Podcasts about perinatology

Send us a textI am truly excited about this new segment brought to ya' by Ochsner's Childrens' Hospital! Milk-Bank Miracles with Dr. Harley Ginsberg will shine light on what the NICU is and what hospitals do to keep our little, itty bitty nuggets alive! It really is miraculous.  Dr. Ginsberg is the founder and medical director of Mothers' Milk Bank of Louisiana at Ochsner Baptist. He has written chapters for medical textbooks on neonatology and has published scientific medical articles in the New England Journal of Medicine, the Journal of Perinatology, and Clinics in Perinatology among others. Dr. Ginsberg's professional interests include the use of donor human milk to prevent neonatal intestinal disease as well as the role of human milk in infection prevention.  I am blown away by this opportunity to partner with him and open a window for our audience to learn more not only about his Mother's Milk-Bank but also the guided hand to learn about the NICU! (Neonatal Intensive Care Unit.)To learn more about this go to: www.ochsner.org_______________________________________________________________________________________________Then later we welcome New Orleans Council Member Lesli Harris to hear about what our city is doing to combat our homeless crisis. I met Council Member Harris one hot and blazey summer afternoon and since then, she has graced our show with her smile and passion for our city. I was so inspired by her devotion in this area of SO MANY areas to focus on. I learned by our interview that over 200 individuals have been rehabilitated through the "Home For Good Program" (https://homeforgoodneworleans.org)                                        Over 1,000 individuals have been taken off the street and ARE GIVEN recourses in all aspects of life; not to only get them off the streets, but to give them dignity, confidence and motivation to get back up and make the next day better than the last. I wish you could see Council Member Lesli Harris' eyes when she presents the raw data, stats and numbers that really are jolting. There were a couple of topics that we didn't see quite eye to eye, but that is what civil dialogue is and unfortunately has been lost in our country for some time now.  I came to her with urgency because of a situation that happened with me and my family in the Marigny a couple of months back. It startled me, and I felt helpless. I don't like that feeling, ESPECIALLY when my babies are with me.  My fear is that if the homeless numbers don't fall, the Governor will come in without warning and sweep the city before the city council, mayor, police chief etc. can do one thing. I am encouraged by the newly released nola.com article that showed Council Member Lesli's vision. IS WORKING. And that bottom line is all I truly worry about. Her candor, smile and authenticity won me over from the beginning and I am still living for it. THANK YOU COUNCIL MEMBER HARRIS! Read the article I spoke about here,  Lesli Harris: New Orleans' homeless efforts are workingThank you to our family of amazing sponsors! Ochsner Hospital for ChildrenWww.ochsner.orgRouses MarkersWww.rousesmarkets.comSandpiper VacationsWww..sandpipervacations.comCafe Du Monde www.shop.cafedumonde.com The Law Firm of Forrest Cressy & James Www.forrestcressyjames.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream CompanyWww.neworleansicecream.comERA TOP REALTY: Pamela BreauxAudubon Institute www.auduboninstitute.orgUrban South Brewery www.urbansouthbrewery.com

Send us a textThis week we have a couple of great Local interviews! Ochsner Children's Hospital has been one of our anchoring sponsors for years now and for our fifth season, We have created a BRAND NEW SEGMENT called         "A Mother's Giving: & the Milk Bank of Louisiana with Dr. Harley Ginsberg."Dr. Ginsberg is board certified in both pediatrics and neonatal-perinatal medicine and has been on staff at Ochsner since 1987. He served as both the Section Head of neonatal medicine at Ochsner and the Medical Director of the neonatal intensive care unit (NICU) at Ochsner Baptist Medical Center from 1989 until 2021. Dr. Ginsberg managed the team at Ochsner that took care of babies during Hurricane Katrina. Currently he is Medical Director of the NICU at Ochsner Kenner Medical Center. Dr. Ginsberg is the Founder and Medical Director of Mothers Milk Bank of Louisiana at Ochsner Baptist and is a member of the Standards Committee for the Human Milk Banking Association of North America. He has written chapters for medical textbooks on neonatology and has published scientific medical in articles in the New England Journal of Medicine, Pediatrics, Journal of Perinatology and Clinics in Perinatology. Fully accredited by the Human Milk Banking Association of North America, Mothers' Milk Bank of Louisiana at Ochsner Baptist was Louisiana's first human milk bank and the 24th nonprofit milk bank in the United States. Preterm infants are at risk for a condition called necrotizing enterocolitis, which results in inflamed intestines, bacterial infection and damage to the colon and intestines. Without proper care, the infant may die.Pasteurized donor human milk helps offset these potential dangers. Unfortunately, some mothers of preterm infants cannot produce their own milk. That's where Mothers' Milk Bank of Louisiana steps in.As of August 2020, Louisiana provides Medicaid coverage for using pasteurized donor human milk in a hospital. In 2022, Louisiana legislators approved inpatient and outpatient coverage for pasteurized donor human milk. Listen as Dr. Ginsberg and I dive into the Milk bank of Louisiana and hear the powerful impacts it has on our community and state! Go to https://www.ochsner.org/services/mothers-milk-bank-at-ochsner-baptist to learn more or to make a donation today!______________________________________________________________________________________________Then later we welcome back DIRTY DOGS! The local documentary making big waves in our city yall. Not only did the documentary chronicle the heated monopoly on New Orleans' food cart licenses for the French Quarter. What WAS a half century monopoly was essentially ended by a group of passionate film makers that felt convicted to MAKE THINGS RIGHT.  I am so excited to welcome restauranteur and host Brad Bohannan and Cinematographer, Adrian Sosebee to talk about their HOLLYWOOD AWARD they just received in  Beverly Hills! Brad also talks to us about his latest venture with his inspirational wife, Jefferson Parrish Council Person, Arita Bohannan. Together and with a village behind them, they work to bring inclusive and autistic friendly playgrounds to neighborhoods and communities tThank you to our family of amazing sponsors! Ochsner Hospital for ChildrenWww.ochsner.orgRouses MarkersWww.rousesmarkets.comSandpiper VacationsWww..sandpipervacations.comCafe Du Monde www.shop.cafedumonde.com The Law Firm of Forrest Cressy & James Www.forrestcressyjames.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream CompanyWww.neworleansicecream.comERA TOP REALTY: Pamela BreauxAudubon Institute www.auduboninstitute.orgUrban South Brewery www.urbansouthbrewery.com

Discover the critical safety considerations when using Sugammadex, the seemingly "magical" neuromuscular blockade reversal agent that's fundamentally changed anesthesia practice. We delve deep into the science behind this medication and examine its use in three challenging patient populations: those with renal failure, pregnant patients, and pediatric patients.For patients with kidney dysfunction, we explore the fascinating pharmacokinetics of Sugammadex and how its primarily renal excretion creates potential complications. With a normal half-life of approximately two hours extending to a 19 hours in severe renal impairment, understanding the risk of recurarization becomes essential. Despite these challenges, recent research suggests Sugammadex may still offer advantages over traditional reversal agents in these patients.Pregnant patients present another complex scenario. Does Sugammadex bind to progesterone? What might this mean for maintaining pregnancy? We examine the current Society for Obstetric Anesthesia and Perinatology guidelines alongside emerging research that offers glimpses of hope for safe use. From animal studies to limited human case reports, we unpack what we know and the significant questions that remain unanswered.The conversation extends to breastfeeding considerations and emergency scenarios where the risk-benefit analysis shifts dramatically. Through expert insights and references to the latest studies, we provide practical knowledge for anesthesia professionals navigating these challenging clinical situations. This episode serves as a crucial reminder that despite advances in pharmacology, patient safety still demands individualized care, vigilant monitoring, and thoughtful application of evolving evidence.Want to further enhance your patient safety skills? Check out the Manual External Defibrillation course available at no cost through the ASA learning management system. Join us next week as we continue our discussion with a focus on pediatric patients and Sugammadex use.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/249-sugammadex-safety-special-populations-special-concerns/© 2025, The Anesthesia Patient Safety Foundation

For more than 22 years, Dr. Shailen Shah has guided countless expectant families through their journey. In this episode of Here for Good: Inside Edition, President and CEO Dennis Pullin explores Dr. Shah's remarkable path from attending physician to medical director of maternal-fetal medicine and section chief of perinatology. Also, Virtua's recent affiliation with Rowan University has rekindled his passion for teaching, allowing him to mentor the next generation of clinicians. A champion of Practicing Excellence, Dr. Shah encourages everyone to continuously learn and grow. He inspires his team to be the best versions of themselves, and they in turn, bring out the best in him.

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

Send us a textEpisódio Especial de Novembro Roxo: "Neonatologistas em Extinção – Um Impacto na Assistência aos Prematuros"Neste episódio, a Dra. Rita, uma das pioneiras no ambulatório de seguimento de prematuros no Rio Grande do Sul e professora titular da UFRGS, mergulha em uma questão urgente e alarmante: a neonatologia acadêmica está em risco? Inspirada no artigo "Academic neonatologist—a species at the brink of extinction?" do Journal of Perinatology, ela compartilha dados inéditos sobre a crescente escassez de profissionais na área e as possíveis soluções para atrair novas gerações para essa especialidade desafiadora e vital.A conversa ganha ainda mais relevância durante o Novembro Roxo, um mês dedicado à conscientização sobre a prematuridade, especialmente no Brasil, que está entre os 10 países com mais nascimentos prematuros no mundo. Apesar de serem uma minoria, os bebês prematuros mais críticos demandam atenção especializada e qualificada, um tipo de assistência que só pediatras com formação específica em neonatologia podem fornecer. Com o avanço da medicina e o aumento da complexidade dos casos, a falta de especialistas ameaça a qualidade do atendimento e a sobrevivência de muitos bebês.Junte-se a nós para essa conversa crucial que explora o impacto desse déficit e o futuro da assistência neonatal no Brasil. Você encontrará o link para o artigo completo na descrição do episódio para aprofundar o tema.O link para o artigo levantando esse problema está aqui: https://www.nature.com/articles/s41372-023-01803-4A Dra. Rita é professora Titular do Departamento de Pediatria da Universidade Federal do Rio Grande do Sul (UFRGS), professora do Programa de Pós Graduação em Saúde da Criança e do Adolescente da UFRGS. Possui graduação em Medicina pela Universidade de Passo Fundo, mestrado e doutorado em Saúde da Criança e do Adolescente pela Universidade Federal do Rio Grande do Sul. Coordenadora do Ambulatório de Seguimento de Neonatologia do Hospital de Clínicas de Porto Alegre. Se estiver gostando do nosso Podcast, por favor dedique um pouquinho do seu tempo para deixar sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. Isso é importante para a gente poder continuar produzindo os episódios. O nosso objetivo é democratizar a informação.Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1 Lembrando que o Podcast está no Instagram, @incubadora.podcast, onde a gente posta as figuras e tabelas de alguns artigos. Se estiver gostando do nosso Podcast, por favor dedique um pouquinho do seu tempo para deixar sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. Isso é importante para a gente poder continuar produzindo os episódios. O nosso objetivo é democratizar a informação. Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org

There was a recent consensus statement from the Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology on the screening, diagnosis, and treatment of obstructive sleep apnea (OSA) in pregnancy. For too many, a sleep evaluation is deferred until the pregnancy is over, with the idea that pregnancy-related sleep disorders will resolve at the end of the pregnancy. This leaves so many with sleep disorders undiagnosed and untreated. Dr. Louise O'Brien has tried to bridge this gap. She works in the Division of Sleep Medicine in the Department of Neurology, as well as the Division of Maternal and Fetal Medicine in the Department of Obstetrics and Gynecology at the University of Michigan. She is here to share her experience locally, but also globally when it comes to sleep health during pregnancy.

