Podcasts about obstetrics gynaecology

Disclaimer:    The views and opinions expressed during this podcast are those of the individuals participating and do not necessarily represent the official position or opinion of the SOGC.   Summary:   In this episode, SOGC CEO Dr. Diane Francoeur welcomes back esteemed expert Dr. Darine El-Chaâr for an in-depth discussion on RSV vaccinations, and this time, from the perspective of a health care provider. Together, they explore the latest evidence and best practices to help physicians confidently guide their patients through the benefits and importance RSV vaccinations.   This episode was made possible through grant funding from Sanofi.  About Dr. Francoeur  Dr. Diane Francoeur is the CEO of the Society of Obstetricians and Gynaecologists of Canada (SOGC) and a passionate advocate for women and health care providers. She is an obstetrician-gynaecologist with more than 30 years of experience and continues to serve her community in this role.  Dr. Francoeur was the first female president of the Federation of Medical Specialists of Quebec (FMSQ) and successfully completed all her terms. She continues to work as an associate professor in the Department of Obstetrics-Gynaecology at CHU Ste-Justine, affiliated with the University of Montreal, and remains a strong advocate for women's rights, physician leadership and health care.  About Dr. El-Chaâr  Dr. Darine El-Chaâr is a Maternal Fetal Medicine (MFM) physician at The Ottawa Hospital (TOH), a scientist at the Ottawa Hospital Research Institute (OHRI) and an associate professor at the University of Ottawa.

We are blessed to have Dr Andrew Browning AM launch our "Missions Month" with "Into Africa". Andrew is a Doctor of Obstetrics / Gynaecology and the joint founder of the "Barbara May Foundation". What comes to mind when you think of Africa? Beauty and hardship? What was the need that led to the Barbara May Foundation? What are they doing? What has been achieved through prayer? What can come through sacrifice? Would you offer what is right? Can you have hope in heaven? Are you building your house on the Rock?Click to view this week's passages: Prov 19: 21, Matt 7: 13-29, John 14: 6, 1Tim 6: 5, Gen 4, 1John 3: 12Date: 06.10.2024Please send prayer requests to prayer@bridgeman.org.au or on our website: www.bridgeman.org.au/prayer/To contact Bridgeman Baptist Community Church please email hello@bridgeman.org.auIf you would like to give at Bridgeman Baptist Community Church please go to www.bridgeman.org.au/giving/Please view our Click to view this week's passages: Matt 7: 15-23, John 5: 22, Rom 8: 1Date: 12.06.2024Please send prayer requests to prayer@bridgeman.org.au or on our website: www.bridgeman.org.au/prayer/To contact Bridgeman Baptist Community Church please email hello@bridgeman.org.auIf you would like to give at Bridgeman Baptist Community Church please go to www.bridgeman.org.au/giving/Please view our Sermon List if you would like to order from our back catalogue, please email if you would like to order from our back catalogue, please email bridgemedia@bridgeman.org.au

It's been a while since we last had a “Coffee with Consultants” episode, where I get the privilege and honour of interviewing a consultant in a specialty to ask them about the perks, pitfalls and perils of their specialty, the decision algorithm that led them to choose it, and what advice they'd pass on to junior doctors who'd like to pursue this path in future. Coming up in today's episode, I sat down in studio with Dr Bongi Rubushe-Ngwenya, a specialist gynaecologist and obstetrician, to ask her about the path to specialising in these two related and yet distinct disciplines. Dr Bongi completed her undergraduate medical training at WITS and undertook her Obstetrics and Gynaecology training at Chris Hani Baragwanath Academic Hospital where she now works as a consultant with a special interest in reproductive medicine. In her time there, she's established an infertility and endocrine clinic to assist women combatting infertility and wishing to have a child. Recently she also established an office hysteroscopy clinic that has been instrumental in reducing theatre load and decongesting the backlog of patients in the Obs and Gynae department. Dr Rubushe-Ngwenya has a special interest in endoscopic surgery and is currently the president of the WITS Gynae Endoscopy Training Unit. This unit has been pivotal in improving the laparoscopic skills of Gynaecologists by hosting skills workshops and developing an associated curriculum. Finally, she thoroughly enjoys reading and is immensely passionate about teaching and passing on her knowledge to others. Thank you to our sponsors on today's episode: V Professional Services: medical billing and practice management - https://vprofservices.com/ IndemniMed: Personal and practice insurance for young health professionals - https://www.indemnimed.co.za/ Let us know what you thought about this episode in the comments on instagram or via email - the podcasts email address is drcoffeeza@gmail.com. You can also email us with questions for our guests, suggestions of topics or podcast guests to interview, or anything else on your mind, we'd love to hear from you

Trigger warning: We discuss maternal death during and after pregnancy, as well as problematic cesarean birth rates. Dr. Rohan D'Souza is an obstetrician and associate professor with the departments of Obstetrics & Gynaecology and Health Research Methods, Evidence and Impact at McMaster University, Hamilton, Canada. He specializes in the care of pregnant women and gender-diverse people with medical disorders, and his research work is focused on reducing pregnancy-related adverse events. Dr. D'Souza has made it his mission to reduce pregnancy-related adverse events. Dr. D'Souza and Nikki explore the alarming statistics that may be missed and what kind of advocacy is needed to improve outcomes for women during and after pregnancy.   Dr. D'Souza Shares: The CBC news article “ Canada significantly undercounts maternal deaths, and doctors are sounding the alarm” - got a lot of attention. In your interview you cited the importance of better maternal health monitoring systems to prevent avoidable deaths. The article stated that Canada undercounts the maternal mortality rate. Let's talk about that. Let's talk about the increasing cesarean rates. We know they vary tremendously from provider to provider and hospital to hospital. What is the current data and trend over time? What kind of impact do you believe this trend has on maternal (in short and long term?). We know the age of a first time mother is increasing, as well as body mass index - but is there something else going on here? The lost skills of breech birth and forceps and how that is impacting c-section rates What we need to know about the ARRIVE trial and how the data showing induction at 39 weeks reduces C-sections has been misinterpreted by many Show Notes:  For more of We Go There Podcast, please visit instagram.com/wegotherepodcast on Instagram and wegotherepodcast.com on the Web *Warning- this podcast is completely unfiltered. If you are around young children, we suggest headphones.*

