Podcasts about obstetrics gynecology

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 with Drs. Sue Li and Nilam S. Mangalmurti, authors of “Detection of Human Papillomavirus DNA on Red Blood Cells in Patients With Cervical Cancer.”

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/. 

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

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 Drs. Christina M. Duzyj and Brett D. Einerson, authors of “Placenta Accreta Spectrum, Present and Future: The Eunice Kennedy Shriver National Institute of Child Health and Human Development Workshop Summary.”

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 interviews with Dr. Yalda Afshar, author of “Biology and Pathophysiology of Placenta Accreta Spectrum Disorder,” and Dr. Clarel Antoine, author of “Endometrium-Free Closure Technique During Cesarean Delivery for Reducing the Risk of Niche Formation and Placenta Accreta Spectrum Disorders.”

We're diving into the oral microbiome and how your mouth could be impacting both egg and sperm quality. Could what's happening in your mouth be impacting your fertility? In this episode, we dive into the surprising connection between your oral microbiome and reproductive health. From silent gum inflammation to the role of mouth breathing, you'll learn how your oral health can influence everything from egg quality and implantation to gut balance and sperm DNA. We're breaking down practical steps—like dental cleanings, gentle oral care, and smart toothpaste swaps—that can make a real difference on your fertility journey. If you're trying to conceive and looking for overlooked but powerful strategies, this one's for you. 

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 with Dr. Victoria Wang, author of “Guideline-Concordant Surveillance After Treatment for High-Grade Cervical Dysplasia.”

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 Dr. Lynn L. Simpson, author of “Update on Management and Outcomes of Monochorionic Twin Pregnancies.”

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 Dr. Taylor L. Pitt, author of “Prenatal Cannabis Use and Depressive Symptoms.”

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 with Dr. Matthew Nudy and Dr. Peter F. Schnatz, authors of “Long-Term Changes to Cardiovascular Biomarkers After Hormone Therapy in the Women's Health Initiative Hormone Therapy Clinical Trials.”

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 Dr. Ann M. Bruno, author of “Postpartum Pharmacologic Thromboprophylaxis and Venous Thromboembolism in a U.S. Cohort.”

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 with Dr. Jill Brown, author of “Addressing the Menopause Health Needs of Military Service Members: A Call to Action.”

On this episode of Talking Away The Taboo, Natalie Richeimer, MS, CGC, Genetic Counselor, Education and Outreach Manager at Jscreen, Bat-Sheva L. Maslow MD, REI, RMA, and Rena Fox, RNC-OB, BSN, join Aimee Baron, MD to talk about genetics and Infertility. The introductory episode of our 5-part IWSTHAB x JSCREEN Podcast series dives into the genetic aspect of fertility and recurrent pregnancy loss (RPL) workups, setting the stage for an engaging and informative series that blends expert knowledge with deeply personal stories. Moderated by Dr. Aimee Baron of IWSTHAB, in this epsiode, we speak to Natalie, a reproductive genetic counselor, will explain what a genetic counselor does and how genetics factor into infertility evaluations. Dr. Batsheva Maslow (REI) will provide a medical perspective on infertility evaluations and how certain diagnoses and/or findings can help direct treatment. And finally,  Rena Fox will share her personal journey as part of a carrier couple who chose IVF for genetic reasons, shedding light on the real-life implications of genetic fertility challenges.  More about Natalie:  Natalie Richeimer, MS, CGC, is a board certified genetic counselor at jscreen with clinical experience in adult, pediatric, and reproductive genetic counseling. She holds a master's degree in human genetics and genetic counseling from the Keck Graduate Institute. Natalie is a native Torontonian, who lives in Los Angeles with her husband and two boys. She has published research in the Journal of Genetic Counseling on the impact of orthodox Jewish clergy's role in prenatal genetic counseling. Prior to her work as a genetic counselor, Natalie worked as a high school STEM teacher for 7 years in Los Angeles. She is passionate about reproductive health education and community engagement. Natalie has a special interest in outreach, with the goal of increasing awareness of and access to genetic counseling. Natalie has partnered with local organizations and high schools to provide community education. More about Dr. Maslow: Dr. Bat-Sheva Lerner Maslow is double board-certified in OB/GYN and Reproductive Endocrinologist and Infertility and is the lead physician at the Reproductive Medical Associates of New Jersey - Jersey City office. Dr. Maslow has a special interest in education, research, and the clinical care of single women considering proactive fertility preservation.  Outside of the office, Dr. Maslow lectures and writes on the intersection of halakha and reproduction. She serves as the Director of Medical Education for the North American Yoatzot Halacha Program and is a board member of several organizations related to Jewish women and health. She maintains an active educational presence on social media discussing issues related to reproduction in the Jewish community.  Dr. Maslow attended Barnard College and the Albert Einstein College of Medicine. She completed residency in Obstetrics & Gynecology at the University of Pennsylvania and fellowship in Reproductive Endocrinology & Infertility at the University of Connecticut, where she also completed a master's degree in clinical and translational research More about Rena:  Rena is an experienced nurse with 6 years in labor and delivery and 2 years in reproductive endocrinology and infertility (REI). Having personally gone through IVF, she combines professional expertise with personal insight to provide compassionate care and support to those navigating fertility challenges. 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 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 Dr. Nigel Madden, author of “Area Poverty and Adverse Birth Outcomes: An Opportunity for Quality Improvement.”