Drs. Heather Nixon and Tracey Vogel from the Society for Obstetric Anesthesia and Perinatology (SOAP) join Dr. Brooke Trainer for a no-holds-barred conversation about intraoperative pain during cesarean delivery. Listen in as they explore the consequences of painful birth experiences and consider how anesthesiologists can meaningfully address the problem. Recorded August 2024.

As a maternal-fetal immunologist at the Washington University School of Medicine, Nardhy Gómez-López investigates the immunobiological pathways that underlie pregnancy complications. Having trained and researched across the globe alongside caring and curious physicians, Gómez-López became hooked on perinatal immunology research. Motivated to help solve the prevalent problem of preterm birth, she currently looks at labor and birth, also called parturition, through a basic research lens. In this Science Philosophy in a Flash podcast episode, The Scientist's Creative Services Team spoke with Gómez-López to learn more about her recent work investigating cellular changes in the maternal-fetal interface during parturition and what motivates her clinically collaborative research perspective.   To learn more about Gómez-López's research, check out this article. Science Philosophy in a Flash is a mini podcast series produced by The Scientist's Creative Services Team. In this series, we highlight researchers' unique outlooks on what it means to be a scientist.

While the importance of optimizing a woman's hemoglobin level during the peripartum period has been emphasized in recent guidelines by the Society for Obstetric Anesthesia and Perinatology, the ACOG, and the Enhanced Recovery After Surgery Society, postpartum anemia remains a real issue in both the developed and developing world. Postpartum anemia has been associated with depression, fatigue, impaired lactation, and impaired cognition. This may lead to impaired maternal-child bonding. Additionally, severe anemia during the antepartum interval is an important predictive factor of PPH! This relationship was shown in a published meta-analysis in 2021. Postpartum, IV Fe has been proven to be of value for asymptomatic anemia. Packed RBC transfusion may be recommended for women with postpartum hemoglobin levels

Join us for an eye-opening discussion with  Dr. Megan Rosenstein, and Isabel Pierre-Louis BSN RNC-OB as they shed light on the national health crisis of maternal mortality rates in the United States and the health disparities that exist for black and brown women across our country. This has been a topic that we have wanted to highlight for a long time so we are grateful to our guests for coming on the show and giving us an understanding of what is happening, why the numbers are going up, the heart-breaking disparities for black and brown mothers, and the innovative and equitable solutions that are being implemented at ATLANTIC HEALTH OVERLOOK HOSPITAL and across the country.  Although this is a difficult topic to discuss, the good news is that the more awareness we can bring to the issues, the more we can all work towards a long term solve for this.  About our GuestsDr. Megan Rosenstein is the Associate Chief Medical Officer and Director of Obstetric Anesthesia at Atlantic Health System's Overlook Medical Center in Summit New Jersey.   Dr. Rosenstein came to Overlook from New York Presbyterian Weill Cornell Medical Center, where she completed her training in Anesthesiology with a focus on the care of high risk perinatal patients.  In her time at Overlook, Dr. Rosenstein has actively participated in Atlantic Health's system-wide Maternal Collaborative, Overlook's Perinatal Safety and Quality Committee and spearheaded projects such as the Massive Transfusion Protocol, Opioid Reduction Task Force, protocoled response to Amniotic Fluid Embolism, and Enhanced Recovery after Cesarean Birth.  Dr. Rosenstein is the New Jersey state representative for the Society for Obstetric Anesthesia and Perinatology, which recognized Overlook as one of the first designated centers of excellence in Obstetric Anesthesia care.  Dr. Rosenstein is a wife and mother to three sons and enjoys weekends on the sidelines and enjoying time with her family.  She is an avid supporter of equitable access to women's healthcare in New Jersey and beyond.  Isabel Pierre-Louis, BSN, RNC-OB, is a career-long advocate of equitable, accessible, high-quality healthcare for all. In her specialty of obstetrical nursing, Isabel is attuned to the needs of women and birthing people, including the unique experiences of those chronically exposed to healthcare inequities, like the BIPOC communities. ABOUT R. Seelaus & Co., Inc. Annie Seelaus is CEO of R. Seelaus & Co., Inc. The firm is a certified women's business enterprise ("WBE") and has grown into a full-service financial firm that is mission-driven in its commitment to creating more opportunities for women in financial services. R. Seelaus & Co., Inc., and its subsidiaries offer investment advisory, asset management, capital markets, brokerage, fixed income and equity trading, institutional sales, leveraged finance, and insurance services. The R. Seelaus & Co., LLC subsidiary is a broker-dealer registered with the SEC and a member of FINRA, and the subsidiary Seelaus Asset Management, LLC, is an SEC Registered Investment Advisor ("RIA"). With various fixed-income trading desks and more than seventy professionals, both entities serve individuals, families, public and private companies, non-profit organizations, and institutional investors. The firm has offices in New Jersey, Connecticut, Florida, Illinois, North Carolina, and Massachusetts. For more information about R. Seelaus & Co., and its subsidiaries visit www.rseelaus.com

Voltamos trazendo as publicações mais recentes em Neonatologia. Nesse episódio, tratamos de um assunto bastante polêmico e de dois “aniversários”. Confere:1.Tendências do Fechamento do Canal Arterial em Lactentes Nascidos com 22 a 30 Semanas de Gestação – Zubin Shah et al.  - Journal of Pediatrics Vol.263Neste artigo, o objetivo dos autores foi descrever a tendência recente de fechamento da persistência do canal arterial (PCA) em prematuros e comparar as características clínicas dos recém-nascidos cirúrgicos versus o fechamento transcateter. Como resultado, houve diminuição do fechamento cirúrgico e aumento do fechamento transcateter do PCA em crianças nascidas com 22-30 semanas de gestação. Disponível em: https://doi.org/10.1016/j.jpeds.2023.1137162.  Estudo prospectivo multicêntrico de 3 anos da Amplatzer Piccolo™ Occluder para fechamento transcateter do canal arterial patente em crianças ≥ 700 gramas – Brian H Morrey et al. – Journal of Perinatology, Agosto de 2023.Este estudo descreve os desfechos clínicos de 3 anos desta coorte de lactentes e crianças. O fechamento transcateter do PCA em pacientes pediátricos com o Amplatzer Piccolo™ Occluder é seguro e eficaz, com > 99% de sucesso do procedimento em pacientes ≤ 2 kg, fechamento de 100% documentado até 3 anos e sobrevida global da coorte > de 95% em 3 anos. Disponível em: https://www.nature.com/articles/s41372-023-01741-13. Antibioticoterapia de curta duração para pneumonia na unidade de terapia intensiva neonatal - Zachery S. Lewald, Journal of Perinatology, jul 2023Determinar os resultados de adesão e segurança de um ciclo antibiótico de 5 dias com um "tempo limite" para o tratamento da pneumonia "hemocultura negativa" na UTIN. A adesão ao tratamento antibiótico definitivo de 5 dias para pneumonia "cultura negativa" foi alta. A intervenção parece segura, pois apenas 3% (3/119) dos episódios de pneumonia recidivaram 14 dias após um ciclo de 5 dias de tratamento antibiótico definitivo.Disponível em: https://www.nature.com/articles/s41372-023-01720-64. Uma década de evidências: iniciativa de alimentação padronizada visando marcos da alimentação e predição da permanência na UTIN no prematuro em UTIN nível IV de referência - Erika K. Osborn et al. Journal of Perinatology, Abril de 2023.Os objetivos deste estudo foram: avaliar a manutenção, a variação e os desfechos clínicos de prematuros dentro do programa de alimentação SIMPLES ao longo de um período de 10 anos com base na aquisição de marcos e resultados da alimentação. O programa de alimentação SIMPLE minimizou a variabilidade e promoveu a aquisição de marcos alimentares de forma consistente. O tempo de permanência é previsível usando marcos de alimentação, comorbidades, IG e IGC nos marcos de alimentação.Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147899/ Não esqueça: você pode ter acesso aos artigos do nosso Journal Club no nosso site: https://www.the-incubator.org/podcast-1 Se estiver gostando do nosso Podcast, por favor deixe sua avaliação no seu aplicativo favorito e compartilhe com seus colegas. O nosso objetivo é democratizar a informação. Se quiser entrar em contato, nos mandar sugestões, comentários, críticas e elogios, manda um e-mail pra gente: incubadora@the-incubator.org

Well, Well, Well, this is very interesting. Back in May 10, 2023, we released an episode on "OSA (Obstructive Sleep Apnea) in Pregnancy: Time to Screen?". In that episode, we summarized the impressive data on OSA in pregnancy and its association with some adverse perinatal sequelae. Spring forward to July 6, 2023, the ACOG has now released a brand new Consensus Statement on OSA in pregnancy. This statement is a joint guideline from the Society of Anesthesia and Sleep Medicine and the Society for Obstetric Anesthesia and Perinatology. Seems that we were ahead of the curve on this one. So, should we screen for OSA in pregnancy? The answer is YES and NO. Is CPAP really safe in pregnancy? We'll explain in this episode.

Questa puntata è dedicata alla consensus statement prodotta dalla Society for Obstetric Anesthesia and Perinatology nel 2021 L'Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia. Poiché fino al 12% delle pazienti ostetriche soddisfano i criteri per la diagnosi di trombocitopenia in gravidanza, non è infrequente che l'anestesista debba decidere se procedere con un'anestesia neurassiale in una paziente affetta da tale condizione. Nella prima delle tre parti si anticipava che l'incidenza dell'ematoma epidurale spinale specificamente nelle pazienti ostetriche con trombocitopenia, con conta piastrinica inferiore a 100.000 × 106/L è sconosciuta. L'incidenza nella popolazione ostetrica generale è stimata tra 1:200.000 e 1:250.000. In una revisione sistematica e meta-analisi del 2020 che rivedevano 7509 procedure neuroassiali in una coorte di pazienti con trombocitopenia, la maggior parte degli ematomi epidurali spinali si è verificata in pazienti con conta delle piastrine inferiore a 50.000 × 106/L. le migliori prove disponibili indicano che, in assenza di altri fattori, il rischio di ematoma epidurale spinale associato a una conta piastrinica maggiore o uguale a 70.000 × 106/L è probabilmente molto basso nelle pazienti ostetriche, con trombocitopenia secondaria a trombocitopenia gestazionale, trombocitopenia immune ITP e disturbi ipertensivi della gravidanza. In questa seconda parte si riprende dalla sezione "Trasfusione di piastrine prima di procedure neurassiali". Le trasfusioni di piastrine sono raccomandate solo come misura temporanea in caso di emorragia pericolosa per la vita o per preparare un intervento chirurgico urgente perché la risposta alla trasfusione di piastrine è di breve durata. La trasfusione di unità di piastrine in genere aumenta la conta piastrinica di 5000-10.000 al 106/L, e una sacca di piastrine derivata da aferesi aumenta la conta piastrinica di 30.000/50.000 al 106/L. L'ACOG raccomanda la trasfusione di piastrine nella preeclampsia in caso di sanguinamento attivo o per aumentare la conta delle piastrine a 50.000 × 106/L prima del parto cesareo. Nella sezione "Trombocitopenia, terapia con aspirina e rischio di sanguinamento" si dichiara che, considerando la scarsità di prove a guidare la pratica clinica in pazienti ostetriche con trombocitopenia e in terapia con aspirina, i medici e le pazienti dovrebbero impegnarsi in un processo decisionale condiviso sui rischi/benefici di procedere o rifiutare l'anestesia neurassiale in caso di trombocitopenia grave e uso concomitante di aspirina. Le linee guida dell'ASRA affermano che i farmaci antinfiammatori non steroidei (compresa l'aspirina) non aggiungono un rischio significativo allo sviluppo di un ematoma epidurale spinale e non ne raccomandano la sospensione per eseguire una procedura neurassiale. Nella parte "Raccomandazioni di altre società scientifiche sui valori soglia delle piastrine per le procedure neurassiali" si ricorda che le punture lombari in pazienti con leucemia o sospetta meningite, necessitano dei più bassi valori accettati raccomandabili (20.000-50.000 piastrine × 106/L). Infine, nelle Raccomandazioni per medici anestesisti" si definiscono procedure neurassiali le seguenti: spinale, epidurale, combinata spinale peridurale, peridurale con puntura durale, e procedure di rimozione del catetere peridurale.