The Supermum; a woman who does it all, cooks, cleans, chauffeur, primary caregiver, boss babe, nurse, psychiatrist, adoring wife, undercover stripper, religious pillar, fashionista, woke human ....do you have more  Nje I am tayad for you if this is everything. Somewhere along the way we were programmed to believe that you have to be and do ALL of this by yourself and women take great pride in this.  We have a message for you today: It's a TRAP! ****** Dr. Ambika Sampat is a Director at FITBANKER, a global online health transformation platform committed to eradicating lifestyle disease and transforming a billion lives. Ambika leads The Coaches Programme as well as the Healthy Relationships programme in FITBANKER, committed to human beings unleashing their unlimited potential. Previously At Acumen, a pioneer in the impact investing sector, she managed Partner engagement across Europe, resource mobilisation and revenue generation across multiple sectors in developing markets. Ambika has a Doctorate in Obstetrics & Gynaecology. Born and raised in Zambia, a global citizen who has lived across 4 continents and delivered numerous talks on international platforms across multiple geographies on health, investing, and leadership. Her legacy is Love, the core essence of what it is to Be Human. Connect with Ambika: Instagram: IG - @dr.ambikasampat WhatsApp - +447598161701   This season is dedicated to Jeannette Phumzile Shange-Kalala Join the Africana Woman Visionaries: https://africanawoman.gumroad.com/l/AWVNetwork   AWV Retreat - Bubezi River Lodge 2023 https://bit.ly/3C7BMMm   KNOW your Roots, Grow your Purpose LINKS: Message Africana Woman with Chulu on WhatsApp. https://wa.me/message/E3N7TH7RZSS4P1 +260978470395 Email: africanawoman@gmail.com  Website: https://www.africanawoman.com    Socials:  Instagram: https://www.instagram.com/chulu_bydesign/                     https://www.instagram.com/africanawoman/  Twitter: https://twitter.com/AfricanaWoman_    Africana Woman Blog: https://www.africanawoman.com/blog

This week Vic Naidoo gave us some MUST WATCH suggestions. Mohale: On the Record: When it comes to celebrity relationships, Mohale and Somizi's relationship has been a very controversial one. They went from being the poster couple of gay marriage in 2020 to now going through a messy divorce. This is going to hurt: Based on the best-selling non-fiction memoir of the same name, the series follows junior doctor Adam Kay in his chaotic job in Obstetrics Gynaecology. Mind over murder: The HBO true crime docuseries Mind Over Murder chronicles the bizarre story of six individuals who were convicted for the 1985 murder of beloved 68-year-old grandmother Helen Wilson.

This week Vic Naidoo gave us some MUST WATCH suggestions. Mohale: On the Record: When it comes to celebrity relationships, Mohale and Somizi's relationship has been a very controversial one. They went from being the poster couple of gay marriage in 2020 to now going through a messy divorce. This is going to hurt: Based on the best-selling non-fiction memoir of the same name, the series follows junior doctor Adam Kay in his chaotic job in Obstetrics Gynaecology. Mind over murder: The HBO true crime docuseries Mind Over Murder chronicles the bizarre story of six individuals who were convicted for the 1985 murder of beloved 68-year-old grandmother Helen Wilson.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-281 Overview: Clinicians may hesitate to provide medication abortion without first performing a pelvic ultrasound or pelvic examination, but recent data may give clinicians more confidence in their decision to do so. This episode explores the evidence for the safety of telehealth-based, or no-test screening, approaches to providing medication abortion for pregnant women at less than 10 weeks' gestation.  Episode resource links: Upadhyay UD, Raymond EG, Koenig LR, et al. Outcomes and Safety of History-Based Screening for Medication Abortion: A Retrospective Multicenter Cohort Study. JAMA Intern Med. Published online March 21, 2022. doi:10.1001/jamainternmed.2022.0217 Upadhyay UD, Koenig LR, Meckstroth KR. Safety and Efficacy of Telehealth Medication Abortions in the US During the COVID-19 Pandemic. JAMA Network Open. 2021;4(8):e2122320. doi:10.1001/jamanetworkopen.2021.22320 Endler M, Lavelanet A, Cleeve A, Ganatra B, Gomperts R, Gemzell-Danielsson K. Telemedicine for medical abortion: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology. 2019;126(9):1094-1102. doi:10.1111/1471-0528.15684 Guest: Jillian Joseph, MSPAS, PA-C   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-281 Overview: Clinicians may hesitate to provide medication abortion without first performing a pelvic ultrasound or pelvic examination, but recent data may give clinicians more confidence in their decision to do so. This episode explores the evidence for the safety of telehealth-based, or no-test screening, approaches to providing medication abortion for pregnant women at less than 10 weeks' gestation.  Episode resource links: Upadhyay UD, Raymond EG, Koenig LR, et al. Outcomes and Safety of History-Based Screening for Medication Abortion: A Retrospective Multicenter Cohort Study. JAMA Intern Med. Published online March 21, 2022. doi:10.1001/jamainternmed.2022.0217 Upadhyay UD, Koenig LR, Meckstroth KR. Safety and Efficacy of Telehealth Medication Abortions in the US During the COVID-19 Pandemic. JAMA Network Open. 2021;4(8):e2122320. doi:10.1001/jamanetworkopen.2021.22320 Endler M, Lavelanet A, Cleeve A, Ganatra B, Gomperts R, Gemzell-Danielsson K. Telemedicine for medical abortion: a systematic review. BJOG: An International Journal of Obstetrics & Gynaecology. 2019;126(9):1094-1102. doi:10.1111/1471-0528.15684 Guest: Jillian Joseph, MSPAS, PA-C   Music Credit: Richard Onorato

Dr Laura Edwards, Medical Director at Wessex LMCs is joined by Mr Ian Simpson, Consultant in Obstetrics & Gynaecology and Lead Colonoscopist at Basingstoke Hospital. Ian explains the latest changes in the interval of cervical screening and addresses some of the points raised over social media of late.

Dr Shavi Fernando joins us to chat about his as a specialist obstetrician and gynaecologist, the research he's done and what it's like to be a dad during the pandemic. Read more about Shavi'swork here:https://www.drshavifernando.com/

Derek Hockaday interviews Michael Gillmer, consultant obstetrician and gynaecologist, 27 February 2014. Topics discussed include: (00:00:10) coming to Oxford, Alec Turnbull; (00:01:53) initial impressions of Oxford, contrast between Oxford and St Marys, London; the John Radcliffe site and changes from original Radcliffe site; (00:06:54) John Stallworthy; (00:09:14 ) Chris Redman and Geoffrey Robinson; (00:12:30) first ultrasound scanner at the John Radcliffe; (00:14:59) workload in first five years of Oxford, split between research programme and clinical workload; (00:17:10) diabetes research; (00:20:38) teaching, Oxford medical students compared to St Marys medical students; (00:24:19) district and regional work and antenatal clinics; (00:27:55) national committees, changing nature of training for gynaecological medical examination; (00:32:03) chairman roles; (00:34:33) change in European Union and Home Office regulations on trainees from abroad, Carmen training course, obstetric specialists; (00:40:36) Alec Turnbull, chairman roles in the university and the hospital; (00:45:15) views of expansion of management in the health service; (00:49:25) Oxford nursing compared to London; (00:50:19) maternal deaths register; (00:54:39) changes in obstetric medicine over career; (01:08:20) previous Nuffield Professors of Obstetrics Gynaecology including Alec Turnbull and the Alec Turnbull family planning clinic; (01:13:14) balancing being a clinician and researcher; (01:14:18) switch from academic post to NHS consultant and discussing final paper; (01:18:50) final thoughts, comparing past with recent present including practical experience offered to medical students. Note the following sections of audio are redacted: 01:15:31-01:16:20 and 01:17:34-01:17:38.

