor Martha Hickey, Professor of Obstetrics and Gynaecology at the University of Melbourne (since Feb 2010) and Adjunct Professor of Obstetrics, Gynaecology and Reproductive Sciences at Yale University, CT. She is the lead in a world-first study, What Happens After Menopause (WHAM), that explores just how women who experience medically-induced menopause are affected. The findings might surprise you!See omnystudio.com/listener for privacy information.

As doulas, when it comes to communication, what we say and how it's heard are not always the same. Words shape how clients feel, respond, and make decisions. Asking questions that begin with "why" can unintentionally sound like judgment, even when your intent is neutral or supportive. Doulas often believe that it's our job to make sure clients are making informed choices. In truth, our responsibility is to our clients, not for them. It is not our role or responsibility to decide what a client wants or needs to know. But doulas often offer information without asking what the client wants to know or inquiring in a non-judgmental way how they came to a decision, especially surrounding topics like induction or elective cesareans. This episode unpacks the critical difference between what we mean and how our words are interpreted. If you want to strengthen your communication, reduce misunderstandings, and support clients with more clarity and compassion.

This episode discusses a topic within a new Utah Women & Leadership Project (UWLP) report titled, “Home, Health, Community, & Allyship: Utahns' Awareness, Understanding, and Attitudes.” This report has four main areas of focus, and today we'll be discussing the area of health across the lifespan. Dr. Susan Madsen, Founding Director of the UWLP, is joined by two leaders from A Bolder Way Forward's Health Across the Lifespan Spoke. Dr. Jessica Sanders is a co-leader of the Reproductive Health sub-spoke. She is the Director of Research and an Assistant Professor in Obstetrics and at the University of Utah School of Medicine. Amy Anderson is the Regional Outreach Coordinator for the UWLP, focused on supporting counties in Northern Utah and the Health Across the Lifespan spoke. Support the show

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Ayman Al-Hendy, MD, PhD, FRCSC, FACOG, CCRP In addition to heavy menstrual bleeding, patients with uterine fibroids often deal with many other considerable effects on their physical and mental wellbeing. To provide optimal care, it's important to recognize the full impact of fibroids, communicate carefully about treatment options, and promote equitable access to care. Dr. Charles Turck sits down with Dr. Ayman Al-Hendy to learn more about how we can address the multifaceted burden of uterine fibroids. Dr. Al-Hendy is a Professor of Obstetrics and Gynecology and the Director of Translational Research at the University of Chicago Pritzker School of Medicine.

In today's show, we're talking about a new way of treating women’s most common sexual problems. My guest co-developed an online sexual health platform called eSense that's designed to bring evidence-based treatment for low sexual desire and arousal to the masses at a fraction of the cost of traditional therapy. It could very well be a game-changer in the way we treat sex problems. I am joined once again by Dr. Lori Brotto, an internationally recognized leader in sexual health research. She is a Professor in the UBC Department of Obstetrics and Gynaecology, a Registered Psychologist, and Canada Research Chair in Women's Sexual Health. She is also author of the book Better Sex Through Mindfulness. Some of the specific topics we explore include: What is cognitive-behavioral therapy (CBT), and how can it help in treating problems with desire and arousal? How can mindfulness-based therapy be useful in cases of low sexual desire? How does the eSense platform leverage both CBT and mindfulness training to treat sexual difficulties? How effective is therapy administered online compared to things like face-to-face therapy and pharmaceuticals? How will technologies like artificial intelligence and virtual reality change sex therapy in the future? You can check out Lori’s website to learn more about her work, and you can learn more about eSense at esense.health. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Practice love every day with Paired, the #1 app for couples. Download the app at paired.com/justin to get a 7-day free trial and 25% off if you sign up for a subscription. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, Google, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

Host: Jasmine T. Kency, M.D., Associate Professor of Internal Medicine and Pediatrics at the University of Mississippi Medical Center.Guest(s): Elizabeth Lutz, M.D., Associate Professor of Medicine in the Department of Obstetrics and Gynecology at UMMC.Topic: Pregnancy planning and possible complicationsEmail the show any time remedy@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Ayman Al-Hendy, MD, PhD, FRCSC, FACOG, CCRP Despite longstanding reliance on surgery, recent advancements have reshaped our approach to uterine fibroids. However, common myths and misconceptions have limited the adoption of newer therapies, leaving many patients unaware of their available options. Join Dr. Charles Turck and Dr. Ayman Al-Hendy as they explain shifting treatment paradigms and patient education strategies in uterine fibroid care. Dr. Al-Hendy is a Professor of Obstetrics and Gynecology and the Director of Translational Research at the University of Chicago Pritzker School of Medicine.

*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.

The most common sexual problems that women experience center around low sexual desire and/or difficulty becoming aroused, formally known as female sexual interest/arousal disorder. In today's show, we're doing a deep dive into what this disorder looks like, where it comes from, and why it seems so hard for women to access treatment for it. I am joined by Dr. Lori Brotto, an internationally recognized leader in sexual health research. She is a Professor in the UBC Department of Obstetrics and Gynaecology, a Registered Psychologist, and Canada Research Chair in Women's Sexual Health. She is also author of the book Better Sex Through Mindfulness. Some of the specific topics we explore include: What is “female sexual interest/arousal disorder?” How is it clinically defined? How common is this disorder? What do we know about its causes? Is it physical, psychological, or a bit of both? Why does it take an average of 5 years for women to access treatment for sexual desire and arousal problems? Why is it so hard to develop drugs and medications that stimulate sexual desire? You can check out Lori’s website to learn more about her work. Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology. *** Thank you to our sponsors!  Expand your sexual horizons with Beducated! Featuring more than 100 online courses taught by the experts, Beducated brings pleasure-based sex ed directly into your bedroom. Enjoy a free trial today and get 60% off their yearly pass by using LEHMILLER as the coupon code. To redeem this offer, visit: https://beducate.me/lehmiller-may  The Kinsey Institute at Indiana University has been a trusted source for scientific knowledge and research on critical issues in sexuality, gender, and reproduction for over 75 years. Learn about more research and upcoming events at kinseyinstitute.org or look for them on social media @kinseyinstitute. *** Want to learn more about Sex and Psychology? Click here for previous articles or follow the blog on Facebook, Twitter, or Bluesky to receive updates. You can also follow Dr. Lehmiller on YouTube and Instagram. Listen and stream all episodes on Apple, Spotify, Google, or Amazon. Subscribe to automatically receive new episodes and please rate and review the podcast! Credits: Precision Podcasting (Podcast editing) and Shutterstock/Florian (Music). Image created with Canva; photos used with permission of guest.

