Podcasts about smfm

On December 13, 2022, we released an episode describing a new concept in prenatal care, called the PATH model. This was to “redesign” prenatal care, as needed, for those who may have limitations for the “traditional” model of prenatal care visits. Well, what we covered 2.5 years ago is NOW an OFFIICAL guidance from the ACOG and will be out in May 2025. Similarly, the SMFM released their vision for redesigned maternal care teams on 16 April 2025 (J Pregnancy). We will BRIEFLY summarize these 2 publications in this episode.

In this episode of the SMFM Podcast, Dr. Shad Deering welcomes Dr. Sindhu Srinivas, the newly appointed President of the Society for Maternal-Fetal Medicine. Dr. Srinivas shares her journey to becoming an MFM, reflects on the mentors who shaped her path, and discusses her early involvement in advocacy and organized medicine. She also offers insight into her leadership vision for SMFM, including expanding member engagement, strengthening advocacy efforts, and advancing educational initiatives like the newly launched Pregnancy Journal. Whether you're a fellow, early-career MFM, or a long-time member, this episode highlights the many ways to get involved and stay inspired within the MFM community. Click here for the full episode transcript.

In this mini Q&A, Dr. Rebecca Dekker digs into the evidence on three important questions submitted by EBB Pro Members. Tune in as we explore: The evidence on peanut balls during early and active labor—do they really shorten labor and increase vaginal birth rates? Whether induction at 39 weeks is necessary for IVF pregnancies—what does the research actually say? Dysphoric Milk Ejection Reflex (D-MER)—what is it, what causes it, and how can parents cope?   (02:30) How to Join the EBB Pro Membership & Submit Questions (04:15) (Q1) Peanut Balls in Labor – What does the research say about their use in early labor vs. active labor? (06:50) Key studies on peanut ball use—impact on labor duration, mode of birth, and satisfaction (13:30) (Q2) Induction at 39 Weeks for IVF Pregnancies (16:40) SMFM recommendations, lack of randomized trials, and shared decision-making in IVF pregnancies (20:00) (Q3) Dysphoric Milk Ejection Reflex (D-MER) (22:45) Hormonal theories behind D-MER, coping strategies, and available research (30:00) Recap & How to Find More Evidence-Based Resources   For the full list of references and resources, visit the EBB website here!   For more information about Evidence Based Birth® and a crash course on evidence based care, visit www.ebbirth.com. Follow us on Instagram and YouTube! Ready to learn more? Grab an EBB Podcast Listening Guide or read Dr. Dekker's book, "Babies Are Not Pizzas: They're Born, Not Delivered!" If you want to get involved at EBB, join our Professional membership (scholarship options available) and get on the wait list for our EBB Instructor program. Find an EBB Instructor here, and click here to learn more about the EBB Childbirth Class.    

Conflict is a natural part of life, but it doesn't have to be negative. In this episode of the SMFM Podcast Series, Dr. Rachel Harrison sits down with Dr. Ngina Connors, OB/GYN Chair at Atrium Health and Vice Chair of SMFM's Practice Management Committee, to explore strategies for effective conflict resolution. They discuss the different types of conflict that arise in maternal-fetal medicine, from interpersonal disagreements to team dynamics on labor and delivery. Dr. Connors shares insights on fostering open dialogue, managing workplace conflicts, and approaching difficult conversations with patients and colleagues. They also provides practical techniques, including the power of active listening and the “7-second rule,” to help de-escalate tensions and build stronger, more collaborative teams. Listen now and explore additional resources from SMFM at education.smfm.org. Practice Management Virtual Course  Click here for the full episode transcript. 