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 with Dr. Eve Zaritsky, author of “Effects of the Affordable Care Act on Contraception, Pregnancy, and Pregnancy Termination Rates.”

Contributor: Aaron Lessen MD Educational Pearls: Pregnant patients at high risk of cardiac arrest, in cardiac arrest, or in extremis require special care A useful mnemonic to recall the appropriate management of critically ill pregnant patients is TOLDD T: Tilt the patient to the left lateral decubitus position This position relieves pressure exerted from the uterus onto the inferior vena cava, which reduces cardiac preload If the patient is receiving CPR, an assistant should displace the uterus manually from the IVC towards the patient's left side O: Administer high-flow adjunctive oxygen  L: Lines should be placed above the diaphragm Lines below the diaphragm are ineffective due to uterine compression of the IVC May consider humeral interosseous line vs. internal jugular or subclavian central line D: Dates should be estimated > 20 weeks, can consider a resuscitative hysterotomy (previously known as perimortem c-section) to improve chances of survival The uterus is palpable at the umbilicus at 20 weeks and 1 cm superior to the umbilicus for every week thereafter D: Call the labor and delivery unit for additional help References ACOG Practice Bulletin No. 211 Summary: Critical Care in Pregnancy. Obstetrics & Gynecology. 2019;133(5) Fujita N, Higuchi H, Sakuma S, Takagi S, Latif MAHM, Ozaki M. Effect of Right-Lateral Versus Left-Lateral Tilt Position on Compression of the Inferior Vena Cava in Pregnant Women Determined by Magnetic Resonance Imaging. Anesth Analg. 2019;128(6):1217-1222. doi:10.1213/ANE.0000000000004166 Jeejeebhoy FM, Zelop CM, Lipman S, et al. Cardiac Arrest in Pregnancy. Circulation. 2015;132(18):1747-1773. doi:doi:10.1161/CIR.0000000000000300 Singh, Ajay; Dhir, Ankita; Jain, Kajal; Trikha, Anjan1. Role of High Flow Nasal Cannula (HFNC) for Pre-Oxygenation Among Pregnant Patients: Current Evidence and Review of Literature. Journal of Obstetric Anaesthesia and Critical Care 12(2):p 99-104, Jul–Dec 2022. | DOI: 10.4103/JOACC.JOACC_18_22  Summarized & Edited by Jorge Chalit, OMS3 Donate: https://emergencymedicalminute.org/donate/  

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 with Dr. Asha N. Talati and Emily E. Hardisty, authors of “Pregnancy in People With Cystic Fibrosis Treated With Highly Effective Modulator Therapy.”

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 with Dr. Jenny Wu, author of “Transcutaneous Electric Nerve Stimulation for Analgesia During Outpatient Endometrial Biopsy: A Randomized Controlled Trial.”

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 with Dr. Asha N. Talati and Emily E. Hardisty, authors of “Pregnancy in People With Cystic Fibrosis Treated With Highly Effective Modulator Therapy.”

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 with Dr. Naida M. Cole, author of “Second-Line Uterotonics for Uterine Atony: A Randomized Controlled Trial.”

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 with Dr. Caroline M. Mitchell, author of “Assessment and Treatment of Vaginitis.”