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...

Drs. Amy Crockett (@amyhcrockett), Ben Ereshefsky (@brainofbpharm), and Pamela Bailey (@pamipenem) join Dr. Julie Ann Justo (@julie_justo) to discuss new treatment strategies for management of intraamniotic infections, also known as chorioamnionitis. They discuss whether it is time to move away from the combination of ampicillin, gentamicin, and/or clindamycin, alternative antibiotic regimens to consider, and stewardship strategies to approach this practice change at a local level. References: Basic stats/epi on chorioamnionitis: Romero R, et al. Clinical chorioamnionitis at term I: microbiology of the amniotic cavity using cultivation and molecular techniques. J Perinat Med. 2015 Jan;43(1):19-36. doi: 10.1515/jpm-2014-0249. PMID: 25720095. ACOG 2017 Guideline for IAI: Committee Opinion No. 712: Intrapartum Management of Intraamniotic Infection. Obstet Gynecol. 2017 Aug;130(2):e95-e101. doi: 10.1097/AOG.0000000000002236. PMID: 28742677. ACOG 2024 Update on clinical criteria for IAI: ACOG Clinical Practice Update: Update on Criteria for Suspected Diagnosis of Intraamniotic Infection. Obstetrics & Gynecology 144(1):p e17-e19, July 2024. doi: 10.1097/AOG.0000000000005593 Helpful review with more recent microorganisms : Jung E, et al. Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment. Am J Obstet Gynecol. 2024 Mar;230(3S):S807-S840. doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317. Cochrane Review: Chapman E, et al. Antibiotic regimens for management of intra-amniotic infection. Cochrane Database Syst Rev. 2014 Dec 19;2014(12):CD010976. doi: 10.1002/14651858.CD010976.pub2. PMID: 25526426. Helpful recent review on intrapartum infections: Bailey, P, et al_._ Out with the Old, In with the New: A Review of the Treatment of Intrapartum Infections. Curr Infect Dis Rep. 2024;26:107–113 doi: 10.1007/s11908-024-00838-8. Role of genital mycoplasmas in IAI: Romero R, et al. Evidence that intra-amniotic infections are often the result of an ascending invasion - a molecular microbiological study. J Perinat Med. 2019 Nov 26;47(9):915-931. doi: 10.1515/jpm-2019-0297. PMID: 31693497. Regimens without enterococcal coverage with similar clinical outcomes: Blanco JD, et al. Randomized comparison of ceftazidime versus clindamycin-tobramycin in the treatment of obstetrical and gynecological infections. Antimicrob Agents Chemother. 1983 Oct;24(4):500-4. doi: 10.1128/AAC.24.4.500. PMID: 6360038. Bookstaver PB, et al. A review of antibiotic use in pregnancy. Pharmacotherapy. 2015 Nov;35(11):1052-62. doi: 10.1002/phar.1649. PMID: 26598097. Updated review in pregnancy, includes data on frequency of antibiotic use in pregnancy: Nguyen J, et al. A review of antibiotic safety in pregnancy-2025 update. Pharmacotherapy. 2025 Apr;45(4):227-237. doi: 10.1002/phar.70010. Epub 2025 Mar 19. PMID: 40105039. Locksmith GJ, et al. High compared with standard gentamicin dosing for chorioamnionitis: a comparison of maternal and fetal serum drug levels. Obstet Gynecol. 2005 Mar;105(3):473-9. doi: 10.1097/01.AOG.0000151106.87930.1a. PMID: 15738010. Clindamycin CDI Risk: Miller AC, et al. Comparison of Different Antibiotics and the Risk for Community-Associated Clostridioides difficile Infection: A Case-Control Study. Open Forum Infect Dis. 2023 Aug 5;10(8):ofad413. doi: 10.1093/ofid/ofad413. PMID: 37622034. Impact of penicillin allergy on clindamycin use & cites 47% clindamycin resistance per CDC among GBS: Snider JB, et al. Antibiotic choice for Group B Streptococcus prophylaxis in mothers with reported penicillin allergy and associated newborn outcomes. BMC Pregnancy Childbirth. 2023 May 30;23(1):400. doi: 10.1186/s12884-023-05697-0. PMID: 37254067. Clindamycin anaerobic coverage data: Hastey CJ, et al. Changes in the antibiotic susceptibility of anaerobic bacteria from 2007-2009 to 2010-2012 based on the CLSI methodology. Anaerobe. 2016 Dec;42:27-30. doi: 10.1016/j.anaerobe.2016.07.003. PMID: 27427465. Older PK study of ampicillin & gentamicin for chorioamnionitis: Gilstrap LC 3rd, Bawdon RE, Burris J. Antibiotic concentration in maternal blood, cord blood, and placental membranes in chorioamnionitis. Obstet Gynecol. 1988 Jul;72(1):124-5. PMID: 3380500. Paper putting out the call for modernization of OB/Gyn antibiotic regimens: Pek Z, Heil E, Wilson E. Getting With the Times: A Review of Peripartum Infections and Proposed Modernized Treatment Regimens. Open Forum Infect Dis. 2022 Sep 5;9(9):ofac460. doi: 10.1093/ofid/ofac460. PMID: 36168554. Vanderbilt University Medical Center experience with modernizing OB/Gyn infection regimens: Smiley C, et al. Implementing Updated Intraamniotic Infection Guidelines at a Large Academic Medical Center. Open Forum Infect Dis. 2024 Sep 5;11(9):ofae475. doi: 10.1093/ofid/ofae475. PMID: 39252868. Prisma Health/University of South Carolina experience with modernizing OB/Gyn infection regimens: Bailey P, et al. Cefoxitin for Intra-amniotic Infections and Endometritis: A Retrospective Comparison to Traditional Antimicrobial Therapy Regimens Within a Healthcare System. Clin Infect Dis. 2024 Jul 19;79(1):247-254. doi: 10.1093/cid/ciae042. PMID: 38297884.