Send us a textWelcome to the third episode of season five, in conversation with Professor Cynthia Gyamfi-Bannerman. Professor Gyamfi-Bannerman's BioDr. Gyamfi-Bannerman is Chair of the Department of Obstetrics, Gynecology, and Reproductive Sciences at UC San Diego Health, joining the faculty at UCSD in 2021. She holds the Samuel SC Yen Endowed Chair at UCSD and is a Professor with Tenure. She is board certified in both Obstetrics & Gynecology and Maternal-Fetal Medicine and focuses her career on obstetric complications with a primary focus on preterm birth prevention. Dr. Gyamfi is a proficient, NIH funded researcher whose research has focused on preterm birth prediction and prevention and in interventions to improve outcomes for those delivering preterm, namely antenatal corticosteroids. Results of her randomized clinical trial on antenatal corticosteroids in women at risk for late preterm birth were published in the New England Journal of Medicine and changed obstetric practice in the United States. She also conducts research in the areas of preeclampsia, infectious disease, maternal morbidity and health disparities with over 200 peer-reviewed publications.She is currently the Steering Committee Chair of a multi-center NIHLBI ENRICH study focused on improving maternal and childhood outcomes for pregnant individuals from poorly resources backgrounds, and Steering Committee Chair for the Preventing pre- eclampsia: Evaluating AspiRin Low-dose regimens following risk Screening (PEARLS study), assessing aspirin dosing in sub-Saharan Africa. Recently, she was elected to the American Society for Clinical Investigation, a national medical honor society. Finally, she serves on the NICHD Council.Aside from her clinical and research endeavors, Dr. Gyamfi is the Immediate Past President for the Society for Maternal-Fetal Medicine (SMFM), the national and international society representing all perinatologists after completing her President in February, 2025. She is actively involved in writing clinical guidelinesin obstetrics for both SMFM and the American College of Obstetricians and Gynecologists and continues to mentor trainees and junior faculty from around the world.https://providers.ucsd.edu/details/1568494250/obstetrics-gynecologyPodcast information:We have not included any patient identifiable information, and this podcast is intended for professional education rather than patient information (although welcome anyone interested in the field to listen). Please get in touch with feedback or suggestions for future guests or topics: conversationsinfetalmed@gmail.com, or via Twitter (X), Bluesky or Instagram via @fetalmedcast.Music by Crowander ('Acoustic romance') used under creative commons licence. Podcast created, hosted and edited by Dr Jane Currie. 

In this episode of the SMFM Podcast Series, Dr. Jamie Lo is joined by Dr. Rolanda Lister, Officer of Health Equity at Vanderbilt University Medical Center, and Dr. Ann Borders, Executive Director of the Illinois Perinatal Quality Collaborative, to explore the essentials of community engagement in maternal-fetal medicine. Learn how partnering with community stakeholders, engaging patient voices, and addressing social drivers of health can improve birth outcomes and promote health equity. The discussion highlights practical strategies, real-world examples, and emerging data supporting the transformative impact of community engagement on clinical care, quality improvement, and research. Stay tuned for insights on building relationships with community organizations, fostering long-term partnerships, and integrating patient-centered approaches into practice. Plus, hear about SMFM's upcoming 2025 postgraduate course, Building Bridges Between Hospitals and Community Partners to Promote Birth Equity and Improved Birth Outcomes. Additional Links/Resources SMFM's 2025 Postgrad Course - Building Bridges Between Hospitals and Community Partners to Promote Birth Equity and Improved Birth Outcomes. Engaging Communities to Improve Perinatal Outcomes Special Interest Group Visit education.smfm.org for more educational  Click here for the episode transcript.  Funding Acknowledgement: The Public Health System Components: Clinicians who are related to Maternal-Fetal Medicine program is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award to the Society for Maternal-Fetal Medicine (SMFM) totaling $200,000 with 100 percent funded by CDC/HHS. The contents are those of the authors and do not necessarily represent the official views of nor endorsement, by CDC/HHS or the U.S. Government.

Somethings in medicine are pretty cut and dry. Others...not so much. Such is the case with obstetrical management of PPROM with a cervical cerclage in place. Should it be removed, or left in place? While the ACOG has some guidance from March 2020, there has been additional publications released, including one from SMFM. PLUS, a November 2024 review on the topic (AJOG MFM) has suggested a practical approach to this clinical scenario. Listen in for details.

In this episode of the SMFM Podcast, Dr. Alireza Shamshirsaz welcomes Dr. Bill Grobman, Editor-in-Chief of SMFM's first official journal, Pregnancy. Together, they explore the vision behind this new Open Access journal, its mission to increase accessibility and transparency of original research in obstetrics, and the global and diverse representation it aims to achieve. Dr. Grobman shares his passion for advancing research on pregnancy in its broadest context, touching on topics such as equitable outcomes, the life-course impact of pregnancy, and socio-political dimensions. Listeners will learn about the journal's format, submission guidelines, and opportunities for involvement, including serving as a reviewer or joining the editorial board. Discover how Pregnancy aims to serve as a platform for groundbreaking research and collaboration, fostering meaningful contributions to the field of maternal-fetal medicine. Click here for the full transcript.  Additional Resources:  Learn more about the new journal by visiting smfm.org/pregnancy