Welcome to episode 244 of the Sexology Podcast! Today I am delighted to welcome Dr. Paul Yong to the podcast. In this episode, we discuss pain after orgasms, the effects of endometriosis and the relationship between hormones and testosterone around this issue.     Dr. Paul Yong (MD, PhD, FRCSC) is a Gynaecologist at the BC Women's Centre for Pelvic Pain & Endometriosis and directs the Research Program at the BC Women's Centre for Pelvic Pain & Endometriosis. Dr. Yong's clinical practice is focused on pelvic pain, with a particular interest in endometriosis, painful periods, sexual pain, co-existing bladder and bowel problems, and pain related to the musculoskeletal system.     His clinical research interests are in endometriosis and pelvic pain, and his translational research interests include bio-banking of endometriosis, gene sequencing in endometriosis, and investigating nerve formation in the pelvis as a cause of pain. Dr. Yong is also involved in teaching and is Assistant Professor in the UBC Department of Obstetrics & Gynaecology, Division of Gynaecologic Specialties.    In this episode, you will hear:     Looking at pain post orgasm   How common is it to have pain after orgasms?  Is this more prevalent in men or women?  Looking at endometriosis  How long does pain usually last for people experiencing pain post orgasm?  Recommendations for those struggling with this  Looking at treatments for endometriosis  Can endometriosis turn into a chronic pain?  Recommendations for women experiencing pain during intercourse   The relationship between hormones and testosterone around these issues       Find Dr. Paul Yong Online  https://yonglab.med.ubc.ca     Expanding Imagination Checklist  https://oasis2care.com/erotic-awakening/    Podcast Produced by Pete Bailey - http://petebailey.net/audio

Carolyn Best BSc MD FRCSC Following the completion of my undergraduate medical degree at the University of Toronto, I completed my residency training at McMaster University in 2009. I went on to do a two year Fellowship in Urogynecology and reconstructive pelvic surgery at the University of Toronto, Mount Sinai Hospital. I then returned to McMaster University and joined the Department of Obstetrics & Gynaecology in 2012, with a clinical practice focused on pelvic organ prolapse and urinary incontinence. At the same time I developed a keen interest in surgical education. In January 2016, I moved my clinical practice to the community of Halton and began work as a Urogynecologist at the new Oakville Trafalgar Memorial Hospital. My practice is dedicated entirely to Urogynecology with an interest in, and a focus on, minimally invasive surgical techniques. Surgical teaching has also remained a priority in my daily practice. After relocating to OTMH I created a new community site for the McMaster Obstetrics and Gynecology residents during their Urogynecology rotation. Follow Dr. Best online at @bestbuddingchef. Website: https://drcarolynbest.com/ Learn more about UTI supplements at www.utivahealth.ca Learn more about your pelvic health at www.yourpelvichealth.org For more of We Go There Podcast, please visit https://www.instagram.com/wegotherepodcast/ on Instagram https://wegotherepodcast.podbean.com/  on the Web *Warning- this podcast is completely unfiltered. If you are around young children, we suggest headphones.* *Disclaimer: All opinions of our guests are their own and in no way represent that of Lexi Miles Corrin and or Nikki Bergen.*