Dr. James A. Thorp is a board-certified obstetrician-gynecologist and maternal-fetal medicine specialist with over 44 years of clinical experience. A U.S. veteran and widely published physician, he has testified internationally, served as a journal peer reviewer, Board Member of the Society for Maternal-Fetal Medicine, and Examiner for the American Board of Obstetrics and Gynecology. He is the author of “Sacrifice: How the Deadliest Vaccine in History Targeted the Most Vulnerable.” Dr. Thorp also serves as the Chief of Maternal Medicine and Prenatal Medicine for the Wellness Company.  Follow Dr. James A. Thorp on X: @jathorpmfm VISIT: https://drjamesthorp.com/ & https://abrg.org ORDER: https://sacrifice2024.com/

    Telemetry monitoring during labor is becoming more common in hospital birth settings. Yet many doulas may not be familiar with how it works or how it differs from traditional continuous electronic fetal monitoring.   In this episode, we explore telemetry monitoring, how it functions, and the potential benefits it offers for mobility and comfort for laboring clients. We also discuss hospital policies, common limitations, and how to support clients in understanding their options when telemetry is available or when it is not.   As doulas, having a working knowledge of telemetry can help us better advocate for client preferences, support informed decision-making, and provide more effective physical and emotional support during labor.   Join us for a practical and informative conversation to help you feel more confident navigating this type of monitoring in your birth support work.

In this episode of Health Matters, Dr. Mary Rosser, a gynecologist at NewYork-Presbyterian and Columbia, explains perimenopause, breaking down what symptoms are normal, when it's time to see a doctor, and the best options for managing some of the more challenging symptoms of perimenopause. ___Dr. Mary L. Rosser, M.D., Ph.D., NCMP is the Director of Integrated Women's Health at NewYork-Presbyterian/Columbia University Irving Medical Center and the Richard U. and Ellen J. Levine Assistant Professor of Women's Health (in Obstetrics and Gynecology) at Columbia University Vagelos College of Physicians & Surgeons. She joined the faculty of Obstetrics and Gynecology at Columbia University in April 2018 to provide routine gynecology care and to further develop a comprehensive well-woman program. She has been a practicing obstetrician gynecologist for more than 20 years, starting in private practice and then joining the faculty at Montefiore Medical Center in Bronx, NY. While at Montefiore, she created, launched, and led the forty-person Division of General Obstetrics and Gynecology. Dr. Rosser received her undergraduate degree at Emory University and a Ph.D. in Endocrinology at the Medical College of Georgia. She attended Wake Forest University School of Medicine and completed her residency at Emory University. She is also a NAMS Certified Menopause Practitioner, able to provide high-quality care for patients at menopause and beyond.Primary care and heart disease in women have always been areas of focus for Dr. Rosser. She conducted basic science research on heart disease during graduate school and was the Chair of the "Women & Heart Disease Physician Education Initiative" for District II of the American College of Obstetrics & Gynecology. She continues to conduct clinical studies around patient awareness and understanding of heart disease and well-woman care. Dr. Rosser serves on the Medical Leadership Team of the Go Red for Women movement of the American Heart Association and she is ACOG's liaison to the American College of Cardiology.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Curious about assisted deliveries? In this episode of The Pulling Curls Podcast, Hilary Erickson, The Pregnancy Nurse®, sits down with Dr. Tori O'Daniel, a board-certified OB GYN, to demystify vacuum and forceps deliveries. They explain when and why these tools might be used, how they work, the differences between them, and what you can expect if your delivery needs a little extra help. They also bust some common myths and share real-life experiences (including Hilary's own forceps story), plus get honest about risks, benefits, and postpartum recovery tips. Whether you're prepping for birth or just want to be informed, this episode has all you need to feel more confident about your options. Big thanks to our sponsor Laborie, makes of the Kiwi® Complete Vacuum Delivery System: https://www.laborie.com/product/kiwi/ Today's guest is DDr. Tori O'Daniel. She is a Board-Certified OB/GYN whom has been practicing for 14 years. For the past 11 years she has been an OB/GYN Hospitalist in OKC, Oklahoma. Dr. O'Daniel is the Medical Director for the OB Hospitalist and women's services. She also is the Medical Director for Women's Health Services at Mercy Hospital. She instructs educational classes and facilitates the OB Emergency Simulations for the nurses and physicians within her department. As an Adjunct Faculty at Oklahoma State University, she is the Director of the Medical Student Clinical rotations at her institution. She has been actively involved in the Society of OB/GYN Hospitalists (SOGH) for the past several years. She co-chaired the Simulation committee in 2020 & 2021 and Co-Chaired the ACM 2022 & 2023. She currently serves on the Board of Directors. Dr. O'Daniel is passionate about education and advocating for women's safety in health care. Thus, she actively teaches across the country about vacuum assisted deliveries, treating post partum hemorrhage and other OBGYN Emergencies. Links for you: Previous episode sponsored by Laborie (#246) about plus size moms in labor: https://www.pullingcurls.com/246-plus-size/ Timestamps: 00:00 Assisted Delivery and Labor Mechanics 03:22 Assisted Vaginal Delivery Options 06:26 Decline of Forceps in Deliveries 10:38 Vacuum-Assisted Delivery Explained 13:54 Vacuum Procedure Timing Guidelines 16:10 Assessing Delivery Options and Pelvic Adequacy 19:26 Challenges in C-section Deliveries 23:15 Forcep Use in Obstetrics 25:50 "Consent Challenges in Childbirth Decisions" 31:43 Forceps vs. Vacuum Delivery Risks 33:16 Birthing Risks: Maternal and Fetal 37:24 Considerations for Assisted Vaginal Delivery 39:56 Navigating Birth Plan Conversations 44:07 Normalize Asking for Help 46:57 Flexible Tubing Revolutionizes Vacuum Use 49:15 Flexible Neck Vacuum for Childbirth Keypoints: Assisted deliveries involve using tools like vacuums or forceps to help a baby out during vaginal birth, usually when there's exhaustion, fetal distress, or a tricky position. The difference between forceps (which look like fancy salad tongs) and vacuum devices (like the KiwiVac) was explained—with forceps generally having a higher risk for maternal tearing, while vacuums can be safer for the mother but have their own set of risks for baby. Forceps use is becoming rare in the US, and many younger doctors are not trained in both tools; most providers specialize in one over the other. The vacuum method, such as the KiwiVac, doesn't just involve pulling—the device helps rotate and flex the baby's head to ease passage through the pelvis, working in tandem with the mother's pushing effort. Not every provider can use both vacuums and forceps, and midwives in the US generally use vacuums regionally; outside the US, like in Europe, midwives may use vacuums more routinely. Assisted deliveries make up less than 5% of births, so most people will not need them, but knowing about the process can reduce fear if the situation arises. Before offering assisted delivery, doctors must ensure the baby is low enough, the mother's pelvis is adequate, and water is broken—these tools can't compensate for a truly “stuck” baby or incomplete dilation. Vacuums and sometimes forceps can even be used during C-sections if the baby is deeply engaged or in an awkward position, to help bring the baby up through the uterine incision. Consent and clear communication are vital—sometimes decisions have to be made quickly, so it helps when patients have discussed these possibilities in advance with their providers. The episode emphasized not to fear assisted deliveries—they're tools to reduce C-sections and make births safer when used by skilled, well-trained professionals, and advances like the KiwiVac improve outcomes for both moms and babies. Producer: Drew Erickson Keywords: assisted delivery, vacuum-assisted delivery, forceps delivery, Kiwi Complete Vacuum Delivery System, OB GYN, labor and delivery, childbirth, maternal exhaustion, fetal distress, vacuum system, assisted vaginal delivery, shoulder dystocia, c section, birth canal, perineal care, vaginal lacerations, episiotomy, pelvic floor therapy, chignon, subgaleal hemorrhage, cephalohematoma, labor nurse, midwife, family practice doctor, maternal risks, neonatal risks, delivery complications, birth plan, postpartum recovery, Laborie