The word placenta, first used in a 1638 anatomy textbook, was borrowed from the New Latin phrase placenta uterina, meaning "uterine cake", because the circular, flat shape of the organ was thought to resemble a traditional Roman flat cake. Circumvallate is another Latin derived term meaning the "encircled placenta, by a rampart". Circumvallate placentas are a form of extrachorial placenta where the basal plate extends past the margins of the chorion plate resulting in the chorion and amnion folding over one another onto the fetal surface. Is a circumvallate placenta an incidental finding or is it a harbinger of adverse outcomes? The answer to that question depended, until recently, on who you asked and WHEN you asked. In this episode, we will summarize and highlight a new publication from the American Journal of Perinatology from May 2023 which serves to offer a more definitive answer to this question. So, is the circumvallate placenta Maleficent or Meh? Listen in and find out!

We are now 5 years into the publication of the Arrive trial (2018) which opened the door to elective induction of labor at 39 weeks in an otherwise low risk pregnancy. But five years later authors and researchers are still debating whether a 39 week elective induction is helpful or not. Yep, the rebuttals and retorts against the ARRIVE trial began shortly after its publication, and they are still active even now- with a recent publication, from February 2023, having an opposing view. Yep…While some have called for universal adoption of the “39 week IOL rule“, others have put the brakes on the plan. in this episode, we're going to dive into this persistent on again off again dilemma of elective induction at 39 weeks. This podcast idea comes from one of our podcast family members who sent me this message on May 27: “Hey Dr. Chappa, what are your and your team's thoughts on elective induction at 39 weeks? I've had multiple discussions with my co-fellow about how it may not be the best option for some of our pregnant folks, especially those who have had a successful un-induced vaginal delivery. My attending sent me an interesting article from the Journal of Perinatology which questions the validity of the Would love any input you have on this. Thanks!” What a great topic to discuss. There's so much to unpack here and we're going to summarize that article which came out in print in February 2023, and we will also discuss a separate study that followed in March 2023 on this very issue. And…Is 39 week eIOL cost effective? Lots of angles to examine here and we will do all of that in this episode. And- as always- you'll want to stay with us until the end of the episode because I'll provide my personal perspective and typical practice regarding eIOL at 39 weeks.

Work hard or play hard? We all at times wrestle with the purpose of our time, work, relationships and life. As Christians, we know that the Bible should answer these questions for us, but this isn't always easy to apply to our own lives.In this episode, we delve into this big topic on the theme of Human, exploring what God tells us about our purpose as we are made in his image, and as we live out our faith in every aspect of our life.We speak with Sam Allberry (pastor, apologist, author), John Wyatt (Professor of Ethics and Perinatology at University College London and University College London), and Andy Robinson (Training Director for South Central Gospel Partnership) ahead of Keswick Convention 2023.Further resources: Human | Self-esteem and self-worth: Why bearing God's image is good news for usSam Allberry - A Better HopeMatt Fuller - Time for Everything? Support the Show.Visit the Keswick Ministries website for more resources. The Keswick Convention is free and runs from 13th July until 2nd August 2024. https://keswickministries.org/

Over the past 15 years, TriState Perinatology has slowly but surely become the largest non-academic, maternal-fetal medical practice in the state of Indiana. Dr. Brennan Fitzpatrick discusses how TriState Perinatology came to be.

Am I good enough as I am? What does it mean to be made in God's image? What even is to be human? How do we live out our Christian faith in an age of flattery, self-actualisation and narcissism? In this episode, we are exploring how we think of ourselves and others in a culture of self-esteem and identity and how we approach this within our churches. We also pick up the conversation on trans-humanism with John Wyatt again.Join Matthew Mason (Pastors' Academy, Crosslands Cultivate), Professor John Wyatt (Professor of Ethics and Perinatology at University College London and University College London), Ros Clarke (Priscilla Programme, Church Society), and Ben Cooper (Cornhill Training Course) as we interview Keswick Convention speakers, exploring the human obsession with building self-esteem and how the Bible speaks into this culture.Further resources: Ros Clarke: Human - Made and Re-made in the Image of God will be available at Keswick Convention 2023 and from IVP BooksGot Questions: What does the Bible say about self-worth?Ros Clarke: Forty WomenSupport the Show.Visit the Keswick Ministries website for more resources. The Keswick Convention is free and runs from 13th July until 2nd August 2024. https://keswickministries.org/

In this episode we talk with Emily Chandler and Taylor Washburn, EBB Childbirth Class graduates about their experiences in the childbirth class; their informed and empowered hospital birth; and how they navigated an extended hospital stay for newborn jaundice.   Emily, is a marine scientist, and Taylor, is a teacher and rowing coach in the Boston area. Together, they love hiking, biking, rowing, and taking advantage of the great outdoors. And they're also very busy taking care of their baby. While pregnant, Emily dove headfirst into learning about pregnancy, birth, and the state of maternity care in the United States. Emily and Taylor took the Evidence Based Birth Childbirth Class with EBB instructor Chanté Perryman.   Emily and Taylor share their experiences in the EBB Childbirth Class and how that informed many of the decisions they made regarding their birth plan, including Taylor being both inspired and empowered to “catch” their baby. They also share how they used the advocacy skills learned in class to better communicate with their providers and each other. After experiencing the birth they desired, complications arose when Emily experienced difficulty breastfeeding and inadequate lactation support. Difficulty was further exasperated when their newborn was diagnosed with jaundice leading to an extended hospital stay. Content Warnings: extended hospital stay due to newborn jaundice, “yellow baby,” difficulty breastfeeding, syringe feeding, lack of lactation support poor latch, heel pricks and bilirubin testing, treatment for elevated bilirubin, poor outcomes for Black and Brown infants with jaundice Resources: Access the CDC article on Jaundcie here Access the Evidence Based Birth® Signautre Articles on:  The Evidence on Premature Rupture of Membranes here  The Evidence on Group B Strep here  The Evidence on Pitocin® in the Third Stage here Listen to EBB 145- Fatherhood and Advocacy in Birth with JacMichael Perryman here Listen to EBB 244 - Evidence on AROM, AVD and Internal Monitoring here  Learn more about Chanté Perryman's EBB Childbirth Class and services here or on her Instagram account @babydreamsmc Learn more about The Nest Collaborative for lacation support here References:  Here are the scientific references on jaundice for the blog article: ·      Dunn, P. M. (2003). Dr Erasmus Darwin (1731–1802) of Lichfield and placental respiration. Arch Dis Child Fetal Neonatal Ed;88:F346– 8. ·      Katheria, A. C., Lakshminrusimha, S., Rabe, H., et al. (2017). Placental transfusion: a review. Journal of Perinatology; 37:105-111. ·      McDonald, S. J., Middleton, P., Dowswell, T., et al. (2013). Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes. Cochrane Database of Systematic Reviews, Issue 7. Art. No.: CD004074 ·      Ashish, K. C., Rana, N., Malqvist, M., et al. (2017). Effects of Delayed Umbilical Cord Clamping vs. Early Clamping on Anemia in Infants at 8 and 12 months: A Randomized Clinical Trial. JAMA Pediatr;171(3):264-270. ·      Mercer, J. S., Erickson-Owens, D. A., Deoni, S. C. L., et al. (2018). Effects of Delayed Cord Clamping on Four-Month Ferritin Levels, Brain Myselin Content, and Neurodevelopment: A Randomized Controlled Trial. ·      Andersson, O., Lindquist, B., Lindgren, M., et al. (2015). Effect of delayed cord clamping on neurodevelopment at 4 years of age: a randomized clinical trial. JAMA Pediatr;169:631–8. ·      CDC article on Jaundice: https://www.cdc.gov/ncbddd/jaundice/facts.html   Go to our YouTube channel to see video versions of the episode listed above!! For more information and news about Evidence Based Birth®, visit www.ebbirth.com. Find us on:  TikTok Instagram Pinterest Ready to get involved?  Check out our Professional membership (including scholarship options) here  Find an EBB Instructor here  Click here to learn more about the Evidence Based Birth® Childbirth Class.  

Dr. Elizabeth Tilson, State Health Director and the Chief Medical Officer for the North Carolina Department of Health and Human Services, is optimistic about the FDA's proposal to use an individual risk assessment when deciding who can or cannot donate blood; Sanaa Akbarali, ASTHO Senior Director for Maternal and Infant Health, helped write an article the Journal of Perinatology about work done in the field and policies in place to support pregnant people; and you can monitor changes in public health policy across the country if you sign up for ASTHO's legislative alert emails. U.S Food and Drug Administration News Release: FDA Proposes Individual Risk Assessment for Blood Donations, While Continuing to Safeguard U.S. Blood Supply Journal of Perinatology Article: Maternal and neonatal risk-appropriate care: gaps, strategies, and areas for further research ASTHO Webpage: Be in the Know  

Drs. Jill Mhyre and Grace Lim discuss the article “A Systematic Scoping Review of Peridelivery Pain Management for Pregnant People With Opioid Use Disorder: From the Society for Obstetric Anesthesia and Perinatology and Society for Maternal Fetal Medicine” published in the November 2022 issue of Anesthesia & Analgesia.

Welcome to the latest episode of the CSA Podcast, Vital Times. Dr. Ron George interviews his friend, mentor, fellow Obstetric Anesthesiologist, and a highly engaged member of the California Society of Anesthesiologists, Brendan Carvalho, MD, FRCA, from Stanford University. Dr. Carvalho is Professor and Chief of the Division of Obstetric Anesthesia and the Vice Chair for Faculty Development at Stanford University School of Medicine. He is a Past-President of SOAP, the Society for Obstetric Anesthesia and Perinatology and during his tenure on the executive he started the development of the foundation for the SOAP Centers of Excellence designation: https://soap.memberclicks.net/. This was created to recognize institutions that demonstrate excellence in obstetric anesthesia care and to set a benchmark of expected care to improve standards nationally and internationally. You can find Dr. Carvalho on Twitter @CarvalB. 