 Perspectives on the Pandemic | "The Illusion of Evidence Based Medicine"  Leemon McHenry 10 mins   Leemon McHenry is Emeritus Professor in the Department of Philosophy , California State University, Northridge. Leemon does research in Philosophy of Science, Metaphysics and Bioethics. His current project is 'Evidence Based Medicine'.   Vitamin A for nerve cells University Medical Center Freiburg (Germany), April 1, 2021 Neuroscientists agree that a person's brain is constantly changing, rewiring itself and adapting to environmental stimuli. This is how humans learn new things and create memories. This adaptability and malleability is called plasticity. "Physicians have long suspected that remodeling processes also take place in humans at the contact points between nerve cells, i.e. directly at the synapses. Until now, however, such a coordinated adaptation of structure and function could only be demonstrated in animal experiments," says Prof. Dr. Andreas Vlachos from the Institute of Anatomy and Cell Biology at the University of Freiburg. But now Vlachos, together with Prof. Dr. Jürgen Beck, head of the Department of Neurosurgery at the University Medical Center Freiburg, has provided experimental evidence for synaptic plasticity in humans. In addition to Vlachos and Beck, the research team consists of Dr. Maximilian Lenz, Pia Kruse and Amelie Eichler from the University of Freiburg, Dr. Jakob Strähle from the University Medical Center Freiburg and colleagues from Goethe University Frankfurt. The results were presented in the scientific journal eLife. In the experiments, the team investigated whether so-called dendritic spines change when exposed to a vitamin A derivative called retionic acid. Dendritic spines are the parts of the synapse that receive, process and transmit signals during communication between neurons. As such, they play a crucial role in brain plasticity and are constantly adapting to everyday experience. For example, learning can change the number and shape of dendritic spines. However, a transformation in the number or shape of the spines is also found in diseases such as depression or dementia. The research shows that retinoic acid not only increases the size of dendritic spines, but also strengthens their ability to transmit signals between neurons. "We have concluded from our results that retinoic acids are important messengers for synaptic plasticity in the human brain. Thus, this finding contributes to the identification of key mechanisms of synaptic plasticity in the human brain and could support the development of new therapeutic strategies for brain diseases, such as depression," says Vlachos. To experimentally demonstrate that synaptic plasticity also exists in humans, the researchers use tiny samples of human cerebral cortex, which must be compulsorily removed during neurosurgical procedures for therapeutic reasons. The removed brain tissue was then treated with retinoic acid before functional and structural properties of neurons were analyzed using electrophysiological and microscopic techniques.       Study: Chemical compound in certain essential oils promotes wound healing Indiana University, April, 2021 A study from Indiana University revealed that a chemical compound in essential oils may enhance wound healing, especially when applied topically. According to co-author Sachiko Koyama, essential oils – like those from lavender, rosemary, ylang-ylang and black pepper – contain a chemical compoundcalled beta-caryophyllene. This contributes to improved wound healing, based on a murine model. “This is the first finding at the chemical-compound level showing improved wound healing in addition to changes in gene expression in the skin,” said Koyama. Beta-caryophyllene may decrease inflammation and accelerate re-epithelialization. The latter refers to the restoration of structure and function of injured tissues. During this process, epithelial cells at the wound start to migrate and cover the injured area. The researchers added that beta-caryophyllene may prevent cell death, allowing cells to survive and proliferate. “I thought maybe wound healing would be accelerated if inflammation was suppressed, stimulating an earlier switch from the inflammatory stage to the next stage,” she added. The team also noted increased gene expression of hair follicle stem cells in the treated tissue. This potentially indicate that there’s more to wound-healing activity of beta-caryophyllene than just activating genes. “It’s possibly more complicated,” she added. “Our findings suggest the involvements of some other routes in addition to CB2. I hope to clarify the mechanisms of action in the near future.” Koyama, a social neuroscientist at Indiana University, said that she wasn’t interested in studying essential oils at first, as her field of expertise was in pheromone and social status. However, her interest was sparked when she saw students working on the wound healing process in mice. She knew from experience that beta-caryophyllene can also activate cannabinoid receptor 2 (CB2), which has anti-inflammatory and analgesic properties. Healing beyond smell Most people know essential oils by way of aromatherapy. These are often used with diffusers, aromatic spritzers, inhalers, facial steamers and clay masks to bring out the aroma coming from the oil. Essential oils, in particular, may help with asthma, insomnia, fatigue and depression, among others. In the study, the researchers did not find any relationship between the sense of smell and the healing properties of beta-caryophyllene. (Related: Curcumin found to aid in the healing of skin wounds.) Koyama also offered a caveat for those looking to use essential oils for treatment, in particular, warning against the use of any essential oils. In the study, the researchers used essential oils that underwent purification processes to achieve that result. “It’s not very precise to use the essential oils themselves because there are differences,” she added. “Even if you say you used lavender, when the lavender was harvested, where it was harvested, how it was stored—all of this makes a difference in the chemical composition.” The team is also hopeful that their results will warrant further studies to determine an exact chemical composition for beta-caryophyllene that can be used to treat skin wounds. “There are many things to test before we can start using it clinically, but our results are very promising and exciting; someday in the near future, we may be able to develop a drug and drug delivery methods using the chemical compounds found in essential oils,” she added.     Exercise may help slow cognitive decline in some people with Parkinson's disease Hallym University (South Korea), April 1, 2021 For people with Parkinson's disease, problems with thinking and memory skills are among the most common nonmotor symptoms of the disease. A new study shows that exercise may help slow cognitive decline for some people with the disease. The study is published in the March 31, 2021, online issue of Neurology. Research has suggested that people with Parkinson's who have the gene variant apolipoprotein E e4, or APOE e4, may experience faster cognitive decline and earlier in the disease than people without the variant. APOE e4 is known as a genetic risk factor for Alzheimer's disease. The study looked at whether exercise could play a role in slowing cognitive decline for people with APOE e4. "Problems with thinking skills and memory can have a negative impact on people's quality of life and ability to function, so it's exciting that increasing physical activitycould have the potential to delay or prevent cognitive decline," said study author Jin-Sun Jun, M.D., of Hallym University in Seoul, Korea. The study involved 173 people with early Parkinson's disease who were on average 63 years old at the time and 59 years old when they developed the disease. A total of 27% had the APOE e4 gene variant. People reported their physical activity with a questionnaire on how much activity they had in the previous week through leisure activities such as walking or biking, household activities such as dusting or yard work and work activities for pay or as a volunteer. People took a test of their thinking skills at the beginning of the study and then one and two years later. Overall, scores at the beginning of the study averaged 26 points. For people with the APOE e4 gene variant, test scores declined by an average of 1.33 points by the end of the study compared to those without the variant. But researchers also found that greater physical activity at the start of the study lessened APOE e4-related cognitive decline two years later by an average of 0.007 points. "Additional research is needed to confirm our findings, but these results would support the use of interventions that target physical activity as a way to delay cognitive decline in people with early Parkinson's who have the APOE e4 gene variant," Jun said. A limitation of the study was that participants reported their own levels of physical activity, so there is the possibility that they would not remember their levels exactly.   Time to shift from 'food security' to 'nutrition security' to increase health and well-being Tufts and Georgetown Universities, April 1, 2021   In the 1960s, a national focus on hunger was essential to address major problems of undernutrition after World War II. In the 1990s, the nation shifted away from hunger toward "food insecurity" to better capture and address the challenges of food access and affordability. Now, a new Viewpoint article argues that today's health and equity challenges call for the U.S. to shift from "food insecurity" to "nutrition insecurity" in order to catalyze appropriate focus and policies on access not just to food but to healthy, nourishing food. The Viewpoint, by Dariush Mozaffarian of the Friedman School of Nutrition Science & Policy at Tufts University, Sheila Fleischhacker of Georgetown Law School, and José Andrés of World Central Kitchen, was published online in JAMA this week. The concept of food security focuses on access to and affordability of food that is safe, nutritious, and consistent with personal preferences. In reality, however, the "nutritious" part often has been overlooked or lost in national policies and solutions, with resulting emphasis on quantity, rather than quality, of food, say the authors. "Food is essential both for life and human dignity. Every day, I see hunger, but the hunger I see is not only for calories but for nourishing meals. With a new focus on nutrition security, we embrace a solution that nourishes people, instead of filling them with food but leaving them hungry," said Chef José Andrés, founder of World Central Kitchen. The authors define nutrition security as having consistent access to and availability and affordability of foods and beverages that promote well-being, while preventing -- and, if needed, treating -- disease. Nutrition security provides a more inclusive view that recognizes that foods must nourish all people. "'Nutrition security' incorporates all the aims of food security but with additional emphasis on the need for wholesome, healthful foods and drinks for all. COVID-19 has made clear that Americans who are most likely to be hungry are also at highest risk of diet-related diseases including obesity, diabetes, heart disease, and many cancers - a harsh legacy of inequities and structural racism in our nation. A new focus on nutrition security for all Americans will help crystallize and catalyze real solutions that provide not only food but also well-being for everyone," said first author Dariush Mozaffarian, dean of the Friedman School of Nutrition Science & Policy at Tufts University. "It's the right time for this evolution," said Sheila Fleischhacker, adjunct professor at Georgetown Law School, who has drafted food, nutrition and health legislation and campaign positions at the local, state, tribal and federal levels. "By prioritizing nutrition security, we bring together historically siloed areas - hunger and nutrition - which must be tackled together to effectively address our modern challenges of diet-related diseases and disparities in clinical care, government food and food assistance policies, public health investments, and national research." "The current approach is not sufficient," the authors write, and "traditionally marginalized minority groups as well as people living in rural and lower-income counties are most likely to experience disparities in nutrition quality, food insecurity, and corresponding diet-related diseases."     Fasting acts as diet catalyst in those with metabolic syndrome Max Delbruck Center for Molecular Medicine (Germany), March 30, 2021 One in four Germans suffers from metabolic syndrome. Several of four diseases of affluence occur at the same time in this 'deadly quartet': obesity, high blood pressure, lipid metabolism disorder and diabetes mellitus. Each of these is a risk factor for severe cardiovascular conditions, such as heart attack and stroke. Treatment aims to help patients lose weight and normalise their lipid and carbohydrate metabolism and blood pressure. In addition to exercise, doctors prescribe a low-calorie and healthy diet. Medication is often also required. However, it is not fully clear what effects nutrition has on the microbiome, immune system and health.  