Alice Rothchild's path to becoming an anti-Zionist Jew took many years, many hard conversations, and required a lot of critical self-reflection. But she is part of a growing, powerful chorus of Jewish voices around the world speaking out against Israel's Occupation of Palestine and ethnic cleansing of Palestinians—and she is urging others to join that chorus. “The time is long overdue for liberal Zionists to find the courage to take a long hard look at their uncritical support for the actions of the Israeli state as it becomes increasingly indefensible and destabilizing, a pariah state that has lost its claim to be a so-called democracy (however flawed) that is endangering Jews in the country and abroad as well as Palestinians everywhere,” Rothchild writes in Common Dreams. In the latest installment of The Marc Steiner Show's ongoing series “Not in Our Name,” Marc speaks with Rothchild about her path to anti-Zionism, the endgame of Israel's genocidal assault on Gaza, and the need to liberate Jewish identity from the Zionist state of Israel.Alice Rothchild is a physician, author, and filmmaker with an interest in human rights and social justice. She practiced ob-gyn for almost 40 years and served as Assistant Professor of Obstetrics and Gynecology at Harvard Medical School. She is the author of numerous books, including: Broken Promises, Broken Dreams: Stories of Jewish and Palestinian Trauma and Resilience; Condition Critical: Life and Death in Israel/Palestine; Old Enough to Know, a 2024 Arab American Book Award winner; and Inspired and Outraged: The Making of a Feminist Physician. Rothchild is a member of the Jewish Voice for Peace Health Advisory Council and a mentor-liaison for We Are Not Numbers.Producer: Rosette SewaliStudio Production: David HebdenAudio Post-Production: Alina NehlichHelp us continue producing radically independent news and in-depth analysis by following us and becoming a monthly sustainer.Sign up for our newsletterLike us on FacebookFollow us on TwitterDonate to support this podcast

Topics covered in this episode: What is the pelvic floor? Why toilet posture is at the root of pelvic floor dysfunction. The guarding reflex, bladder and bowel dysfunction. Why real or perceived stress impacts your bowel and bladder dysfunction. How big a problem is pelvic floor dysfunction? And more ...   Dr. Fleischmann is board certified in urology and Female Pelvic Medicine and Reconstructive Surgery. She received her medical degree from the State University of New York Downstate Health Sciences University in Brooklyn, NY, where she graduated summa cum laude. Dr. Fleischmann completed her surgery and urology residency at Albert Einstein College of Medicine in Bronx, NY and continued her training in a fellowship at NYU School of Medicine. She is passionate about practicing an integrative approach to urogynecology, correcting the pervasive, unconscious and paradoxical behaviors which can turn into the structural problems and bothersome symptoms that prompt women to seek care. She is the author of the new book “The Second Mouth”, which addresses the powerful mind-body connection in functional urology. Dr. Fleischmann serves as Director of FPMRS at White Plains Hospital Center where she has been in clinical practice for the last 25 years. She holds an active appointment as Assistant Clinical Professor in Obstetrics and Assistant Clinical Professor of Gynecology and Urology at Albert Einstein College of Medicine. Additionally, she is a member of the American Urologic Association and Society for Urodynamics and Female Urology (SUFU). Dr. Fleischmann is the author of several research publications and presentations. She lives and practices in New York. @drnicolefleischmann Thesecondmouthbook.com