Wie sieht Hautkrebs auf der Haut von People of Colour aus? Wie Gelbsucht und wie ein Zeckenbiss? Ein Medizinstudent hat zu diesen Fragen eine Sammlung mit Beispielen erstellt - denn bisher kommen solche Informationen nur selten vor im Medizinstudium. Wissenschaftsjournalistin Yasmin Appelhans ist der Frage nachgegangen, wie rassistisch unser Gesundheitssystem ist. Im Gespräch mit Host Lucie Kluth spricht sie zum Beispiel über alte Vorurteile, die auch heute offenbar noch immer zu "Diagnosen" wie "Morbus Bosporus" oder dem "Mamma-Mia-Syndrom" werden. Und auch in der Forschung muss sich einiges verändern, damit das Gesundheitssystem nicht mehr diskriminierend ist und damit nicht weiterhin der weiße Mann im Fokus sämtlicher Untersuchungen bleibt- denn es kommt immer wieder vor, dass zum Beispiel Menschen mit Migrationsgeschichte teilweise gar nicht oder zu spät behandelt werden. Inwiefern beeinflusst also die Herkunft die Gesundheit? DIE HINTERGRUNDINFORMATIONEN • Website von Black in Medicine Deutschland mit Zitaten, was Schwarzsein in der Medizin bedeutet: Black in Medicine - Netzwerk Schwarze Mediziner*innen. Black in Medicine Deutschland. https://blackinmedicine.de/ [Aufgerufen am 26. September 2022]. • Bericht zum Afrozensus 2020 mit Angaben zu Diskriminierung im Gesundheitssystem: Aikins MA, Bremberger T, Aikins JK, Gyamerah D, Yıldırım-Caliman D. Afrozensus 2020 - Der Report https://afrozensus.de/reports/2020/ [Aufgerufen am 10. November 2022]. • Bericht zu institutionellem Rassismus in Behörden in Deutschland: Graevskaia A, Rumpel A, Menke K. Institutioneller Rassismus in Behörden - Rassistische Wissensbestände in Polizei, Gesundheitsversorgung und Arbeitsverwaltung. https://ec.europa.eu/migrant-integration/library-document/institutioneller-rassismus-behoerden-rassistische-wissensbestaende-polizei_de [Aufgerufen am 6. Oktober 2022]. • Studie zu Fehlvorstellungen Medizinstudierender in den USA bezüglich Schmerzempfinden zwischen Schwarzen und weißen Menschen: Hoffman KM, Trawalter S, Axt JR, Oliver MN. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proceedings of the National Academy of Sciences of the United States of America. 2016;113(16): 4296–4301. https://doi.org/10.1073/PNAS.1516047113/SUPPL_FILE/PNAS.201516047SI.PDF. • Höhere Sterblichkeit von werdenden Müttern bestimmter „races“ in den USA: Hoyert DL. Maternal Mortality Rates in the United States, 2020. 2022 Feb [Accessed 9th October 2022]. https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2020/maternal-mortality-rates-2020.htm [Aufgerufen am 9. Oktober 2022) • Bericht zu Sterblichkeit von Müttern im vereinigten Königreich: MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. https://www.npeu.ox.ac.uk/mbrrace-uk [Aufgerufen am 9. Oktober 2022]. • Richtlinien zur Transplantationsmedizin: Transplantationsmedizin. Bundesärztekammer. https://www.bundesaerztekammer.de/baek/ueber-uns/richtlinien-leitlinien-empfehlungen-und-stellungnahmen/transplantationsmedizin [Aufgerufen am 12. OKtober 2022]. • Kulturelle Missverständnisse in der Gesundheitskommunikation: Yildirim-Fahlbusch Y. Türkische Migranten: Kulturelle Missverständnisse. Deutsches Ärzteblatt. 2003; https://www.aerzteblatt.de/archiv/36687/Tuerkische-Migranten-Kulturelle-Missverstaendnisse • Schmerzbescheibungen von nigerianischen Patient*innen: Ebigbo PO. A cross sectional study of somatic complaints of Nigerian females using the Enugu Somatization Scale. Culture, Medicine and Psychiatry. 1986;10(2): 167–186. https://doi.org/10.1007/BF00156582. • Verzerrter BMI bei grönländischen Inuit: Andersen S, Fleischer Rex K, Noahsen P, Sørensen HCF, Mulvad G, Laurberg P. Raised BMI cut-off for overweight in Greenland Inuit--a review. International Journal of Circumpolar Health. 2013;72. https://doi.org/10.3402/ijch.v72i0.21086. • BMI von Menschen verschiedener „races“: Heymsfield SB, Peterson CM, Thomas DM, Heo M, Schuna JM. Why are there race/ethnic differences in adult body mass index–adiposity relationships? A quantitative critical review. Obesity reviews : an official journal of the International Association for the Study of Obesity. 2016;17(3): 262–275. https://doi.org/10.1111/obr.12358. • Mehr Bauchfett bei Menschen bestimmter “races”: Carroll JF, Chiapa AL, Rodriquez M, Phelps DR, Cardarelli KM, Vishwanatha JK, et al. Visceral Fat, Waist Circumference, and BMI: Impact of Race/ethnicity. Obesity. 2008;16(3): 600–607. https://doi.org/10.1038/oby.2007.92. • Fernsehbeitrag der NDR Visite zum Thema Diskriminierung von People of Colour in der Medizin: Diskriminierung von People of Colour in der Medizin. NDR Visite. NDR; 2022. https://www.ndr.de/ratgeber/gesundheit/Diskriminierung-von-People-of-Colour-in-der-Medizin,diskriminierung158.html [Aufgerufen am 11. Oktober 2022]. • Handbuch zum Thema Krankheitssymptome auf starker pigmentierter Haut: Mukwende M, Tamona P, Turner M. Mind the gap : a handbook of clinical signs in black and brown skin. St. Georges, University of London; 2020. https://wellcomecollection.org/works/ndx5vuhy [Aufgerufen am 3. Oktober 2022]. • Gelbsucht wird bei stärker pigmentierten Neugeborenen später diagnostiziert: Golden WC. The African-American neonate at risk for extreme hyperbilirubinemia: a better management strategy is needed. Journal of Perinatology. 2017;37(4): 321–322. https://doi.org/10.1038/jp.2017.1. • Borelliose sieht auf starker pigmentierter Haut unauffällig aus: Nolen L. How Medical Education Is Missing the Bull's-eye. New England Journal of Medicine. 2020;382(26): 2489–2491. https://doi.org/10.1056/NEJMp1915891. • Medizinische Berufe Tabu für Sinti*ze: Schnack D. Arztberuf bleibt für Sinti tabu. Schleswig-Holsteinisches Ärzteblatt. 2022; https://www.aeksh.de/aktuelles/arztberuf-bleibt-fuer-sinti-tabu • Pulsoximeter (Sauerstoffmessgeräte) funktionieren nicht gut auf stark pigmentierter Haut und führen zu späterer Behandlung in Coronapandemie: Fawzy A, Wu TD, Wang K, Robinson ML, Farha J, Bradke A, et al. Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19. JAMA Internal Medicine. 2022;182(7): 730–738. https://doi.org/10.1001/JAMAINTERNMED.2022.1906. • Werte für Nierenfunktion sollten nicht mehr angepasst werden: Williams WW, Hogan JW, Ingelfinger JR. Time to Eliminate Health Care Disparities in the Estimation of Kidney Function. New England Journal of Medicine. 2021;385(19): 1804–1806. https://doi.org/10.1056/NEJMe2114918.