A research group led by Dr Sofia Forslund and Professor Dominik N. Müller from the Max Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC) and the Experimental and Clinical Research Center (ECRC) has now examined the effect a change of diet has on people with metabolic syndrome. The ECRC is jointly run by the MDC and Charité Universitätsmedizin Berlin. "Switching to a healthy diet has a positive effect on blood pressure," says Andras Maifeld, summarising the results. "If the diet is preceded by a fast, this effect is intensified." Maifeld is the first author of the paper, which was recently published in the journal "Nature Communications". Broccoli over roast beef Dr Andreas Michalsen, Senior Consultant of the Naturopathy Department at Immanuel Hospital Berlin and Endowed Chair of Clinical Naturopathy at the Institute for Social Medicine, Epidemiology and Health Economics at Charité - Universitätsmedizin Berlin, and Professor Gustav J. Dobos, Chair of Naturopathy and Integrative Medicine at the University of Duisburg-Essen, recruited 71 volunteers with metabolic syndrome and raised systolic blood pressure. The researchers divided them into two groups at random.  Both groups followed the DASH (Dietary Approach to Stop Hypertension) diet for three months, which is designed to combat high blood pressure. This Mediterranean-style diet includes lots of fruit and vegetables, wholemeal products, nuts and pulses, fish and lean white meat. One of the two groups did not consume any solid food at all for five days before starting the DASH diet. On the basis of immunophenotyping, the scientists observed how the immune cells of the volunteers changed when they altered their diet. "The innate immune system remains stable during the fast, whereas the adaptive immune system shuts down," explains Maifeld. During this process, the number of proinflammatory T cells drops, while regulatory T cells multiply.  A Mediterranean diet is good, but to also fast is better The researchers used stool samples to examine the effects of the fast on the gut microbiome. Gut bacteria work in close contact with the immune system. Some strains of bacteria metabolise dietary fibre into anti-inflammatory short-chain fatty acids that benefit the immune system. The composition of the gut bacteria ecosystem changes drastically during fasting. Health-promoting bacteria that help to reduce blood pressure multiply. Some of these changes remain even after resumption of food intake. The following is particularly noteworthy: "Body mass index, blood pressure and the need for antihypertensive medication remained lower in the long term among volunteers who started the healthy diet with a five-day fast," explains Dominik Müller. Blood pressure normally shoots back up again when even one antihypertensive tablet is forgotten.  Blood pressure remains lower in the long term - even three months after fasting Together with scientists from the Helmholtz Centre for Infection Research and McGill University, Montreal, Canada, Forslund's working group conducted a statistical evaluation of these results using artificial intelligence to ensure that this positive effect was actually attributable to the fast and not to the medication that the volunteers were taking. They used methods from a previous study in which they had examined the influence of antihypertensive medication on the microbiome. "We were able to isolate the influence of the medication and observe that whether someone responds well to a change of diet or not depends on the individual immune response and the gut microbiome," says Forslund.  If a high-fibre, low-fat diet fails to deliver results, it is possible that there are insufficient gut bacteria in the gut microbiome that metabolise fibre into protective fatty acids. "Those who have this problem often feel that it is not worth the effort and go back to their old habits," explains the scientist. It is therefore a good idea to combine a diet with a fast. "Fasting acts as a catalyst for protective microorganisms in the gut. Health clearly improves very quickly and patients can cut back on their medication or even often stop taking tablets altogether." This could motivate them to stick to a healthy lifestyle in the long term.   Rice bran adds microbiome diversity, slows growth of colon cancer cells University of Colorado, April 5, 2021    At the American Association for Cancer Research (AACR) Annual Meeting, University of Colorado Cancer Center researchers at Colorado State University present results of a phase II clinical trial of 29 people exploring the effects of adding rice bran or navy beans to the diets of colorectal cancer survivors. After the 4-week randomized-controlled trial during which people added rice bran, navy bean powder or neither, both the rice bran and navy bean groups showed increased dietary fiber, iron, zinc, thiamin, niacin, vitamin B6, folate, and alpha-tocopherol. The rice bran group also showed increased microbiome richness and diversity. When researchers treated colorectal cancer cells with stool extracts from these groups, they saw reduced cell growth from the groups that had increased rice bran and navy bean consumption.   Previous work shows the ability of these diets to decrease colorectal cancer risk in animal models. The current trial confirms that people can eat enough bean- and rice bran-enhanced foods to promote gut health at levels shown to prevent colorectal cancer in animals. Guidelines from the American Institute for Cancer Research recommend reducing the risk of cancer by eating more vegetables, fruits, whole grains and legumes, such as beans. Ryan has established from these studies that eating a half-cup of beans and 30 grams of rice bran per day is enough to see changes in small molecules that can confer protection against colorectal cancer.   "The simple message is, 'Food is medicine,' and we are looking at how to simplify that and make it apply to our everyday lives," says study co-author Regina Brown, MD, assistant professor at the CU School of Medicine and oncologist for CUHealth.   Brown is long-time collaborator of CU Cancer Center investigator and CSU assistant professor, Elizabeth Ryan, PhD. The Ryan Lab in the CSU College of Veterinary Medicine and Biomedical Sciences studies the potential power of navy beans and rice bran to promote digestive health and to prevent metabolic alterations in obesity, heart disease and certain cancers.   "The evidence is there in animals and we can now study this in people. The question is, what are we doing to achieve adequate levels of intake of these foods?" Ryan said. "It's not enough to say 'I eat them once in a while.' That's not going to work, particularly if you are at higher risk. You have to meet a dose, just like you need a dose of a certain drug, you need to reach intake levels and consume increased amounts of these foods, and that's where people, including me, are challenged. Not everyone wants to open up a can of beans and eat them every day."   The two met about 10 years ago, when Ryan was a researcher in CSU professor Henry Thompson's Cancer Prevention Lab, and Brown was practicing medicine in Fort Collins and caring for her mother, who had uterine cancer. "It was kind of a novel partnership and had we not dug in our heels it could have died, but I told Elizabeth, 'Your work is so interesting and so valuable. We have to take this translational research from the benchtop to the clinic.' I guarantee, nine out of 10 of my patients, the first thing they ask is about their diet," Brown said.   The study's lead author is Erica Borresen, Ryan's research associate and study coordinator, who worked with colorectal cancer survivors to make sure they ate their beans and rice bran provided in meals and snacks, and that they filled out their food logs and gastrointestinal health questionnaires. It was sometimes intimate and awkward, but so is getting a colonoscopy and being treated for colorectal cancer. "Our participants donated their time and effort, and I want to make sure they understand they are appreciated," said Borresen, who earned her Master of Public Health at the Colorado School of Public Health, and plans to become a physician's assistant. "I came to realize I love the patient interaction - that's one of my favorite parts about coordinating our studies."   The next phase of Ryan's research examines effects of the cooked navy bean powder and rice bran on the colon tissue of people who have already had colorectal cancer and are at high risk for recurrence. "I really feel that there's hope in this being a practical solution to improve gut health and specifically colorectal cancer prevention," says Ryan.       Research suggests L-tryptophan supplements might help prevent impulsivity associated with psychological disorders University of California Berkeley, April 2, 2021 According to news reporting originating from Berkeley, California, research stated, “Emotion-related impulsivity, defined as the tendency to say or do things that one later regret during periods of heightened emotion, has been tied to a broad range of psychopathologies. Previous work has suggested that emotion-related impulsivity is tied to an impaired function of the serotonergic system.” Our news editors obtained a quote from the research from the University of California Berkeley, “Central serotonin synthesis relies on the intake of the essential amino acid, tryptophan and its ability to pass through the blood brain barrier. The aim of this study was to determine the association between emotion-related impulsivity and tryptophan intake. Undergraduate participants (N = 25, 16 women, 9 men) completed a self-rated measure of impulsivity (Three Factor Impulsivity Index, TFI) and daily logs of their food intake and exercise. These data were coded using the software NutriNote to evaluate intakes of tryptophan, large neutral amino acids, vitamins B6/B12, and exercise. Correlational analyses indicated that higher tryptophan intake was associated with significantly lower scores on two out of three subscales of the TFI, Pervasive Influence of Feelings scores r = -.502, p< .010, and (lack-of) Follow-Through scores, r = -.407, p< .050. Findings provide further evidence that emotion-related impulsivity is correlated to serotonergic indices, even when considering only food habits.” According to the news editors, the research concluded: “It also suggests the need for more research on whether tryptophan supplements might be beneficial for impulsive persons suffering from a psychological disorder.” This research has been peer-reviewed.         Nutritional supplementation in preconception and pregnancy linked to reduced risk of preterm birth University of Southampton (UK), March 30, 2021 Increasing evidence suggests that a mother's nutritional status at the onset of pregnancy has an important influence on the growth and development of her baby, and that a good nutritional status during pregnancy may help reduce the risk of pregnancy complications. A specific blend of nutrients and probiotics was tested in an international multicentre double blind randomized controlled trial NiPPeR (Nutritional Intervention Preconception and during Pregnancy to maintain healthy glucosE levels and offspRing health). Researchers from the international EpiGen Global Research Consortium, an academic group of clinicians and scientists including from around the world, including the University of Southampton, specifically assessed the effects of a nutritional intervention, a combination of myo-inositol, probiotics and micronutrients, consumed both before and during pregnancy, on maintaining healthy blood sugar levels in pregnancy and sustaining a healthy pregnancy and delivery. As published in the journal Diabetes Care, (Myo-inositol, Probiotics and Micronutrient Supplementation from Preconception for Glycemia in Pregnancy: the NiPPeR study involved 1,729 women from the UK, New Zealand and Singapore who were planning pregnancy—one of the largest international preconception randomized controlled trials of its type. While the study found that the intervention did not influence the mother's blood sugar levels or birthweights of the 585 babies born, the nutritional supplement decreased the incidence of preterm birth, particularly the cases associated with preterm pre-labor rupture of membranes. "Preterm delivery is a serious, common and costly public health problem worldwide that continues to increase in incidence," said Professor Keith Godfrey from the MRC Lifecourse Epidemiology Unit at the University of Southampton. "Preterm pre-labor rupture of membranes is a major cause of preterm birth. Our study presents for the first time a clinical trial of a novel non-pharmacological approach that started preconception and extended throughout pregnancy, through the innovative use of a combination of nutritional ingredients. The study findings highlight the potential value of the mix of nutrients and probiotics in reducing the risk of preterm birth and supporting a timely delivery," Professor Godfrey continued.  Associate Professor Shiao-Yng Chan, a principal investigator on the study from the Yong Loo Lin School of Medicine, National University of Singapore, deputy executive director at the Singapore Institute for Clinical Sciences, A*STAR, and Senior Consultant, Department of Obstetrics & Gynaecology, National University Hospital, commented "One of the strengths of our study is the diversity of its participants as we have involved women of multiple ethnicities from the general population across three countries, which means that the outcomes have wide relevance to women planning for pregnancy. Additionally, the study included blinded intervention and control groups, so bias is minimized." Sharing his thoughts, Professor Wayne Cutfield, principal investigator on the study from the University of Auckland, New Zealand, said, "The importance of the preconception period on maternal and offspring health is being increasingly recognized, but there are very few randomized control trials seeking to optimize preconception nutrition." Dr. Isabelle Bureau-Franz, Head of Nestlé Research, who partnered with EpiGen for this academic-led trial, says, "We are focused on discovering science-based solutions for mothers and their infants during preconception, pregnancy and while breastfeeding. The NiPPeR study is a great example of how a public-private partnership can build scientific evidence on nutritional interventions in a largely understudied group."