Alice Rothchild's path to becoming an anti-Zionist Jew took many years, many hard conversations, and required a lot of critical self-reflection. But she is part of a growing, powerful chorus of Jewish voices around the world speaking out against Israel's Occupation of Palestine and ethnic cleansing of Palestinians—and she is urging others to join that chorus. “The time is long overdue for liberal Zionists to find the courage to take a long hard look at their uncritical support for the actions of the Israeli state as it becomes increasingly indefensible and destabilizing, a pariah state that has lost its claim to be a so-called democracy (however flawed) that is endangering Jews in the country and abroad as well as Palestinians everywhere,” Rothchild writes in Common Dreams. In the latest installment of The Marc Steiner Show's ongoing series “Not in Our Name,” Marc speaks with Rothchild about her path to anti-Zionism, the endgame of Israel's genocidal assault on Gaza, and the need to liberate Jewish identity from the Zionist state of Israel.Alice Rothchild is a physician, author, and filmmaker with an interest in human rights and social justice. She practiced ob-gyn for almost 40 years and served as Assistant Professor of Obstetrics and Gynecology at Harvard Medical School. She is the author of numerous books, including: Broken Promises, Broken Dreams: Stories of Jewish and Palestinian Trauma and Resilience; Condition Critical: Life and Death in Israel/Palestine; Old Enough to Know, a 2024 Arab American Book Award winner; and Inspired and Outraged: The Making of a Feminist Physician. Rothchild is a member of the Jewish Voice for Peace Health Advisory Council and a mentor-liaison for We Are Not Numbers.Producer: Rosette SewaliStudio Production: David HebdenAudio Post-Production: Alina NehlichHelp us continue producing radically independent news and in-depth analysis by following us and becoming a monthly sustainer.Sign up for our newsletterLike us on FacebookFollow us on TwitterDonate to support this podcast

Endometriosis is a prevalent gynecologic condition that affects approximately 10–15% of women of reproductive age worldwide. For endometriosis related pelvic pain, continuous combination birth control pills have long been the first-line pharmacologic intervention of choice. But new data published May 15, 2025 (ahead of print) in Obstetrics and Gynecology is challenging that tradition. In this episode , we will summarize the key findings of this brand new network systematic review and metanalysis. Plus, we will also review what is missing from the ACOG PB 114 regarding the management of endometriosis. Listen in for details.

Dr. Bruce Dorr MD, URPS, FACOG is boarded in Obstetrics and Gynecology and subspecialty boarded in Female Pelvic Medicine and Reconstructive Surgery and is also a senior medical advisor for Biote. For the last decade he has directed his practice towards a functional medicine practice of hormone health and wellness.   We discuss enhancing your hormone health to live happier, healthier, for longer.   You can find out more about Bruce's work over at https://www.biote.com   Fill out the quick form here: https://forms.gle/AH1tusHRXkC3N5yM6 and be in with the chance of winning an Amazon Gift card   Join the FREE Facebook group for The Michael Brian Show at https://www.facebook.com/groups/themichaelbrianshow   Follow Mike on Facebook Instagram & Twitter

Women make up half the population in Canada yet there are still major gaps in women's health research. Experts say investments addressing this gap could add years to life and boost the global economy. The Agenda invites Carmen Wyton, Chair and Founder of Women's Health Coalition of Canada; Dr. Amanda Black, Professor of, Obstetrics and Gynecology at The University of Ottawa; and Christine Faubert, Vice President of Health Equity & Mission Impact, at the Heart and Stroke Foundation of Canada to discuss.See omnystudio.com/listener for privacy information.

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

If you've ever been told "just relax" while in vulvovaginal pain, you're not alone—and you're definitely not crazy. This conversation is about the silent epidemic women keep getting dismissed over.This episode hit me hard. Not because the stories were shocking—but because they weren't. Dr. Chailee Moss joined me to talk about the groundbreaking study she co-authored, recently published in JAMA, that finally puts numbers to the gaslighting so many of our patients experience.We dug into what dismissal looks like in a medical setting and how phrases like "have a glass of wine" or "your exam is normal" can cause lasting harm. For patients living with vulvovaginal pain, being told it's "all in your head" is not just invalidating—it can delay care, destroy trust, and lead people to give up entirely.Dr. Moss shared how her own experiences as a patient shaped her path as a physician. We also talked about the deep-rooted system issues in training and documentation that continue to reinforce doubt instead of compassion. The problem isn't just one bad doctor. It's a medical culture that doesn't know how to listen to women in pain.This isn't just about statistics. It's about rebuilding the broken parts of medicine so more women feel seen, heard, and actually treated. If you've felt dismissed by the system or know someone who has, this episode is for you.sHighlights:Why patients with vulvovaginal pain are often told to "just relax".The power of naming gaslighting and measuring it in clinical care.How medical training creates blind spots around pain and gender.The importance of early diagnosis to prevent years of unnecessary suffering.Resources and organizations helping patients find the right care.If this episode resonated with you, please subscribe, leave a review, and share it with someone who needs to hear it. Let's keep pushing for better care.Dr. Moss's Bio: Dr. Chailee Moss is a gynecologist specializing in vulvovaginal disorders in Washington, D.C. She first became interested in vulvovaginal disorders at the University of North Carolina at Chapel Hill where she earned an M.D. in 2013. She engaged in research on pain and gynecologic surgery during residency training in Ob/Gyn at The Ohio State University where she was a chief of resident education and earned awards for her research and clinical care. Upon graduation, Dr Moss joined the faculty at Johns Hopkins University where she continued to research pain and publish original research in this and other areas. Dr. Moss is board certified by the American Board of Obstetrics and Gynecology and has been an active member of the Society for Academic Specialists in OB/GYN, serving on the research committee and paper award committee. In her free time she enjoys cooking, camping, and travel with her husband and their three energetic children in Baltimore, MD.Resources:BookJama ArticleTight LippedDr. Rahman with Tight LippedIsswsh The National Vulvodynia AssociationGet in Touch with Dr....