Urinary tract infections (UTIs) are a leading cause of health care visits in the USA and around the world. In the US, they have a cost burden of $3.5 billion annually. Half of women experience at least one UTI in their lifetime, and approximately 25% of these women develop recurrent UTIs! On October 31, 2024, a study was published in Obstetrics Gynecology (the Green Journal) looking at UTI treatment trends in nonpregnant women. With the increased use of tele-visits, there is now a conundrum between allowing easier access to care (tele-visit) and treatment of UTIs online balanced against contributing to antibiotic resistance. Is urine culture recommended prior to antibiotic use for uncomplicated UTI? That depends on who you read! We will discuss this issue in this episode. PLUS, we will briefly discuss a NEW oral antibiotic for uncomplicated UTI in women; this was just FDA approved on October 25, 2024.

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 interviews with Leah M. Savitsky, MD, author of “Universal Fetal Echocardiography for Pregestational Diabetes Mellitus: A Cost-Effectiveness Analysis,” and Ebony Carter, MD, MPH, author of “Diabetes Group Prenatal Care: A Systematic Review and Meta-analysis.”

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 with Celeste Durnwald MD, author of “Continuous Glucose Monitoring–Derived Differences in Pregnancies With and Without Adverse Perinatal Outcomes.”

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 with Jennifer Hoskovec, MS, author of “Cell-Free DNA Analysis for the Determination of Fetal Red Blood Cell Antigen Genotype in Individuals With Alloimmunized Pregnancies.”

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 with Dr. Courtney Kerestes, author of “Self-Determination of Eligibility for Medication Abortion Without Ultrasonography Using a History-Based Tool: LMP-SURE.”

Great conversation with Dr. Woods about bioidentical hormone replacement therapy, the effects of menopause on weight loss and her advice for women 50 and over. A functional medicine doctor, Dr. Makaila Woods has Double Board Certification with the American Board of Obesity Medicine, and the American Board of Obstetrics & Gynecology. We discuss: why she decided to get into both functional medicine and weight loss from gynecolocy and obstetrics. when to consider bioidentical hormone replacement therapy the relationship of replacement hormones and cancer How to find a functional medicine doctor and how they are different than other types of doctors how she helps her clients lose weight for more information and the links we discuss, go to our website show notes page at https://becomingelli.com  

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 with Dr. Kimberley A. Bullard, author of “Immediate Postpartum Long-Acting Reversible Contraception for Preventing Severe Maternal Morbidity: A Cost-Effectiveness Analysis.”

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 with Dr. Torri D. Metz, author of “Optimal Timing of Delivery for Pregnant Individuals With Mild Chronic Hypertension.”

On this episode of New Legacy Radio, we will be joined by Dr. Jane van Dis. Dr. van Dis is an Assistant Professor of Obstetrics & Gynecology at the University of Rochester and lectures internationally on the intersection of the climate crisis and women's maternal health. Dr. van Dis will share her breadth of knowledge and experience, including the climate crisis and the carbon footprint of medicine, the presence and impact of microplastics, and ecological and population overshoot. We will discuss the current state and impact of national and global crises, the changes required to disrupt these exponential realities, and why dismantling patriarchy is imperative for urgent, forward movement toward resolving the climate crisis. Tune in live to learn more!

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 with Dr. Marcela Smid, author of “Optimizing Opioid Prescription Quantity After Cesarean Delivery: A Randomized Controlled Trial.”

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 with Dr. Andrea Ries Thurman and Isabella Johnson, authors of “Preliminary Efficacy of Topical Sildenafil Cream for the Treatment of Female Sexual Arousal Disorder: A Randomized Controlled Trial.”

On this episode of New Legacy Radio, we will be joined by Dr. Jane van Dis. Dr. van Dis is an Assistant Professor of Obstetrics & Gynecology at the University of Rochester and lectures internationally on the intersection of the climate crisis and women's maternal health. Dr. van Dis will share her breadth of knowledge and experience, including the climate crisis and the carbon footprint of medicine, the presence and impact of microplastics, and ecological and population overshoot. We will discuss the current state and impact of national and global crises, the changes required to disrupt these exponential realities, and why dismantling patriarchy is imperative for urgent, forward movement toward resolving the climate crisis. Tune in live to learn more!

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 with Dr. Holly B. Ende and Henry J. Domenico, co-authors of “Development and Validation of an Automated, Real-Time Predictive Model for Postpartum Hemorrhage.”

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 with Dr. Rebecca G. Simmons, author of “Assessing Contraceptive Switching and Discontinuation Over 3 Years in the Highly Effective Reversible Contraceptive Initiative Salt Lake Study.”