Our guest for this episode is Dr Brooke Vandermolen, a practicing Obstetrics & Gynaecology Registrar doctor, who has worked and trained in a variety of London NHS hospitals. She has presented her research into high-risk pregnancy at major international conferences and published in prominent medical journals. Brooke is experienced at dealing with all aspects of women’s health and pregnancy, including assessing patients with a range of gynaecological concerns, and performing and assisting in surgical procedures. Brooke has created her educational platform “The OBGYN mum” via which she shares insights and tips around pregnancy, fertility, menopause and more through social media and blog posts. She aims to empower women to feel in control of their health throughout their lives by imparting knowledge in a relatable way and myth-busting common taboo subjects. Brooke is also co-founder of The Birth Collective, a group of experienced healthcare professionals comprising of Doctors, Midwives & Lactation Consultants all currently working within Maternity in NHS hospitals across the UK. The Birth Collective provides access to online birth preparation courses, covering antenatal preparation, pregnancy yoga, hypnobirthing, breastfeeding and more. They also regularly run live group classes on topics such as preparing for birth after a caesarean, diabetes in pregnancy and more. Instagram: @theobgynmum Website: theobgynmum.com www.thebirthcollective.org www.bbcgoodfood.com/recipes/lamb-apricot-meatballs

'Using DigitalHealth to improve Body Literacy - Helping to empower people to better understand how their body works' Dr Belinda Coker Welcome to another episode of The Mic Drop Club, where I have the pleasure to sit down and discuss with high performers and people of influence across a variety of industries, Technology, Health, Sports, Art, Music and Personal Motivation to list but a few.  This episode, I have the honour to welcome,  Dr Belinda Coker who is an experienced General Practitioner and Chief Medical Officer with extensive experience in virtual healthcare, clinical governance, service design, patient experience and healthcare management.  She has over 15 years of experience in the healthcare sector, qualifying from Imperial College School of Medicine in 2002. Her training initially began in Obstetrics & Gynaecology and Sexual Health at Chelsea & Westminster hospital. She then spent time working in Sexual Health in Charing Cross Hospital then Family Planning Services in Lewisham during her GP training. She qualified as a GP in 2009. In 2013, she completed an Executive MBA in Innovation, Entrepreneurship and Design achieving a Merit and was awarded the IBM prize for Innovation, Entrepreneurship and Design. She became the Executive Medical Director of an urgent care healthcare provider in South London.   Belinda has provided her deep industry knowledge and clinical strategy expertise to leaders in the healthcare industry as a Health Consultant since 2012. Over the last five years, she has worked with numerous digital health companies. Belinda is currently on the Clinical Advisory Board of Daye, a Board Trustee for Ambient and on the Core Team of One Healthtech. She is passionate about using technology, design and innovation to support and enable staff and patients to have the best possible experience in healthcare.  Belinda is the founder of Your Trusted Squad a curated resource of the best clinically approved content, health apps, wearables, devices and online healthcare services to empower women to look after their health and wellbeing. Belinda Links https://www.yourtrustedsquad.com/blog-fertility https://www.belhealthconsulting.com   Enjoy!