SHOW NOTES: Many women who want to labor naturally want to know if waterbirth is a safe option for them. I thought I had dealt with this topic in the past, but apparently I hadn't so today I'm doing that while covering this systemic review from the American Journal of Obstetrics and Gynecology. In this episode you will learn: Is water birth safe? What is water birth? Who is a good candidate to have a waterbirth? Who is not a good candidate to have a waterbirth??   Link to article - https://www.ajog.org/article/S0002-9378(23)00604-X/fulltext   Helpful Links: — BIBLE STUDY - FREE Bible Study Course - How To Be Sure Of Your Salvation - https://the-ruffled-mango-school.teachable.com/p/how-to-be-sure-of-your-salvation   -- COACHING - If you're tired of shallow, cheap, meaningless connections in pregnancy that leave you feeling passed over and confused, The REAL DEAL Transformative Coaching might be for you. If you're ready to invest in coaching that will bring REAL results and REAL change, not only now but for the future of your family and your children's families, let's talk about how this 1-on-1 coaching might be just what you've been looking for! Go here to learn more - https://go.yourbirthgodsway.com/coachinginterest    — CHRISTIAN CHILDBIRTH EDUCATION - Sign up HERE for the Your Birth, God's Way Online Christian Childbirth Course! This is a COMPLETE childbirth education course with a God-led foundation taught by a certified nurse-midwife with over 20 years of experience in all sides of the maternity world! - https://go.yourbirthgodsway.com/cec   — HOME BIRTH PREP - Having a home birth and need help getting prepared?  Sign up HERE for the Home Birth Prep Course. — homebirthprep.com   — GET HEALTHY - Sign up here to be the first to know about the new Women's Wellness Program coming from Lori SOON! https://go.yourbirthgodsway.com/yourhealth   — MERCH - Get Christian pregnancy and birth merch HERE - https://go.yourbirthgodsway.com/store   — RESOURCES & LINKS - All of Lori's Recommended Resources HERE - https://go.yourbirthgodsway.com/resources   Sign up for email updates Here   Be heard! Take My Quick SURVEY to give input on future episodes you want to hear -- https://bit.ly/yourbirthsurvey   Got questions?  Email lori@yourbirthgodsway.com     Social Media Links: Follow Your Birth, God's Way on Instagram! @yourbirth_godsway Follow the Your Birth, God's Way Facebook Page! facebook.com/lorimorriscnm Join Our Exclusive Online Birth Community -- facebook.com/groups/yourbirthgodsway   Learn more about Lori and the podcast at go.yourbirthgodsway.com!   DISCLAIMER:  Remember that though I am a midwife, I am not YOUR midwife.  Nothing in this podcast shall; be construed as medical advice.  Listening to this podcast does not mean that we have entered into a patient-care provider relationship. While I strive to provide the most accurate information I can, content is not guaranteed to be 100% accurate.  You must do your research and consult other reputable sources, including your provider, to make the best decision for your own care.  Talk with your own care provider before putting any information here into practice.  Weigh all risks and benefits for yourself knowing that no outcome can be guaranteed.  I do not know the specific details about your situation and thus I am not responsible for the outcomes of your choices.    Some links may be affiliate links which provide me a small commission when you purchase through them.  This does not cost you anything at all and it allows me to continue providing you with the content you love.

In this episode Stephanie talks with HeHe Stewart, a Birth Doula aiming to help women avoid birth trauma & prepare for a confident and informed hospital birth. She has her own podcast The Birth Lounge and an active social media presence educating women about all things birth related. We talk about what it takes to become a Doula and the role a Doula can play in high-risk or critical illness situation. She explains challenges she has faced while interacting with the medical team and how she handles them. Find her here:Childbirth Education: https://www.thebirthlounge.comDoula Services: https://www.tranquilitybyhehe.comIG: https://www.instagram.com/tranquilitybyhehe/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...

The DOJ is investigating top medical journals for biased editorial practices, alleging they suppressed studies on COVID-19 vaccine risks and alternative therapeutics for partisan reasons. NBC reports the science publications (including CHEST, New England Journal of Medicine, and Obstetrics and Gynecology) were sent letters “questioning their editorial practices.” In response, medical journal The Lancet called the letters “harassment” and claimed science in the USA was being “violently dismembered” by all of these annoying questions being asked by the peasants. “This corrupt web of suppression, fraud, and retractions demands a legal reckoning,” writes epidemiologist Nicolas Hulscher. Dr. Ram Yogendra, MD, MHP, is a board-certified anesthesiologist with a public health background. He advocates for vaccine injury research, highlighting issues like the persistence of S1 spike protein in monocytes post-COVID-19 vaccination. More at https://x.com/dryostradamus and https://covidlonghaulers.com Elijah Schaffer is a journalist for The Gateway Pundit and the host of Slightly Offensive on Censored.TV. He's also a news presenter on Vigilant News Network. Schaffer filmed the Kyle Rittenhouse shootings, was inside the Capitol on January 6, 2021, and went undercover in groups like Antifa and BLM during the 2020 riots. More at https://x.com/ElijahSchaffer 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at ⁠⁠https://drdrew.com/sponsors⁠⁠  ⁠⁠⁠ • FRESH PRESSED OLIVE OIL – Olive oil packs the most flavor and healthiest nutrients when it's fresh. Don't settle for stale supermarket olive oils – get it direct from small, award-winning farms! Get your free $39 bottle for just $1 shipping & taste the difference at ⁠https://GetFreshDrDrew.com/ • ACTIVE SKIN REPAIR - Repair skin faster with more of the molecule your body creates naturally! Hypochlorous (HOCl) is produced by white blood cells to support healing – and no sting. Get 20% off at ⁠⁠https://drdrew.com/skinrepair⁠⁠ • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠https://drdrew.com/fatty15⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠https://drdrew.com/paleovalley⁠⁠ • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠https://twc.health/drew⁠⁠ 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (⁠⁠https://kalebnation.com⁠⁠) and Susan Pinsky (⁠⁠https://twitter.com/firstladyoflov⁠⁠⁠⁠e⁠⁠). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Low amniotic fluid, or oligohydramnios, is a topic doulas are likely to encounter in our work with clients, especially during the third trimester. Doulas and clients often question what low fluid levels mean, how they are diagnosed, and the clinical considerations involved. It is important for doulas to understand risks associated with low amniotic fluid, potential causes, and the treatment options care providers may offer. We also discuss how this diagnosis can influence birth plans and what doulas should keep in mind when supporting clients through these decisions. Tune in for an in-depth conversation designed to strengthen your knowledge and help you better support clients navigating this complicated situation.