On this episode of New Legacy Radio, we will be joined by Dr. Jane van Dis. Dr. van Dis is an Assistant Professor of Obstetrics & Gynecology at the University of Rochester and lectures internationally on the intersection of the climate crisis and women's maternal health. Dr. van Dis will share her breadth of knowledge and experience, including the climate crisis and the carbon footprint of medicine, the presence and impact of microplastics, and ecological and population overshoot. We will discuss the current state and impact of national and global crises, the changes required to disrupt these exponential realities, and why dismantling patriarchy is imperative for urgent, forward movement toward resolving the climate crisis. Tune in live to learn more!

On this episode of New Legacy Radio, we will be joined by Dr. Jane van Dis. Dr. van Dis is an Assistant Professor of Obstetrics & Gynecology at the University of Rochester and lectures internationally on the intersection of the climate crisis and women's maternal health. Dr. van Dis will share her breadth of knowledge and experience, including the climate crisis and the carbon footprint of medicine, the presence and impact of microplastics, and ecological and population overshoot. We will discuss the current state and impact of national and global crises, the changes required to disrupt these exponential realities, and why dismantling patriarchy is imperative for urgent, forward movement toward resolving the climate crisis. Tune in live to learn more!

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 with Dr. Kartik Venkatesh, author of “Adverse Pregnancy Outcomes and Predicted 30-Year Risk of Maternal Cardiovascular Disease 2–7 Years After Delivery.”

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 with Dr. Alexa Kanbergs, author of “Patient Location and Disparities in Access to Fertility Preservation for Women With Gynecologic or Breast Cancer.”

In this conversation, we hear from Jane van Dis, M.D., an OB-GYN who specializes in women's/maternal health and its intersection with reproductive justice — both in terms of Jane's personal experience of motherhood and how her professional insights and expertise can help inform your own choice.  You'll hear about: The idea of informed consent in understanding the potential effects of pregnancy and childbirth on a woman's body and overall well-being. The impact of environmental toxins, such as plastics and chemicals, on women's health and the potential risks they pose to pregnancy. Climate change and its potential consequences on future generations when making decisions about having children. The complexities of ethical decision-making in today's world. Global population growth and declining birth rates, alongside the possibility of mandated motherhood ...and many more fascinating areas of discussion. As mentioned in the show: Bumpin' and Fertility Rules by Leslie Schrock (Medical Editor, Jane van Dis, M.D.) Under The Sky We Make by Kimberly Nicholas Generation Dread by Britt Wray Eve by Cat Bohannon About Jane: Jane van Dis, MD is an Assistant Professor of Obstetrics & Gynecology at the University of Rochester and faculty in the Institute for Human Health and the Environment. She lectures nationally and internationally on the intersection of the climate crisis and women's/maternal health. She Co-Founded OBGYNs For Sustainability and TIMES UP Healthcare and Co-Admins OB Mom Group. Dr. van Dis is an Editor at the Journal of OB Hospitalist Medicine and is a single mom to twins. __ Check out our free resources here, or at kidsorchildfree.com/free-resources And don't forget to subscribe, rate, and review The Kids or Childfree Podcast if you love what you're hearing! You can leave a rating and review on Apple Podcasts, or a rating on Spotify. Find us online at www.kidsorchildfree.com. Instagram: www.instagram.com/kidsorchildfree TikTok: www.tiktok.com/@kidsorchildfree

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 with Dr. Antoinette Allen, author of “Pregnancy Outcomes After Laparoscopic Radiofrequency Ablation of Uterine Leiomyomas Compared With Myomectomy.”

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 with Dr. Sarahn Wheeler, author of “Obstetric Racial Disparities in the Era of the A Randomized Trial of Induction Versus Expectant Management (ARRIVE) Trial and the Coronavirus Disease 2019 (COVID-19) Pandemic.”

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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 with Dr. Richard M. Burwick, author of “Angiogenic Biomarkers in Preeclampsia.”

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 with Dr. Anna Powell, author of “Comparison of Newer and Traditional Approaches to Diagnosing Vaginal Infections.”

Hyperemesis Gravidarum (HG) has a reported incidence of approximately 0.3–3% of pregnancies. Without prompt recognition and treatment, severe maternal dehydration, electrolyte abnormalities, cardiac arrhythmias, and potentially altered fetal neurodevelopment may result. Recently, HG made medical and general media news as new data has pinpointed 2 likely culprits of its origin- and neither one is estrogen. In this episode, we will discuss these 2 protein markers, and how researchers are looking to develop a genetic test for patients to predict HG. We will also summarize a new publication from Obstetrics & Gynecology (which was published on February 1, 2024) as an ACOG Clinical Expert Series on the inpatient management of HG.