Guest: Dr. Tracey Pressey Hosts: Faizan Bhatia and Tina Lu Edited by: August Pierika

Today we are talking to Kathe Wallace, physiotherapist, about how to go about returning to sex after having a vaginal birth, in which she discusses in her book, Reviving your Sex Life after Childbirth. We have spoken about this topic on the podcast previously surrounding the importance of sexual intimacy in relationships, however today we are focusing on why this topic is important after a vaginal birth from a physical as well as psychological perspective, what women can assess themselves, the importance of bringing partners into the process, and where/how physiotherapists can help. Thank you to this episode's sponsor - Modibodi Bio: Kathe Wallace, PT, is an internationally recognized clinician, author and lecturer in women's health and pelvic floor dysfunction evaluation and treatment. Kathe has been a physical therapist since 1976 and focused on the pelvic floor since 1988.  She is a lifetime member of the APTA. Kathe volunteered in the early 1990’s to help the American Physical Therapy Association Section on Women’s Health (SOWH) establish pelvic floor continuing education seminars and instructed pelvic floor function, dysfunction and treatment seminars for the associations section through 2005.   In 2006, she co-founded the professional continuing education company Herman & Wallace, Inc. developing a series of pelvic floor training seminars for physical therapists. She is no longer affiliated with the company and nowindependently continues to develop pelvic floor related seminars and resources for health care providersand their patients.  She is currently focusing on private patient consulting, mentoring and developing professional training for physical therapists at The Pelvic Health Clinic in Seattle, WA, USA. Kathe was honored to receive the Washington state Physical Therapy Association (PTWA) Clinical Excellence Award in 2006. She is the author of Reviving Your Sex Life after Childbirthand multiple patient education handouts to restore the pelvic floor.  She also serves as a Clinical Instructor, Division of Physical Therapy, Department of Rehabilitation Medicine, at the University of Washington.  Her professional mission is to ignite and nurture knowledge regarding pelvic floor dysfunction to help women and men get the care they need. Resources: McDonald, E. A., & Brown, S. J. (2013). Does method of birth make a difference to when women resume sex after childbirth?. BJOG: An International Journal of Obstetrics & Gynaecology, 120(7), 823-830.  https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.12166   Stavdal, M. N., Skjævestad, M. L. L., & Dahl, B. (2019). First-time parentś experiences of proximity and intimacy after childbirth-a qualitative study. Sexual & Reproductive Healthcare.   Not free access https://www.sciencedirect.com/science/article/abs/pii/S1877575618303355    Penny Simkin  Childbirth trauma http://pattch.org/   USA  https://www.youtube.com/watch?v=IkVHUrhh_vY   Professional associations https://www.aasect.org/   http://www.isswsh.org/   http://sexscience.org/    Heather Howard http://sexualrehab.com/Additional-Resources.html   https://ergoerotics.com/  SEXOLOGY International blogs and resources https://sexologyinternational.com   Better Sex Podcast https://bettersexpodcast.com/     www.facebook.com/KatheWallacePTandAuthor.    

In this episode the midwives discuss periods, period products and period poverty! Find us on Instagram @boomyonic and contact us yonicboompodcast@gmail.com References:https://www.facebook.com/homelessperiodIreland/ https://www.thecup.org/ https://www.plan.ie/we-need-to-talk-period/ https://kidshealth.org/en/parents/talk-about-menstruation.html https://www.theguardian.com/commentisfree/2017/mar/16/free-tampons-schoolgirls-menstruation-period-education https://www.menstrual-matters.com/research-news/plan-report/ https://www.tes.com/news/how-include-boys-menstruation-education-classes-sponsored https://helloclue.com/articles/culture/manly-guide-to-menstruation (included because it is actually quite informative) https://rubycup.com/all-about-your-period/menstrual-cycle/ https://www.webmd.com/women/common-period-problems#1 https://teens.webmd.com/features/girls-menstrual-cycle#1 https://www.yourperiod.ca/normal-periods/menstrual-cycle-basics/ https://helloclue.com/articles/cycle-a-z/the-menstrual-cycle-more-than-just-the-period https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/menstrual-cycle The Heavy Flow Podcast with Question Period micro podcast questions https://www.the-numinous.com/2017/08/23/period-is-a-feminist-issue/ Lopez, L. M., Kaptein, A. A. and Helmerhorst, F. M. (2012) ‘Oral contraceptives containing drospirenone for premenstrual syndrome’, Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.CD006586.pub4. ‘Management of Premenstrual Syndrome: Green-top Guideline No. 48’ (2017) BJOG: An International Journal of Obstetrics & Gynaecology, 124(3), pp. e73–e105. doi: 10.1111/1471-0528.14260. The PMS myth: https://www.ted.com/talks/robyn_stein_deluca_the_good_news_about_pms?language=en Period, End Of Sentence - Netflix

We were delighted to be back to cover the joint Faculty of Prehospital Care and BASICS conference, day 2,  held at the Royal College of Surgeons of Edinburgh. Again we were absolutely spoilt for choice when it came to content for the podcasts but we managed to catch up with: • Dr Anne Weaver – a consultant in Emergency Medicine and Prehospital Care working for the Royal London Hospital and London HEMS. She talked to us about chemical burns and a novel treatment for managing these injuries. • Dr Virginia Beckett – an Obstetrics and Gynaecology consultant who is a member of the mMOET working group and has recently published on the topic of cardiac arrest in pregnancy. She was talking on the topic of resuscitative hysterotomy. • Sam Cooper – a Critical Care Paramedic from Derbyshire, Leicestershire and Rutland Air Ambulance who discussed a case of prehospital amputation and the learning points that arose from it. • Dr Rob Lloyd – an Emergency Medicine trainee, blogger and fellow podcaster who has an interest in performance psychology. He talked about Mental Toughness, framed by his experiences working in a hospital deep in a South African township. Once again, our thanks to Caroline Leech for being instrumental in the organisation of today and inviting us up. We’re already looking forward to next year…. Enjoy! Simon, Rob & James References PonderMed Diphoterine A video showing a similar demonstration to the one at the conference showing why Diphoterine works and the limitations of water Pre-hospital Obstetric Emergency Training; POET VA Beckett, M Knight, P Sharpe, 2017, 'The CAPS Study: incidence, management and outcomes of cardiac arrest in pregnancy in the UK: a prospective, descriptive study', BJOG: An International Journal of Obstetrics & Gynaecology, vol. 124, no. 9, pp. 1374-1381 Realtime simulation of peri-mortem c-section; Bradford Teaching Hospital K. M. Porter, 2010, 'Prehospital amputation', Emergency Medicine Journal, vol. 27, no. 12, pp. 940-942 Caroline Leech, Keith Porter, 2016, 'Man or machine? An experimental study of prehospital emergency amputation', Emergency Medicine Journal, vol. 33, no. 9, pp. 641-644  