On this episode of Talking Away The Taboo, Estie Rose, MS, CGC, Heather Hipp, MD, and Gail Heyman, join Aimee Baron, MD for the second episode of our 5-part IWSTHAB x JSCREEN Podcast series is all about Fragile X. When people think of genetic testing before pregnancy, they often think of Tay-Sachs or cystic fibrosis—but Fragile X is just as important and far less understood. In this episode, Estie Rose and Dr. Heather Hipp explain the difference between recessive and X-linked conditions, what it means to be a Fragile X carrier, and how it can affect fertility and family planning. We also hear from Gail Heyman, who shares her deeply personal journey navigating Fragile X in her own family—and how that led her to advocacy. Whether you're building your family or supporting someone who is, this episode is filled with insight, honesty, and heart. -Click here to watch Part 1: Introduction to Genetics and Infertility More about Estie:  Estie Rose is a certified genetic counselor at jscreen. She has a special interest in community education and serves as a resource for individuals who are facing genetic health issues. Connect with Estie:  -Follow her on Instagram More about Heather: Dr. Heather Hipp is a Reproductive Endocrinology and Infertility (REI) physician and an Associate Professor at Emory University School of Medicine. She earned her undergraduate degree at Duke University and then her MD degree at Emory University, where she continued her training in residency and fellowship. She is the Program Director for the REI fellowship at Emory and serves as chair for the American Society for Reproductive Medicine Education Committee. Her profession memberships include American College of Obstetrics and Gynecology, American Society for Reproductive Medicine, Alpha Omega Alpha Honor Society, and American Gynecological & Obstetrical Society. She is also on the National Fragile X Foundation Scientific and Clinical Advisory Committee. Her research focuses on women who are carriers for the fragile X mutation and their risk of premature ovarian insufficiency, as well as trends and outcomes of in-vitro fertilization (IVF) in the United States. More about Gail:   Gail Heyman is a passionate advocate and leader in the Fragile X community. After her son was diagnosed in 1989, she co-founded the Fragile X Association of Georgia and has served as its director ever since. Her family's experience—spanning three generations affected by Fragile X conditions—fuels her tireless work to raise awareness, promote research, and support others navigating similar challenges. Gail also serves on JScreen's advisory board and has received national recognition for her leadership in genetic advocacy and inclusion. -Click here to learn more about Gail's story -Check out Carly Heyman's book, My eXtra Special Brother -Learn more about Fragile X here Connect with JScreen:  -Visit their website -Coupon Code: IWSTHAB18 for $18 off initial testing (no expiration date on this offer) -Follow JScreen on Instagram Connect with us:  -Check out our Website - Follow us on Instagram and send us a message -Watch our TikToks -Follow us on Facebook -Watch us on YouTube

A forthcoming child generates plenty of chatter! Link to the answer Journal of Obstetrics and Gynaecology Canada Thinking Music Amy Schumer on Mother's Day Support the podcasts you enjoy - check out Lenny.fm More about the show - www.nearly.com.au/somehow-related-podcast-with-glenn-robbins-and-dave-oneil/ Somehow Related is produced by Nearly Media. Original theme music by Kit Warhurst. Artwork created by Stacy Gougoulis. Looking for another podcast? The Debrief with Dave O'Neil - Dave's other podcasts with comedians after gigs. The Junkees with Dave O'Neil & Kitty Flanagan - The sweet and salty roundabout! Junk food abounds!Support on Lenny.fm: https://www.lenny.fm/See omnystudio.com/listener for privacy information.

When women think about the benefits of menopausal hormone therapy, things like hot flashes, insomnia and vaginal dryness come to mind.  But for many women, bone health is, or should be, at the top of the list.   In this episode, I speak with Dr. Risa Kagan about the role of estrogen, progesterone, and testosterone in bone health. Definition of Low Bone Mass (Osteopenia) and Osteoporosis The Difference Between a T score and a Z score  FRAX- Fracture Risk Assessment Tool When Bone Mass Peaks How to Maximize Bone Health Before Menopause Hits Role of Estrogen in Young Women The Danger Zone- When Most Women Lose the Majority of Their Bone Mass The Role of Birth Control Pills and Prevention of Bone Loss If Exercise is Enough The Relationship Between Hot Flashes and Osteoporosis Bone Loss Post Menopause Impact of Menopausal Estrogen Therapy on Bones Taking Menopausal Hormone Therapy (MHT) in the Absence of Hot Flashes to Protect Bones The Difference Between Bone Density and Bone Quality When it is Appropriate to Take an Anabolic Agent If the TYPE of Estrogen you take matters (Conjugated, Synthetic, Bioidentical) What DOSE of Estrogen is Needed to Prevent Fractures If it is Appropriate to Monitor Estradiol Blood Levels When Taking Transdermal MHT The Target Estradiol Level for Bone Health What Happens to Bone Density When MHT is Discontinued If MHT Should Be Taken Forever If Progestogens Plays a Role in Bone Health The Role of Bazodoxifene (Duovee™) in Bone Health The Role of TESTOSTERONE therapy in Bone Health Another Podcast with Dr. Kagan: When Progesterone is a Problem   Dr. Risa Kagan is a Clinical Professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the University of California San Francisco, and a consulting gynecologist with Sutter Health. Dr. Kagan has published over 100 scientific papers  on post menopause bone health and hormone therapy.  Dr. Streicher is on SUBSTACK      DrStreicher.Substack.com Articles Monthly newsletter All COME AGAIN podcast episodes Monthly News Flash Reports on recent research  Monthly Zoom Ask Me Anything Webinar   Information on Dr. Streicher's COME AGAIN Podcast- Sexuality and Orgasm Lauren Streicher MD, is a clinical professor of obstetrics and gynecology at Northwestern University's Feinberg School of Medicine, the founding medical director of the Northwestern Medicine Center for Sexual Medicine and Menopause, and a Senior Research Fellow of The Kinsey Institute, Indiana University. She is a certified menopause practitioner of The Menopause Society. She is the Medical Director of Community Education and Outreach for Midi Health.   Dr. Streicher is the medical correspondent for Chicago's top-rated news program, the WGN Morning News, and has been seen on The Today Show, Good Morning America, The Oprah Winfrey Show, CNN, NPR, Dr. Radio, Nightline, Fox and Friends, The Steve Harvey Show, CBS This Morning, ABC News Now, NBCNightlyNews,20/20, and World News Tonight. She is an expert source for many magazines and serves on the medical advisory board of The Kinsey Institute, Self Magazine, and Prevention Magazine. She writes a regular column for The Ethel by AARP and Prevention Magazine.    LINKS Subscribe To Dr. Streicher's Substack Information About the COME AGAIN Podcast Dr. Streicher's CV and additional bio information To Find a Menopause Clinician and Other Resources  Glossary Of Medical Terminology Books by Lauren Streicher, MD  Slip Sliding Away: Turning Back the Clock on Your Vagina-A gynecologist's guide to eliminating post-menopause dryness and pain Hot Flash Hell: A Gynecologist's Guide to Turning Down the Heat Sex Rx- Hormones, Health, and Your Best Sex Ever The Essential Guide to Hysterectomy                                       Dr. Streicher's Inside Information podcast is for education and information and is not intended to replace medical advice from your personal healthcare clinician. Dr. Streicher disclaims liability for any medical outcomes that may occur because of applying methods suggested or discussed in this podcast.              