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 with Dr. Margaret G. Mueller, author of “Activity Restrictions After Gynecologic Surgery.”

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 with Dr. Melissa E. Bauer, author of “Performance Characteristics of Sepsis Screening Tools During Antepartum and Postpartum Admissions.”

Today we're diving into a topic that often remains in the shadows despite its profound impact on women's health – the pelvic floor!  Pelvic floor health isn't just a topic for medical professionals; it's something that affects millions of women, and yet, it's often met with silence or uncertainty. That's why we're thrilled to have the "Down There Doctors" here with us today. Dr. Karyn Eilber and Dr. Victoria Scott are passionate urogynecologists, who have made it their mission to shine a spotlight on pelvic floor health and break the stigma surrounding it. They're also the co-authors of the candidly titled book, A Woman's Guide to Her Pelvic Floor. What The F*@# is Going On Down There. In this episode, we'll discuss common challenges women face during and after pregnancy, and uncover practical solutions to empower women with knowledge about their bodies. Throughout our conversation, we'll learn about the importance of pelvic floor health, break down myths and misconceptions, and uncover how their book aims to empower women with the knowledge they need to navigate this often-overlooked aspect of their well-being. Overwhelmed by the amount of pregnancy info out there? CLICK HERE to get helpful and supportive tips, info, and resources from an L&D nurse sent straight to your inbox every week, and never sort through search results again! Have an even better birth! CLICK HERE to learn more about our online birth classes that will help you feel prepared and in control - no matter how you deliver. And be sure to follow @mommy.labornurse on Instagram to join our community of over half a million for education, tips, and solidarity on all things pregnancy, birth, and postpartum! Related Resources A Woman's Guide to Her Pelvic Floor. What The F*@# is Going On Down There.  Down There Doctors Instagram: Down There Doctors Instagram: Dr. Victoria Scott Instagram: Dr. Karyn Eilber About Dr. Karyn Eilber Karyn is a Professor of Urology and Associate Professor of Obstetrics & Gynecology at Cedars-Sinai Medical Center and the Program Director for the Cedars-Sinai Female Pelvic Medicine and Reconstructive Surgery (FPMRS) fellowship training program. Prior to joining Cedars-Sinai, Dr. Eilber practiced at Memorial Sloan-Kettering Cancer Center. She completed medical school, urology residency and a fellowship in female pelvic medicine at the University of California, Los Angeles (UCLA). Dr. Eilber' s research focus has been in the areas of urogynecology and female sexual dysfunction, and she has published multiple peer-reviewed manuscripts and book chapters. She has lectured nationally and internationally and instructs other physicians across the country on how to perform certain FPMRS surgical procedures. She is the co-founder of Glissant Intimate Care and a founding medical partner of Doctorpedia. About Dr. Victoria Scott Victoria has a long-standing interest in quality-of-care research in female pelvic medicine that began during her medical school training at UCLA. She completed her urology residency and a fellowship in FPMRS at UCLA. While a resident and fellow at UCLA, her research was focused on developing quality-of-care indicators for women with urinary incontinence and vaginal prolapse and improving the quality of care delivered to women with recurrent urinary tract infections. Currently, her efforts are aimed at better educating primary care providers in the treatment of female pelvic floor disorders to further improve the care of women with these conditions. She has published multiple peer-reviewed manuscripts and presented her research at numerous national conferences. Before joining her current practice with Optum, she was Director of Education for the Cedars-Sinai FPRMS fellowship training program and on the faculty of the Cedars-Sinai Urology Residency training program.

The pelvic examination is a standard component of the annual gynecologic visit despite limited evidence supporting its utility. Pelvic examinations can be a source of discomfort and anxiety for some patients seeking routine health care, whereas, for others, they can offer reassurance. In 2018, the ACOG released CO 754 on "The Utility of and Indications for Routine Pelvic Examination". What does the AAFP, ACP, and ACOG say about "routine" pelvic examinations in low-risk, nonpregnant, and asymptomatic women? Why do they say what they do? In this episode, we will summarize a new publication from Obstetrics & Gynecology which was just released yesterday (November 9, 2023) which validates these professional societies' guidelines/stances.