Have you been feeling stuck in your relationship, frustrated with your body, or totally disconnected from your pleasure & desire? One-on-one coaching spots are available in my private practice and rates are going up January 1st, 2019, so now is the perfect time to book a discovery call and learn more about how coaching might help you. Check out the clients I work with and my rates today.   The power of mindfulness on our pleasure, connection, and desire. In person interviews are some of my favorite, and Dr. Lori Brotto was able to pop over for this in-person conversation all about her 15 years of sex research on the power of mindfulness, which she's turned into a fabulous book called, "Better Sex Through Mindfulness." So, this episode is  all about what mindfulness is, how it affects our levels of libido and desire, why mindfulness might be a key to more pleasure, and how to balance mindfulness and fantasy. We also talk about depression, responsive desire, responsibility in relationships, and how we can get started with mindfulness. Plus, Patreon supporters - If you support the show at the $3 level and above, this week's bonus is a little mindfulness exercise and some journal prompts around pleasure. Listen and support the show at patreon.com/sgrpodcast Follow Sex Gets Real on Twitter and Facebook. It's true. Oh! And Dawn is on Instagram. About Dr. Lori Brotto: Dr. Brotto completed her PhD in Clinical Psychology from the University of British Columbia (UBC), where her research focused primarily on psychophysiological aspects of sexual arousal in women diagnosed with sexual dysfunctions. Her psychology internship at the University of Washington (UW) specialized in the use of Cognitive Behavioural Therapy for mood, anxiety, substance abuse and psychotic disorders. Following her internship, Dr. Brotto’s Fellowship in Reproductive and Sexual Medicine at UW was mentored by Dr. Julia Heiman, director of the Kinsey Institute. As a registered psychologist, Dr. Brotto offers psychological therapy to patients referred from both UBC Departments of Obstetrics & Gynaecology and Psychiatry, as well as the BC Cancer Agency. Dr. Brotto also sees private patients. Her new book, Better Sex Through Mindfulness, published by Greystone Books, is a scientifically-informed translation of her research on mindfulness to improve women’s sexuality. It can be ordered here or here or on Amazon via my affiliate link. Listen and subscribe to Sex Gets Real Listen and subscribe on iTunes Check us out on Stitcher Don't forget about I Heart Radio's Spreaker Pop over to Google Play Use the player at the top of this page. Now available on Spotify. Search for "sex gets real". Find the Sex Gets Real channel on IHeartRadio. Hearing from you is the best Contact form: Click here (and it's anonymous)

COG#8 - Evidence Research underpins advancements in women’s health around the world. This month we talk to Nancy Chescheir, the Editor in Chief of ‘Obstetrics and Gynecology’ aka the Green Journal about her work to improve women’s health globally.  The articles referenced during the discussion include: Arya R. Postpartum venous thromboembolism prophylaxis: harm versus benefit. BJOG: An International Journal of Obstetrics & Gynaecology. 2018 Feb 23. Skeith AE, Niu B, Valent AM, Tuuli MG, Caughey AB. Adding Azithromycin to Cephalosporin for Cesarean Delivery Infection Prophylaxis: A Cost-Effectiveness Analysis. Obstetrics & Gynecology. 2017 Dec 1;130(6):1279-84

How many Caesareans is too many? This month we talk to Professor Aaron B Caughey about the Caesarean epidemic. Aaron is the Chair of Obstetrics and Gynecology and Associate Dean for Women’s Health Research and Policy at Oregon Health and Science University in Portland, Oregon. He was the lead author on the statement published by the American College of Obstetricians and Gynecologists and Society for Maternal–Fetal Medicine about the safe reduction of the primary caesarean delivery.  Caughey, Aaron B., et al. "Safe prevention of the primary cesarean delivery." American journal of obstetrics and gynecology 210.3 (2014): 179-193. Then in journal club we discuss three articles: O'Donovan, Charles, and James O'Donovan. "Why do women request an elective cesarean delivery for non‐medical reasons? A systematic review of the qualitative literature." Birth (2017). Muraca, Giulia M., et al. "Perinatal and maternal morbidity and mortality among term singletons following midcavity operative vaginal delivery versus caesarean delivery." BJOG: An International Journal of Obstetrics & Gynaecology (2017). Nelson, Karin B., Thomas P. Sartwelle, and Dwight J. Rouse. "Electronic fetal monitoring, cerebral palsy, and caesarean section: assumptions versus evidence." Obstetrical & Gynecological Survey 72.4 (2017): 207-209.

In September’s conversation in Obstetrics and Gynecology we talk to Dr Scott White, a maternal fetal medicine specialist from Perth about the Western Australian Prevention of Preterm Birth Initiative. Ted and Rachael discuss cervical length screening in low and high risk populations. Then we have a quick chat with Dr Anders Faber-Swensson, a general O&G about the evidence around fetal fibronectin.    Peaceman, Alan M., et al. "Fetal fibronectin as a predictor of preterm birth in patients with symptoms: a multicenter trial." American journal of obstetrics and gynecology 177.1 (1997): 13-18.   Berghella, Vincenzo, and Gabriele Saccone. "Fetal fibronectin testing for prevention of preterm birth in singleton pregnancies with threatened preterm labor: a systematic review and metaanalysis of randomized controlled trials." American journal of obstetrics and gynecology 215.4 (2016): 431-438.   Berghella V, Hayes E, Visintine J, Baxter JK. Fetal fibronectin testing for reducing the risk of preterm birth. Cochrane Database of Systematic Reviews 2008, Issue 4. Art. No.: CD006843. DOI: 10.1002/14651858.CD006843.pub2   Journal club discusses 3 articles related to preterm birth: Newnham, John P., et al. "Reducing preterm birth by a statewide multifaceted program: an implementation study." American journal of obstetrics and gynecology 216.5 (2017): 434-442.   Liu, Can, et al. "Prenatal parental depression and preterm birth: a national cohort study." BJOG: An International Journal of Obstetrics & Gynaecology 123.12 (2016): 1973-1982.   Norman, Jane Elizabeth, et al. "Vaginal progesterone prophylaxis for preterm birth (the OPPTIMUM study): a multicentre, randomised, double-blind trial." The Lancet 387.10033 (2016): 2106-2116.  

Dr. Shan Hussain is a General Practitioner working in partnership at a large family practice near his hometown of Nottingham, England. He graduated from Imperial College School of Medicine, London, in 1999. He has worked in the fields of Orthopaedics, General Surgery, Care of the Elderly, Emergency Medicine, Obstetrics/Gynaecology, Pediatric Medicine and Palliative Care. Since completing his postgraduate training in General Practice and joining his partnership, he has developed a keen interest in the promotion of health and well-being. He has authored the bestselling book The Big Prescription. He has studied neuro-linguistic programming, coaching, healing and is currently working towards a PhD in Psychoneurology. He is a passionate believer that the vast majority of illnesses are preventable by taking simple and natural approaches to diet, activity, mindfulness and interactions with our environment. The combined state of our physical, mental and social well-being are by definition the single greatest marker of health. By making positive step-wise changes to our diet, activity levels, emotional well-being and daily interactions we can all not only take greater control of our health, but also have unparalleled levels of energy, well-being and vitality.

Today's conversation in Obstetrics and Gynecology we talk to Prof Elizabeth Sullivan, an Australian epidemiologist and public health physician about maternal mortality in Australia and her work with AMOSS. Journal club discusses 3 articles related to maternal mortality: McDonnell, Nolan, et al. "Amniotic fluid embolism: an Australian-New Zealand population-based study." BMC pregnancy and childbirth 15.1 (2015): 352. Karalis, E., et al. "Decreasing mortality during pregnancy and for a year after while mortality after termination of pregnancy remains high: a population‐based register study of pregnancy‐associated deaths in Finland 2001–2012." BJOG: An International Journal of Obstetrics & Gynaecology 124.7 (2017): 1115-1121. Collaborators, WOMAN Trial. "Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial." The Lancet 389.10084 (2017): 2105-2116.