In this inspiring episode of SHE MD, hosts Mary Alice Haney and Dr. Thaïs Aliabadi welcome Dr. Mindy Goldman and Joanna Strober, founders of MIDI Health. Dr. Goldman shares her expertise on individualized hormone therapy approaches, while Strober explains how Midi Health is revolutionizing access to menopause care through telemedicine and more. The episode provides valuable insights for women navigating perimenopause and menopause, as well as healthcare professionals seeking to improve their understanding of hormone therapy. Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii. Sponsors: Purely Elizabeth: Visit purelyelizabeth.com and use code SHEMD at checkout for 20% off. Purely Elizabeth. Taste the Obsession.Timeline: Timeline is offering10% off your order of Mitopure. Go to timeline.com/SHEMD. Saks: Shop Saks.comCymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.David's Protein: David is giving my listeners an exclusive offer – buy four cartons and get the fifth free at davidprotein.com/shemdMIDI HEALTH'S KEY TAKEAWAYS:Evaluate Breast Cancer Risk: If you have a family history or genetic predisposition, consult with a specialist about hormone therapy and preventive measures.Consider Vaginal Estrogen: For vaginal dryness, vaginal estrogen can help, even if you have a history of breast cancer or a breast cancer patient.Assess Heart Health: Get a coronary calcium scan to evaluate heart health before starting hormone therapy. Consider Hormone Therapy Under The Age of 60: Discuss the potential benefits of bioidentical hormones with your doctor, 10 years before your menopause. The timing hypothesis says that the benefits of hormones tend to outweigh the risks if you start people within that 10-year window.Explore Non-Hormonal Alternatives: Lifestyle, dietary changes, and non-hormonal alternatives like CBT can help in managing menopausal symptomsIN THIS EPISODE: (00:00) Intro(01:27) How the Midi Health Founders got together and started Midi Health(06:50) HRT for Breast Cancer Patients(12:16) Hormones and breast cancer risk explained(24:55) How does Midi Health work?(33:16) Non-hormonal options for breast cancer patients(46:33) Can you use estrogen on your face?(48:18) When should you be on hormones and for how long?(57:51) Do you prefer estrogen patch or gel? (59:05) Testosterone, HRT, and menopause to improve libido(01:07:53) How to join Midi Health?RESOURCES:Visit MIDI Health website joinmidi.com: http://joinmidi.comJoanna Strober's LinkedIn: https://www.linkedin.com/company/midi-health/mycompany/Mindy Goldman's LinkedIn: https://www.linkedin.com/in/mindy-goldman-9b7a8930/GUEST BIOGRAPHY:Joanna Strober is the CEO and founder of Midi Health, a virtual care platform for women in perimenopause and menopause. The company brings expert care, covered by insurance, to women nationwide. Prior to Midi, Joanna founded Kurbo, the first digital therapeutic for childhood obesity, which was scaled to help tens of thousands children worldwide and the company was successfully sold to Weight Watchers in 2018. Prior to diving into digital health, Joanna spent more than 20 years in direct private equity and venture capital investing in health and consumer companies including a number of notable consumer internet companies, including BlueNile, eToys, Babycenter, HotJobs and Flycast.Joanna is the author of the book Getting to 50/50, a primer on how women can succeed and thrive at work and at home. She has spoken extensively to corporate and graduate school audiences on the topic of women and leadership. She was also named to the Forbes 50 over 50 list of top Innovators in 2023.Mindy Goldman is the Chief Clinical Officer at Midi Health and a Clinical Professor Emeritus in the Department of Obstetrics and Gynecology and Director of the Gynecology Center for Cancer Survivors and At-Risk Women Program at the University of California, San Francisco. As Midi's Chief Clinical Officer, Dr. Mindy Goldman brings her decades of experience as an OB/GYN to all our patient care, but survivors of breast cancer and at-risk women are a special focus for her. Dr. Goldman is a nationally recognized expert in the menopausal symptoms that come with treatment for breast cancer, and how to improve them safely and effectively. Dr. Goldman has created a unique program that bridges gynecology and breast oncology, and provides breast cancer survivors with care that is focused on quality of life and addresses specific women's health needs while undergoing cancer treatment. She is a nationally recognized expert in this field and in 2012 authored the American College of Gynecology (ACOG) Technical Bulletin that provides comprehensive clinical guidelines on the management of gynecologic issues in women with breast cancer. She is on the survivorship panel for the National Comprehensive Cancer Network (NCCN) and is the Sub-committee Chair for the panels on sexual functioning and menopause and helped author the NCCN management guidelines in these areas.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Julie, Stephanie and Suzanne address listener questions posted about hypertensive disorders. We address questions about treatment of refractory severe hypertension, medication protocols, use of magnesium and delivery timing questions.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...