Wie sieht Hautkrebs auf der Haut von People of Colour aus? Wie Gelbsucht und wie ein Zeckenbiss? Ein Medizinstudent hat zu diesen Fragen eine Sammlung mit Beispielen erstellt - denn bisher kommen solche Informationen nur selten vor im Medizinstudium. Wissenschaftsjournalistin Yasmin Appelhans ist der Frage nachgegangen, wie rassistisch unser Gesundheitssystem ist. Im Gespräch mit Host Lucie Kluth spricht sie zum Beispiel über alte Vorurteile, die auch heute offenbar noch immer zu "Diagnosen" wie "Morbus Bosporus" oder dem "Mamma-Mia-Syndrom" werden. Und auch in der Forschung muss sich einiges verändern, damit das Gesundheitssystem nicht mehr diskriminierend ist und damit nicht weiterhin der weiße Mann im Fokus sämtlicher Untersuchungen bleibt- denn es kommt immer wieder vor, dass zum Beispiel Menschen mit Migrationsgeschichte teilweise gar nicht oder zu spät behandelt werden. Inwiefern beeinflusst also die Herkunft die Gesundheit? DIE HINTERGRUNDINFORMATIONEN • Website von Black in Medicine Deutschland mit Zitaten, was Schwarzsein in der Medizin bedeutet: Black in Medicine - Netzwerk Schwarze Mediziner*innen. Black in Medicine Deutschland. https://blackinmedicine.de/ [Aufgerufen am 26. September 2022]. • Bericht zum Afrozensus 2020 mit Angaben zu Diskriminierung im Gesundheitssystem: Aikins MA, Bremberger T, Aikins JK, Gyamerah D, Yıldırım-Caliman D. Afrozensus 2020 - Der Report https://afrozensus.de/reports/2020/ [Aufgerufen am 10. November 2022]. • Bericht zu institutionellem Rassismus in Behörden in Deutschland: Graevskaia A, Rumpel A, Menke K. Institutioneller Rassismus in Behörden - Rassistische Wissensbestände in Polizei, Gesundheitsversorgung und Arbeitsverwaltung. https://ec.europa.eu/migrant-integration/library-document/institutioneller-rassismus-behoerden-rassistische-wissensbestaende-polizei_de [Aufgerufen am 6. Oktober 2022]. • Studie zu Fehlvorstellungen Medizinstudierender in den USA bezüglich Schmerzempfinden zwischen Schwarzen und weißen Menschen: Hoffman KM, Trawalter S, Axt JR, Oliver MN. Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proceedings of the National Academy of Sciences of the United States of America. 2016;113(16): 4296–4301. https://doi.org/10.1073/PNAS.1516047113/SUPPL_FILE/PNAS.201516047SI.PDF. • Höhere Sterblichkeit von werdenden Müttern bestimmter „races“ in den USA: Hoyert DL. Maternal Mortality Rates in the United States, 2020. 2022 Feb [Accessed 9th October 2022]. https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2020/maternal-mortality-rates-2020.htm [Aufgerufen am 9. Oktober 2022) • Bericht zu Sterblichkeit von Müttern im vereinigten Königreich: MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. https://www.npeu.ox.ac.uk/mbrrace-uk [Aufgerufen am 9. Oktober 2022]. • Richtlinien zur Transplantationsmedizin: Transplantationsmedizin. Bundesärztekammer. https://www.bundesaerztekammer.de/baek/ueber-uns/richtlinien-leitlinien-empfehlungen-und-stellungnahmen/transplantationsmedizin [Aufgerufen am 12. OKtober 2022]. • Kulturelle Missverständnisse in der Gesundheitskommunikation: Yildirim-Fahlbusch Y. Türkische Migranten: Kulturelle Missverständnisse. Deutsches Ärzteblatt. 2003; https://www.aerzteblatt.de/archiv/36687/Tuerkische-Migranten-Kulturelle-Missverstaendnisse • Schmerzbescheibungen von nigerianischen Patient*innen: Ebigbo PO. A cross sectional study of somatic complaints of Nigerian females using the Enugu Somatization Scale. Culture, Medicine and Psychiatry. 1986;10(2): 167–186. https://doi.org/10.1007/BF00156582. • Verzerrter BMI bei grönländischen Inuit: Andersen S, Fleischer Rex K, Noahsen P, Sørensen HCF, Mulvad G, Laurberg P. Raised BMI cut-off for overweight in Greenland Inuit--a review. International Journal of Circumpolar Health. 2013;72. https://doi.org/10.3402/ijch.v72i0.21086. • BMI von Menschen verschiedener „races“: Heymsfield SB, Peterson CM, Thomas DM, Heo M, Schuna JM. Why are there race/ethnic differences in adult body mass index–adiposity relationships? A quantitative critical review. Obesity reviews : an official journal of the International Association for the Study of Obesity. 2016;17(3): 262–275. https://doi.org/10.1111/obr.12358. • Mehr Bauchfett bei Menschen bestimmter “races”: Carroll JF, Chiapa AL, Rodriquez M, Phelps DR, Cardarelli KM, Vishwanatha JK, et al. Visceral Fat, Waist Circumference, and BMI: Impact of Race/ethnicity. Obesity. 2008;16(3): 600–607. https://doi.org/10.1038/oby.2007.92. • Fernsehbeitrag der NDR Visite zum Thema Diskriminierung von People of Colour in der Medizin: Diskriminierung von People of Colour in der Medizin. NDR Visite. NDR; 2022. https://www.ndr.de/ratgeber/gesundheit/Diskriminierung-von-People-of-Colour-in-der-Medizin,diskriminierung158.html [Aufgerufen am 11. Oktober 2022]. • Handbuch zum Thema Krankheitssymptome auf starker pigmentierter Haut: Mukwende M, Tamona P, Turner M. Mind the gap : a handbook of clinical signs in black and brown skin. St. Georges, University of London; 2020. https://wellcomecollection.org/works/ndx5vuhy [Aufgerufen am 3. Oktober 2022]. • Gelbsucht wird bei stärker pigmentierten Neugeborenen später diagnostiziert: Golden WC. The African-American neonate at risk for extreme hyperbilirubinemia: a better management strategy is needed. Journal of Perinatology. 2017;37(4): 321–322. https://doi.org/10.1038/jp.2017.1. • Borelliose sieht auf starker pigmentierter Haut unauffällig aus: Nolen L. How Medical Education Is Missing the Bull's-eye. New England Journal of Medicine. 2020;382(26): 2489–2491. https://doi.org/10.1056/NEJMp1915891. • Medizinische Berufe Tabu für Sinti*ze: Schnack D. Arztberuf bleibt für Sinti tabu. Schleswig-Holsteinisches Ärzteblatt. 2022; https://www.aeksh.de/aktuelles/arztberuf-bleibt-fuer-sinti-tabu • Pulsoximeter (Sauerstoffmessgeräte) funktionieren nicht gut auf stark pigmentierter Haut und führen zu späterer Behandlung in Coronapandemie: Fawzy A, Wu TD, Wang K, Robinson ML, Farha J, Bradke A, et al. Racial and Ethnic Discrepancy in Pulse Oximetry and Delayed Identification of Treatment Eligibility Among Patients With COVID-19. JAMA Internal Medicine. 2022;182(7): 730–738. https://doi.org/10.1001/JAMAINTERNMED.2022.1906. • Werte für Nierenfunktion sollten nicht mehr angepasst werden: Williams WW, Hogan JW, Ingelfinger JR. Time to Eliminate Health Care Disparities in the Estimation of Kidney Function. New England Journal of Medicine. 2021;385(19): 1804–1806. https://doi.org/10.1056/NEJMe2114918.

Today on the pod we have Najma Khorrami, MPH, a global and public health professional and the founder of Gratitude Circle, an award-winning lifestyle platform and app. Gratitude Circle featuring a social media app and gratitude hotline to thank healthcare providers, especially those who were on the frontlines of the COVID pandemic. The platform is meant to amplify the best instincts in human nature. Najma received a master's degree in Public Health in Health Policy from The GW Milken Institute School of Public Health and a Global Health Certificate from The Johns Hopkins Bloomberg School of Public Health. Her research has been published in the International Journal of Gynecology and Obstetrics and the Journal of Perinatology. ◘ Related Content Gratitude Circle www.gratcircle.com Gratitude Circle Hotline https://hotline.gratcircle.com/ Video: Jon Kabat Zinn on 9 Attitudes https://www.youtube.com/watch?v=2n7FOBFMvXg How Gratitude Changes You and Your Brain https://bit.ly/3yHWsJR The Science of Gratitude https://bit.ly/3g9VL5A Giving thanks can make you happier https://bit.ly/3EGzTZW ◘ Transcript https://bit.ly/3eAEG4v ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

How does meditation improve pregnancy outcomes? Today's episode is a powerful conversation with Nathalie Walton, CEO/Co-Founder of Expectful. Expectful is a meditation and mental health app for before, during and after pregnancy. We've been friends with the folks over at Expectful for a few years now, and we're very excited to team up for this episode to bring important topics to light. Nathalie shares some of her personal journey of her pregnancy in 2019 and the stress that came with being high risk for preterm labor. After finding Expectful and using it herself, Nathalie found that her tests stabilized and her practices of mindfulness, breathwork and fitness supported her in making it to full term.  We also discuss the science behind meditation and its benefits during pregnancy and postpartum, and how Expectful has created multiple avenues for incorporating mindfulness, meditation, community and support within their platform. From courses in Hypnobirthing to addressing mom guilt, fitness events and classes and lactation support. Plus an extensive library of meditations that can walk you through every day of your pregnancy journey. There are also meditations focusing on preconception, postpartum and loss.  You can download the Expectful app for a free week trial. And - we have a special offer for DIAH listeners. When you use the code DIAH25OFF on Expectful's website (https://expectful.com/), you'll get 25% off your annual membership.  Links From The Episode: Expectful - use the code DIAH25OFF for 25% off an annual membership: https://expectful.com/ Expectful in the app store: https://bit.ly/3yjkytz Expectful Instagram: https://www.instagram.com/expectful/ Article from The Journal of Midwifery and Women's Health: https://onlinelibrary.wiley.com/doi/10.1111/jmwh.13359 Article from The American Journal of Perinatology: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-1787-7576 More From Doing It At Home: DIAH Website: https://www.diahpodcast.com/ DIAH Instagram: https://www.instagram.com/doingitathome/ DIAH YouTube: https://bit.ly/3pzuzQC

What is the difference between midwives, OB/GYNs, and high risk MFM specilaits? What about douals. and labor coaches?  Is a midwive like an OB/GYN?  Isn't a midwife just a doula? What are the differences between each?    According the the American College of Midwives the definition of midwifery is: "Midwifery as practiced by certified nurse-midwives (CNMs®) and certified midwives (CMs®) encompasses a full range of primary health care services for women from adolescence beyond menopause. These services include the independent provision of primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods; admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. These services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers."   The definition of an OB/GYN from the American College of Obstetricians and Gynecologist is: "Ob-gyns are doctors who have special training and education in women's health care. They are dedicated to the medical and surgical care of women's health throughout the lifespan. Ob-gyns who are members of ACOG are called Fellows or Junior Fellows. ACOG Fellows are ob-gyns who are board certified in obstetrics, gynecology, or both. They are identified by the initials FACOG after their name. ACOG Junior Fellows are ob-gyn residents or recent graduates of an approved residency program and not yet board certified. Some ob-gyns have extra training in a focused area of women's health care. These areas include: Female pelvic medicine and reconstructive surgery (focused on pelvic floor disorders, including pelvic organ prolapse, incontinence, and pelvic pain) Gynecologic oncology (focused on cancers of the cervix, ovaries, uterus, vagina, and vulva) Maternal-fetal medicine (focused on high-risk pregnancies) Reproductive endocrinology and infertility (focused on the hormones of the reproductive system and helping women who have problems getting pregnant)"   The defintion of a doula or a labor coach from the Doulas of North America is: "A [doula] is a trained professional who provides continuous physical, emotional and informationl support to a mother before, during and shortly after childbirth to help her ahieve the healtiest, most satifying expericne possible."   An MFM (Maternal Fetal Medicine) specilaist is:  "Maternal-Fetal Medicine (MFM) physicians are high-risk pregnancy experts, specializing in the un-routine. For moms-to-be with chronic health problems, we work with other specialists in an office or hospital setting to keep mom healthy as her body changes and her baby grows. We also care for moms who face unexpected problems that develop during pregnancy, such as early labor, bleeding, or high blood pressure. We're the go-to for moms who arrive in the hospital while they are pregnant for any reason, whether after an accident or at the onset of a kidney infection. In other cases, it's the baby who faces the un-routine. If we find birth defects or growth problems, we can start treatment before birth, providing monitoring, blood transfusions and surgery to support babies with the best possible care until they are ready to arrive in the world. Training A maternal-fetal medicine sub-specialist is an obstetrician/gynecologist who has completed 4 years of Ob/Gyn training followed by 2-3 years of additional education and clinical experience to develop specialized skills to help both the mom and baby before and during an un-routine pregnancy. Our training includes both medical treatment and complex procedures for moms and babies. We are high-risk pregnancy experts. Our extra training enables us to conduct and interpret research on new approaches for pregnancy problems. Through educational courses, development of clinical protocols, and research, we share our knowledge of optimal care for complicated pregnancies with others. Our overarching goal is to improve outcomes for moms and babies. Maternal-Fetal Medicine physicians partner with multiple caregivers to consult, co-manage or care directly for complicated situations, both before, during and after pregnancy. We know it takes a team --starting with the mother and her family--to navigate the un-routine and achieve the best possible outcome. When should I see an MFM Specialist? MFM specialists treat two patients at the same time. We partner with the mom-to-be, her family, and her medical team to navigate the un-routine and achieve the best possible outcome. We see families who have experienced un-routine pregnancies in the past, mothers with chronic health conditions, and women who develop unexpected problems during their pregnancy. Learn More"   We hope you enjoyed our podcast about how each of these important aspects of childbirth and birthing medicine are uniquley beneficial in the field of reporduction.  As alwasys we'd love to get your feedback. Please email us at info@maternalresoures.org or visit our podcast website to leave a comment or feedback regarding this or any episode.    One final comment, Kristin mentions incluidng the Muni Train information fo anyone who wants to check out what part of the San Francisoc train system looks like. You can find it here     Our practice website can be found at: Maternal Resources: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts.  Please consider leaving us a review.  Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB      

Episode Notes:TTN vs RDSNeonatal Resources, the Podcast Listen to Michelle and Darla compare and contrast transient tachypnea of the newborn with respiratory distress syndrome. They talk about:Risk factorsWho is most likely to be impactedThe importance of developmental careClinical managementThere is quite a bit of surfactant discussion, and to be fair, surfactant is often a huge component of NICU management. Check out the Get Your Pens blog To Surf or Not to Surf (if you don't see a hyperlink, check back, it's still in process) for a deep dive into methods of surfactant administration, what makes artificial surfactants work, and how the types of surfactant differ.For visual folks and side by side comparison…Get Your Pens.References:Amitai Komem, D., Meyer, R., Yinon, Y., & Levin, G. (2021). Prediction of meconium aspiration syndrome by data available before delivery. International Journal of Gynecology & Obstetrics. https://doi.org/10.1002/ijgo.14034 Alhassen, Z., Vali, P., Guglani, L., Lakshminrusimha, S., & Ryan, R. M. (2021). Recent Advances in Pathophysiology and Management of Transient Tachypnea of Newborn. Journal of Perinatology, 41(1), 6–16. https://doi.org/10.1038/s41372-020-0757-3Bonk, M. P., & Reilly, J. P. (2019). Clear as Mud: Diagnostic Uncertainty in Acute Respiratory Distress Syndrome. Annals of the American Thoracic Society, 16(2), 197–199. https://doi.org/10.1513/AnnalsATS.201810-697EDGomella, T. L., Eyal, F. G., & Bany-Mohammed, F. (2020). Neonatology; Management, Procedures, on-call problems, diseases, and drugs. (8th Ed).  McGraw Hill Lange. Chapter 106Jnah, A. J., & Trembath, A. N. (2019). Fetal and neonatal physiology for the advanced practice nurse. Springer Publishing Company. Chapter 4Jobe, A. H. (2019). Why, when, and how to give surfactant. Pediatric Research, 86(1), 15–16. https://doi.org/10.1038/s41390-019-0372-1Ng, E. H., & Shah, V. (2021). Guidelines for surfactant replacement therapy in neonates. Paediatrics & child health, 26(1), 35–49. https://doi.org/10.1093/pch/pxaa116Razak, A. (2022). Minimally Invasive Surfactant Therapy vs Sham Treatment and Death or Bronchopulmonary Dysplasia in Preterm Infants With Respiratory Distress Syndrome. JAMA: Journal of the American Medical Association, 327(16), 1613. https://doi.org/10.1001/jama.2022.2923For definitions of the terms we used, check out the full episode page at TTN vs RDS

Episode Notes:TTN vs RDSNeonatal Resources, the Podcast Listen to Michelle and Darla compare and contrast transient tachypnea of the newborn with respiratory distress syndrome. They talk about:Risk factorsWho is most likely to be impactedThe importance of developmental careClinical managementThere is quite a bit of surfactant discussion, and to be fair, surfactant is often a huge component of NICU management. Check out the Get Your Pens blog To Surf or Not to Surf (if you don't see a hyperlink, check back, it's still in process) for a deep dive into methods of surfactant administration, what makes artificial surfactants work, and how the types of surfactant differ.For visual folks and side by side comparison…Get Your Pens.References:Amitai Komem, D., Meyer, R., Yinon, Y., & Levin, G. (2021). Prediction of meconium aspiration syndrome by data available before delivery. International Journal of Gynecology & Obstetrics. https://doi.org/10.1002/ijgo.14034 Alhassen, Z., Vali, P., Guglani, L., Lakshminrusimha, S., & Ryan, R. M. (2021). Recent Advances in Pathophysiology and Management of Transient Tachypnea of Newborn. Journal of Perinatology, 41(1), 6–16. https://doi.org/10.1038/s41372-020-0757-3Bonk, M. P., & Reilly, J. P. (2019). Clear as Mud: Diagnostic Uncertainty in Acute Respiratory Distress Syndrome. Annals of the American Thoracic Society, 16(2), 197–199. https://doi.org/10.1513/AnnalsATS.201810-697EDGomella, T. L., Eyal, F. G., & Bany-Mohammed, F. (2020). Neonatology; Management, Procedures, on-call problems, diseases, and drugs. (8th Ed).  McGraw Hill Lange. Chapter 106Jnah, A. J., & Trembath, A. N. (2019). Fetal and neonatal physiology for the advanced practice nurse. Springer Publishing Company. Chapter 4Jobe, A. H. (2019). Why, when, and how to give surfactant. Pediatric Research, 86(1), 15–16. https://doi.org/10.1038/s41390-019-0372-1Ng, E. H., & Shah, V. (2021). Guidelines for surfactant replacement therapy in neonates. Paediatrics & child health, 26(1), 35–49. https://doi.org/10.1093/pch/pxaa116Razak, A. (2022). Minimally Invasive Surfactant Therapy vs Sham Treatment and Death or Bronchopulmonary Dysplasia in Preterm Infants With Respiratory Distress Syndrome. JAMA: Journal of the American Medical Association, 327(16), 1613. https://doi.org/10.1001/jama.2022.2923For definitions of the terms we used, check out the full episode page at TTN vs RDS

Episode Notes:TTN vs RDSNeonatal Resources, the Podcast Listen to Michelle and Darla compare and contrast transient tachypnea of the newborn with respiratory distress syndrome. They talk about:Risk factorsWho is most likely to be impactedThe importance of developmental careClinical managementThere is quite a bit of surfactant discussion, and to be fair, surfactant is often a huge component of NICU management. Check out the Get Your Pens blog To Surf or Not to Surf (if you don't see a hyperlink, check back, it's still in process) for a deep dive into methods of surfactant administration, what makes artificial surfactants work, and how the types of surfactant differ.For visual folks and side by side comparison…Get Your Pens.References:Amitai Komem, D., Meyer, R., Yinon, Y., & Levin, G. (2021). Prediction of meconium aspiration syndrome by data available before delivery. International Journal of Gynecology & Obstetrics. https://doi.org/10.1002/ijgo.14034 Alhassen, Z., Vali, P., Guglani, L., Lakshminrusimha, S., & Ryan, R. M. (2021). Recent Advances in Pathophysiology and Management of Transient Tachypnea of Newborn. Journal of Perinatology, 41(1), 6–16. https://doi.org/10.1038/s41372-020-0757-3Bonk, M. P., & Reilly, J. P. (2019). Clear as Mud: Diagnostic Uncertainty in Acute Respiratory Distress Syndrome. Annals of the American Thoracic Society, 16(2), 197–199. https://doi.org/10.1513/AnnalsATS.201810-697EDGomella, T. L., Eyal, F. G., & Bany-Mohammed, F. (2020). Neonatology; Management, Procedures, on-call problems, diseases, and drugs. (8th Ed).  McGraw Hill Lange. Chapter 106Jnah, A. J., & Trembath, A. N. (2019). Fetal and neonatal physiology for the advanced practice nurse. Springer Publishing Company. Chapter 4Jobe, A. H. (2019). Why, when, and how to give surfactant. Pediatric Research, 86(1), 15–16. https://doi.org/10.1038/s41390-019-0372-1Ng, E. H., & Shah, V. (2021). Guidelines for surfactant replacement therapy in neonates. Paediatrics & child health, 26(1), 35–49. https://doi.org/10.1093/pch/pxaa116Razak, A. (2022). Minimally Invasive Surfactant Therapy vs Sham Treatment and Death or Bronchopulmonary Dysplasia in Preterm Infants With Respiratory Distress Syndrome. JAMA: Journal of the American Medical Association, 327(16), 1613. https://doi.org/10.1001/jama.2022.2923For definitions of the terms we used, check out the full episode page at TTN vs RDS

Episode Notes:TTN vs RDSNeonatal Resources, the Podcast Listen to Michelle and Darla compare and contrast transient tachypnea of the newborn with respiratory distress syndrome. They talk about:Risk factorsWho is most likely to be impactedThe importance of developmental careClinical managementThere is quite a bit of surfactant discussion, and to be fair, surfactant is often a huge component of NICU management. Check out the Get Your Pens blog To Surf or Not to Surf (if you don't see a hyperlink, check back, it's still in process) for a deep dive into methods of surfactant administration, what makes artificial surfactants work, and how the types of surfactant differ.For visual folks and side by side comparison…Get Your Pens.References:Amitai Komem, D., Meyer, R., Yinon, Y., & Levin, G. (2021). Prediction of meconium aspiration syndrome by data available before delivery. International Journal of Gynecology & Obstetrics. https://doi.org/10.1002/ijgo.14034 Alhassen, Z., Vali, P., Guglani, L., Lakshminrusimha, S., & Ryan, R. M. (2021). Recent Advances in Pathophysiology and Management of Transient Tachypnea of Newborn. Journal of Perinatology, 41(1), 6–16. https://doi.org/10.1038/s41372-020-0757-3Bonk, M. P., & Reilly, J. P. (2019). Clear as Mud: Diagnostic Uncertainty in Acute Respiratory Distress Syndrome. Annals of the American Thoracic Society, 16(2), 197–199. https://doi.org/10.1513/AnnalsATS.201810-697EDGomella, T. L., Eyal, F. G., & Bany-Mohammed, F. (2020). Neonatology; Management, Procedures, on-call problems, diseases, and drugs. (8th Ed).  McGraw Hill Lange. Chapter 106Jnah, A. J., & Trembath, A. N. (2019). Fetal and neonatal physiology for the advanced practice nurse. Springer Publishing Company. Chapter 4Jobe, A. H. (2019). Why, when, and how to give surfactant. Pediatric Research, 86(1), 15–16. https://doi.org/10.1038/s41390-019-0372-1Ng, E. H., & Shah, V. (2021). Guidelines for surfactant replacement therapy in neonates. Paediatrics & child health, 26(1), 35–49. https://doi.org/10.1093/pch/pxaa116Razak, A. (2022). Minimally Invasive Surfactant Therapy vs Sham Treatment and Death or Bronchopulmonary Dysplasia in Preterm Infants With Respiratory Distress Syndrome. JAMA: Journal of the American Medical Association, 327(16), 1613. https://doi.org/10.1001/jama.2022.2923For definitions of the terms we used, check out the full episode page at TTN vs RDS

Radiology and imaging techniques in pregnancy are reviewed such as x-rays, CT scans and MRIs.  Find out when it is safe to get imaging done in prengnacy.    The United States Preventive Services Task Force (USPSTF) recommend that routine X-rays and other diagnostic procedures be avoided during pregnancy primarily because if it can be delayed, that is advisable. However, they state that imaging studies are sometimes unavoidable and some may be medically necessary. In this podcast, we explain what imaging in pregnancy is Our practice website can be found at: Maternal Resources: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts.  Please consider leaving us a review on iTunes Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB

John Wyatt is Professor of Ethics and Perinatology at University College London and also Emeritus Professor of Neonatal Paediatrics, Ethics & Perinatology at University College London.   As a paediatrician, he specialised and led an intensive care unit for premature babies in London for 25 years. But alongside his medical practice, he has been a frequent contributor to the major medical ethical debates of our time, enabling him to play a significant part in updating John Stott's Issues Facing Christians Today. He first joined All Souls, Langham Place as a medical student in the 1970s and was invited by Uncle John to become one of the initial members of his books and culture discussion group. Having spent the last 50 years at All Souls, he got to know Stott well, becoming one of his key medical advisers. It was John Wyatt who convinced Stott to include two very personal chapters in his very last book, Radical Disciple, under the titles of Dependence and Death.   John has written several books of his own, particularly focused on the major ethical dilemmas surrounding the beginning and end of life. Most recently, he has researched the implications and challenges raised by Artificial Intelligence for medical ethics. He is also a much sought-after speaker and lecturer all over the world. This is Part 2 of 2. John's Website and Blog for details of his books, articles and other resources Find some of his seminars at the Faraday Institute Produced by Langham Partnership UKI

John Wyatt is Professor of Ethics and Perinatology at University College London and also Emeritus Professor of Neonatal Paediatrics, Ethics & Perinatology at University College London.   As a paediatrician, he specialised and led an intensive care unit for premature babies in London for 25 years. But alongside his medical practice, he has been a frequent contributor to the major medical ethical debates of our time, enabling him to play a significant part in updating John Stott's Issues Facing Christians Today. He first joined All Souls, Langham Place as a medical student in the 1970s and was invited by Uncle John to become one of the initial members of his books and culture discussion group. Having spent the last 50 years at All Souls, he got to know Stott well, becoming one of his key medical advisers. It was John Wyatt who convinced Stott to include two very personal chapters in his very last book, Radical Disciple, under the titles of Dependence and Death.   John has written several books of his own, particularly focused on the major ethical dilemmas surrounding the beginning and end of life. Most recently, he has researched the implications and challenges raised by Artificial Intelligence for medical ethics. He is also a much sought-after speaker and lecturer all over the world. This episode is Part 1 of 2. John's Website and Blog for details of his books, articles and other resources Find some of his seminars at the Faraday Institute Produced by Langham Partnership UKI

We are joined again by Dr. David Abel to talk about the first part of hemoglobinopathies: thalassemias.  Dr. Abel is an assistant professor in the Division of Perinatology at Oregon Health and Science University.  Don't forget to check out our Rosh Review question of the week! Go on our website to find out how to win a whole year's worth of board review questions.  Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com

Professor John Wyatt joins us for the second week of the Lent Discipleship School, helping us to think about Navigating Life and Death. He addresses a number of significant issues to do with medicine and ethics and answers anonymous questions. John Wyatt is Emeritus Professor of Neonatal Paediatrics, Ethics & Perinatology at University College London. He is also a senior researcher at the Faraday Institute for Science and Religion, Cambridge, and is back by popular demand. For more resources, have a look at johnwyatt.com

While there are routine ultrasounds that almost every pregnant person gets. There are specific ultrasound that are ordered if there is an issue seen. Today we're going to go through those issues and what they might be interested in. Today's guest is Marybeth. She picked up an ultrasound probe for the first time in 1998 and has really enjoyed every minute of it. She has a Bachelor's of Science degree from Southern Illinois University, and has worked in Hospitals, Outpatient imaging centers, OBGYN offices, and now in a private Perinatology office. She started in general ultrasound and slowly found her way into high-risk OB. Marybeth is certified in Ob/GYN, Fetal Echocardiography, Nuchal translucency screening, Nasal bone, Uterine artery Doppler, and CLEAR. She is a huge advocate for patient education and teaching new sonographers tips and tricks of optimizing their scanning. Big thanks to our sponsor The Online Prenatal Class for Couples — if you're looking understand more about pregnancy and labor, this is the class for you. I'll take you and your partner through each step, both explaining and simplifying it — so you can have the confident birth you're hoping for! Don't miss out on my Free Birth Prep Kit that gives you a FREE lesson on this testing and what to expect during it. In this episode What type of testing we are talking about, and what they are for. BPP NST AFI Fetal Size Other things that might interest you My other episode on routine ultrasounds.

Questa puntata è dedicata alla consensus statement prodotta dalla Society for Obstetric Anesthesia and Perinatology nel 2021L'Interdisciplinary Consensus Statement on Neuraxial Procedures in Obstetric Patients With Thrombocytopenia.Poiché fino al 12% delle pazienti ostetriche soddisfano i criteri per la diagnosi di trombocitopenia in gravidanza, non è infrequente che l'anestesista debba decidere se procedere con un'anestesia neurassiale in una paziente affetta da tale condizione. In questa prima di tre parti si anticipa che le migliori prove disponibili indicano che, in assenza di altri fattori, il rischio di ematoma epidurale spinale associato a una conta piastrinica maggiore o uguale a 70.000 × 106/L è probabilmente molto basso nelle pazienti ostetriche, con trombocitopenia secondaria a trombocitopenia gestazionale, trombocitopenia immune ITP e disturbi ipertensivi della gravidanza. Le eziologie più comuni di trombocitopenia in gravidanza includono la trombocitopenia gestazionale, la trombocitopenia immune primaria e la trombocitopenia associata ai disturbi ipertensivi della gravidanza Preeclampsia e Sindrome HELLP.Condizioni più rare associate alla gravidanza, per esempio, la Steatosi epatica acuta della gravidanza o non associate alla gravidanza, per esempio la porpora trombotica trombocitopenica TTP e la trombocitopenia indotta da sepsi non rientrano in queste raccomandazioni. L'incidenza dell'ematoma epidurale spinale specificamente nelle pazienti ostetriche con trombocitopenia, con conta piastrinica inferiore a 100.000 × 106/L è sconosciuta. L'incidenza nella popolazione ostetrica generale è stimata tra 1:200.000 e 1:250.000. In una revisione sistematica e meta-analisi del 2020 che rivedevano 7509 procedure neuroassiali in una coorte di pazienti con trombocitopenia, la maggior parte degli ematomi epidurali spinali si è verificata in pazienti con conta delle piastrine inferiore a 50.000 × 106/L. L'emocromo completo, che fornisce la conta piastrinica assoluta può identificare quali pazienti ostetriche hanno trombocitopenia. Il PT e l'aPTT non hanno alcuna utilità nel prevedere il rischio di sanguinamento in una donna incinta con trombocitopenia e non ci siano prove sufficienti per raccomandare l'uso di routine della tromboelastografia TEG e della tromboelastometria rotazionale ROTEM in gravidanza o nel postpartum per stabilire la sicurezza dell'anestesia neurassiale in pazienti con trombocitopenia.

There are a few routine ultrasounds that are indicated during pregnancy. They give us important facts about our pregnancy, and today we have a maternal fetal medicine stenographer who's going to tell us what they're for, and what to expect! Today's guest is Marybeth. She picked up an ultrasound probe for the first time in 1998 and has really enjoyed every minute of it. She has a Bachelor's of Science degree from Southern Illinois University, and has worked in Hospitals, Outpatient imaging centers, OBGYN offices, and now in a private Perinatology office. She started in general ultrasound and slowly found her way into high-risk OB. Marybeth is certified in Ob/GYN, Fetal Echocardiography, Nuchal translucency screening, Nasal bone, Uterine artery Doppler, and CLEAR. She is a huge advocate for patient education and teaching new sonographers tips and tricks of optimizing their scanning. Big thanks to our sponsor The Online Prenatal Class for Couples -- if you're looking understand more about pregnancy and labor, this is the class for you. I'll take you and your partner through each step, both explaining and simplifying it -- so you can have the confident birth you're hoping for! In this episode What an stonographer does. The difference between a regular stonographer vs one who does high risk OB ultrasound When people have routine ultraounds How they create a due date for the baby. Why your due date matters What the nuchal translucency test shows What they're looking for at the 20'ish week anatomy scan Why you might end up getting another ultrasound to see a specific part better. Other things that might interest you Producer: Drew Erickson

Dr. Shannon M. Clark discusses the following with Sierra Richard, PharmD @happypharmlife: •Old and new pregnancy category labeling systems for medications in pregnancy •How research on medications in pregnancy is done •Roadblocks to studying medications in pregnancy and lactation •How to sign up for a pregnancy registry for a medication you are on •Post-market and off-label use of medications in pregnancy and lactation •What to do if your pharmacist refuses to fill a prescription for you because of pregnancy Recommend resources: @mothertobabyotis @postpartumsupportinternational InfantRisk for providers and MommyMeds for patients (apps) Perinatology.com, Drugs in Pregnancy and Breastfeeding @centerforwmh FDA Pregnancy Exposure Registries Drugs and Lactation Database (LactMed) For pharmacists: Brigg's Drugs in Pregnancy and Lactation that is built into Lexicomp --- Support this podcast: https://anchor.fm/adoctordeliverspodcast/support

Clinician distress and physician burnout is at an all-time high, but what can be done about it? A team at Weill Cornell Medicine is making an effort to create an effective, reproducible solution. In this interview, Karolyn Gazella talks with lead author Klaus Kjaer, MD, about the model they implemented in 2019 and the outcomes of their project using that model. Since 2015, Kjaer has been the chief quality and patient safety officer with Weill Cornell Medicine and New York Presbyterian Hospital. About the Expert As Chief Quality and Patient Safety Officer of Weill Cornell Medicine, Klaus Kjaer, MD, works with the leadership to support physician-led initiatives focused on improving quality, patient safety and risk management across all clinical departments. His focus is on consistent delivery of high-value medical care, redesign of clinical processes, and adoption of targeted quality metrics to improve clinical performance. Kjaer directs the Fellowship Program in Obstetric Anesthesiology at Weill Cornell and serves on the Board of Directors for the Society of Obstetric Anesthesia and Perinatology. In 2014, he received Weill Cornell's Physician of the Year Award.

What's the cause of fetal growth restriction? How can you prevent it? In this episode of True Birth, we will talk about fetal growth restriction/FGR previously termed IUGR or Inner Uterine Growth Restriction.       What is FGR? [1:36] It is when the baby falls below the 10th percentile for weight. 10% of babies will be below the 10th percentile, by definition. Hence, 10% of babies will be classified as fetal growth restricted. It's important for you to know that because 10% of babies are not in a pathological situation. They're not in a bad situation. They're not in a situation where they're not growing.    [2:35] It's important to consider each woman and her partner uniquely in pregnancy.  A women that is  5'9 with women and a woman that is 5 feet tall will have different size expectations and patterns when it comes to pregnancy.    Possible reasons that the baby is small [4:17] The number one reason that a baby could be on the smaller side is that the mother is small and the father of the baby is maybe not the tallest guy. We use the term FGR/Fetal Growth Restriction when they're in utero, but once they're delivered, we call them SGA/Small for Gestational Age.    [5:06] When you find the baby's not growing well, this will generally be after 20 weeks Babies are generally the same size until 20 weeks.    [6:08] Another reason the baby is small is that it's supposed to be small and there's nothing wrong. The number two reason is placental perfusion. It has a problem with the baby getting enough blood flow and nutrients. It is just not getting enough of what it needs to grow well. And there are many reasons why the placenta won't function. So when you see a small baby, especially in the third trimester after 27 weeks, 30 weeks, start thinking, "Oh, how are her blood pressures? She's spilling protein. Is there something going on with this patient that's pointing me towards preeclampsia?"   [8:07] TORCH is an acronym that stands for toxoplasmosis, rubella cytomegalovirus, herpes simplex, and HIV. Cytomegalovirus is a virus that's very common in the population. Most people have been exposed to cytomegalovirus. T  Ultrasound tools [12:09] To understand Dopplers without getting into the physics of what the Doppler effect is, you can take your transducer, you could put it over the cord, and you can turn on the Doppler and you could see the blood flow through the cord.   [13:48] When you look at a Doppler, and you see the blood flowing the way it should, before the next heartbeat, you measure how fast it's going right before the next heartbeat.   [15:14] When you talk about fetal growth restriction, you can't just talk about the baby's size because there's only one piece of it. The other piece is what is the placenta telling you? What are the Dopplers telling you?    [15:34] Biometry is when you measure the femur and the abdomen and measure the head to get the size and weight of the baby and estimated fetal weight.    Guidelines about how to approach Fetal Growth Restriction [18:12] If you're below the third percentile, even if everything else is okay, that's the baby you got to deliver at 37 weeks. You can't just sit around and look at that baby for 37 weeks get the baby out. If your baby is above the third percentile and the Dopplers are elevated but not absent, get the baby up. And if there's no flow, the blood stops, that's even more concerning. If you see the reverse flow, you're dealing with a much more ominous situation and you don't want to go past 32 weeks. If you don't think the baby's doing well, you might have to come out even earlier.   Biophysical profile [22:09] One of the things that some patients might have to consider in other practices is that they would need to start having biophysical profiles done. A biophysical profile is when you're checking for a series of four different things and looking to ensure that the baby is reassuring overall. What is the baby's movement? What is fetal breathing, which is an exercise the baby does to inhale and exhale fluid? What is his tone? Is the baby flex or the floppy? Or if you feel the baby's not moving, these are things that you have to consider.   [23:51] One of the things you're looking for when talking about growth restriction is you want to see how the baby is handling the uterine environment? How's the baby doing on the inside? These tests will wish to you to identify a baby that's not doing well or not getting enough blood flow. You need to know if you can wait on it and let the baby stay inside, or is it time to get the baby out? Because then the baby will do better outside of the womb.    Recommendations [24:20] The recommendation is that if you recognize growth restriction, you should at least be monitoring weekly, that might be nonstress tests, or that might be a biophysical every week. And if you have a severe growth that restricts a baby under the third percentile or abnormal Dopplers or accident, then twice a week. If you have reversed outside flow, put those patients in the hospital because they need to be monitored around the clock and you got to pull the baby out before it's too late.     [29:08] The most reliable and consistent way to assess blood flow to the baby is the umbilical artery. Look at the ductus phimosis. When the umbilical cord hits the baby's belly button, a big part of the vein goes up into the heart carrying the birth at heart, and you can see if there's resistance, or even at the umbilical vein.   Here is the photo that we have permission to share.    Visit https://www.truebirthpodcast.com/ to listen more episodes! Maternal Resources Social Facebook: https://www.facebook.com/maternalresourceshackensack |nstagram: @maternalresources Subscribe to the podcast on Apple Podcasts, Spotify, Google Podcasts, & Stitcher and leave a review!          

Today, Nick and Fei are joined by Dr. David Abel to discuss Von Willebrand Disease. We review its importance both in the Gyn and the Ob patient. Dr. Abel is an assistant professor in the Division of Perinatology at Oregon Health and Science University.  Twitter: @creogsovercoff1 Instagram: @creogsovercoffee Facebook: www.facebook.com/creogsovercoffee Website: www.creogsovercoffee.com Patreon: www.patreon.com/creogsovercoffee You can find the OBG Project at: www.obgproject.com

In this limited series of episodes, we have conversations with a variety of experts and community leaders in the field of maternal and child health to discuss how to advance maternal health equity. In this episode we spoke with Janel Hughes-Jones, a bilingual breastfeeding Peer Counselor (PC), with more than 18 years of experience working with many organizations to facilitate breastfeeding communities in public health, hospital, educational, business and faith based settings in the State of Illinois. She was the co-chair of JABA (Joliet Alliance of Breastfeeding Advocates)from 2004 - 2019. She is the President and Founder of Milk of the Heart Inc. a 501-c3 breastfeeding education, support and advocacy non-profit, where she raises funds for equity projects like hiring a translator to translate the “Illinois Breastfeeding Law Card” into Spanish and receiving donations to build incentive bags for women to take an infant feeding class. She is a proud member of BELA, Birth Equity Leadership Academy, (Health Connect One) and has been a long time speaker at the Illinois' Baby Expo, Northwestern University, and APHA's Annual Meeting/Expo. She was a co-author to scientist, Lauren Keenan-Devlin's and Dr. Ann Borders' recently published work in the Journal of Perinatology, April of 2021 entitled, “Clinically integrated breastfeeding peer counseling and breastfeeding outcomes.” RESOURCES: • Firstdroplets.com • Womenhealth.gov • Wicbreastfeeding.fns.usda.gov • Magicalhour.org (9 stages of attachment) • Breastfeedingresourcesontario.ca (positioning and latching-scroll down to how to engage the chin first before latching) • svucko@vuckolaw.com a women's workplace rights firm

Dr. Sean Daneshmand, a nationally recognized physician and Medical Director of the Scripps Health Perinatology program, talks about the rise in high-risk pregnancies. Dr. Daneshmand discusses preventative measures -- such as the Diabetes in Pregnancy Program -- that can be taken to reduce the growing number of women facing challenging pregnancies. Learn more at www.scripps.org/Perinatology

Hypertension during pregnancy can cause significant problems to both mother and baby if left untreated, including seizures, stroke, heart attacks and premature delivery. In this episode of San Diego Health, host Susan Taylor speaks with Dr. Sean Daneshmand, medical director for the Scripps Clinic Perinatology Program, about hypertension during pregnancy, including signs, symptoms and treatment. Learn more: LINK

As always, feel free to send us questions, comments or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through instagram or twitter, @nicupodcast. Or contact Ben and Daphna directly via their twitter profiles: @drnicu and @doctordaphnamd. Papers discussed in today's episode are listed and timestamped below.enjoy!01:30 - Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight https://www.nejm.org/doi/10.1056/NEJMoa202648613:45 - Influence of different breast expression techniques on human colostrum macronutrient concentrations. https://www.nature.com/articles/s41372-021-00989-918:00 - Migration of cyclohexanone and 3,3,5-trimethylcyclohexanone from a neonatal enteral feeding system into human milk. https://www.nature.com/articles/s41372-021-01036-322:50 - Changes in macronutrients of human milk after bolus feeding: a simulation study. https://www.nature.com/articles/s41372-020-00899-227:45 - Maternal dietary fat intake during pregnancy and newborn body composition. https://www.nature.com/articles/s41372-021-00922-0 32:40 - Body adiposity and oral feeding outcomes in infants: a pilot study. https://www.nature.com/articles/s41372-021-00975-134:55 - Breastfeeding and growth trajectory from birth to 5 years among children exposed and unexposed to gestational diabetes mellitus in utero. https://www.nature.com/articles/s41372-021-00932-y38:55 - The effects of probiotic supplementation on the gene expressions of immune cell surface markers and levels of antibodies and pro-inflammatory cytokines in human milk. https://www.nature.com/articles/s41372-020-00875-w45:14 - Comparison of standard versus high-dose ibuprofen for the treatment of hemodynamically significant patent ductus arteriosus in preterm infants. https://www.nature.com/articles/s41372-021-01046-149:00 - Patent ductus arteriosus shunt elimination results in a reduction in adverse outcomes: a post hoc analysis of the PDA RCT cohort. https://www.nature.com/articles/s41372-021-01002-z56:19 - Temporal and seasonal variations in incidence of stage II and III NEC—a 28-year epidemiologic study from tertiary NICUs in Connecticut, USA. https://www.nature.com/articles/s41372-021-00961-761:15 - Invasive mechanical ventilation at 36 weeks post-menstrual age, adverse outcomes with a comparison of recent definitions of bronchopulmonary dysplasia. https://www.nature.com/articles/s41372-021-01102-w62:35 - High CPAP vs. NIPPV in preterm neonates — A physiological cross-over study. https://www.nature.com/articles/s41372-021-01122-6        

Denis Rebrikov is а doctor of science in Biology, vice-rector for research at Pirogov Russian National Research Medical University (RSMU), and head of the genome editing laboratory at National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov (ncagp.ru). Mr. Rebrikov regularly delivers lectures on molecular biology, biochemistry and genetics in Moscow State University. Under his supervision, three PhD and one doctoral dissertations have been successfully defended so far. Author of over 100 works published by top Russian and foreign science journals. Author of the first Russian textbooks on real-time PCR (Real-time PCR) and next generation sequencing (NGS: next generation sequencing). Author of 30 patented inventions. Methods he developed are now used in the mass production of over 200 diagnostic test systems and a number of devices for medical laboratory testing. FIND DENIS ON SOCIAL MEDIA VKontakte ================================ SUPPORT & CONNECT: Support on Patreon: https://www.patreon.com/denofrich Twitter: https://twitter.com/denofrich Facebook: https://www.facebook.com/denofrich YouTube: https://www.youtube.com/denofrich Instagram: https://www.instagram.com/den_of_rich/ Hashtag: #denofrich © Copyright 2022 Den of Rich. All rights reserved.

In this talk, Professor John Paris asks "What is the historical meaning of "ordinary means" to sustain human life? And what has been the understanding for over 500 years of Catholic moral analysis of the obligation to sustain life?" Is it, as Pope John Paul II insisted in an allocution to a meeting of the Vatican's Pontifical Academy for Life in March, 2000 that food and water must always be provided for patients in a persistent vegetative condition (PVS). Artificial nutrition and fluids, he writes, are not medical measure, but "natural" and therefor are "ordinary means" that are always morally required." PVS is a state of permanent unconsciousness. The record for maintaining a patient in that condition is 37 years, 111 days. JOHN J. PARIS, S.J., PhD is the Michael P. Walsh Professor of Bioethics at Boston College. He has also been Professor of Religious Studies, College of the Holy Cross, Worcester, MA (1970-1990), Adjunct Professor of Medicine, University of Massachusetts Medical School, Worcester, MA (1982-1994) and Clinical Professor of Family and Community Health, Tufts University, Boston, MA 1985-1998) and has been a visiting scholar at Yale Law School, The Kennedy Institute of Ethics, The University of Chicago Medical School, Georgetown University School of Medicine, The University of Pennsylvania School of Medicine and a visiting professor at the Center for Biomedical Ethics at Stanford University's School of Medicine. Fr. Paris served as consultant to the President's Commission for the Study of Ethics in Medicine, the United States Senate Committee on Aging, and the Congressional Office of Technology Assessment. He has published over 190 articles on the area of law, medicine and ethics in publications as The New England Journal of Medicine, The Journal of the American Medical Association, The Journal of Intensive Care Medicine, Pediatrics, Archives of Diseases of Childhood, The American Journal of Bioethics (AJOB), The Cambridge Quarterly of Health Care Ethics (CQ) and The Wall Street Journal. He is the Ethics Section Editor of The Journal of Perinatology. Fr. Paris served as a consultant and expert witness in many of the landmark biomedical cases including Quinlan, Baby L, Brophy, Jobes, Baby K and Gilgunn.