In this Pregnancy Meeting edition of the SMFM Podcast, Dr. Shannon Son welcomes Dr. Allison  Bryant to discuss everything you need to know about posters and abstracts at the 2025 Pregnancy Meeting. From the equity-focused review process to the impressive lineup of over 1,100 poster  presentations and groundbreaking oral sessions, this year's meeting promises to showcase the  best in maternal-fetal medicine research. Discover how sustainability initiatives are shaping the format of the meeting, what's new for poster presenters, and why this year's program is a must-attend event for anyone in the field. Plus, get key tips to make the most of your experience with the SMFM mobile app and learn about important deadlines for registration and planning. Mark your calendar for January 27 to February 1, 2025, at the Gaylord Rockies Resort in Denver,  Colorado. Be sure to subscribe to the SMFM Podcast Series for more updates and visit  smfm.org/2025 to register today   Click here for the full episode transcript. 

In the United States, more than 400,000 babies are born prematurely each year, which is about 1 in 10 babies. Over the last several decades, multiple studies have shown a link between poor oral health and increased occurrence of preterm birth. Researchers have looked at various ways to improve dental health during pregnancy, including doing a “deep-teeth cleaning” (also called ‘scaling and planing'), which involves removing plaque and tarter on the teeth and below the gum line. However, despite improving periodontitis, deep teeth cleaning approaches have not proven to be effective in the prevention of preterm birth. But now new data has discovered an easy and inexpensive way to improve oral health and potentially reduce preterm births. This data was originally presented at the annual Pregnancy meeting at SMFM, but now it is a peer reviewed publication. In this episode, we will review how chewing xylitol gum has promising results for preterm birth reduction. Nonetheless, some important limitations must be reviewed. Listen In for details.

Will Konitzer Radio Show, Nov 17th 2024 - Live mix from Seismic Dance Festival, Austin TX. 1. Gorge, Andre Hommen - Marashi 2.0 [8bit] + Shakedown - At Night (acappella) 2. DJ BORING - You Luv Me (DJ-Kicks) (Extended Version) [K7 Records] 3. Will Konitzer - Brio [Whose Haus] + Love Girls, Smfm - The How Of Wow (The Show) feat. SMFM (acapella) 4. Lil_art_hoe - Maybeifall [SOULFULXNATURE] 5. Âme - Asa [Innervisions] + Erick Morillo, Jose Nunez, Harry Romero - Dancin (acappella) 6. Oxia - Run [Diversions Music] 7. Nausica - Groove Express (Extended Mix) [Toolroom] 8. Avision - Hold No Groove [COD3 QR] 9. Will Konitzer - Rotate [Denied Music] + 100% - 100% feat. Jennifer John (acapella) 10. Tim Cullen - Here We Go [Club Whatever] 11. Rory Marshall - Wig Owt (Extended Mix) [Century DGTL] 12. Last 2 Standing - Full Moon (Will Konitzer remix) [Light Side Music] + Cevin Fisher - The Way We Used To (acapella) 13. Jim Rivers - Cosmos (Will shortened breakdown edit) [COD3 QR]

Show notes In this week's episode of the SMFM podcast, Dr. Kecia Gaither and Dr. Neil Silverman discuss maternal RSV vaccination and the Pfizer Abrysvo vaccine. Learn about the latest updates for the 2024-2025 respiratory season, how to counsel patients effectively, and strategies to ensure vaccine access. The conversation also covers addressing vaccine hesitancy, navigating barriers like cost and availability, and comparing maternal vaccination with neonatal immunization options to protect infants from severe RSV infections Resources SMFM Podcast: Maternal RSV Vaccination 101 smfm.org/RSV Full transcript can be found here.  Disclaimer: Sponsored by a grant from Pfizer, Inc. No content should be considered a solicitation, promotion, or advertisement for any Pfizer product.

Show Notes:  In this episode of the SMFM podcast, Dr. Marwan Maayeh is joined by Dr. Sura Alwan, an expert in teratology and birth defects epidemiology. Together, they explore the role of teratogens—agents that can cause birth abnormalities when exposed to the developing fetus. The conversation covers a wide range of topics, including the challenges MFM specialists face when counseling patients on medication use during pregnancy and the resources available for healthcare professionals and patients alike. Dr. Alwan highlights the work of OTIS (Organization of Teratology Information Specialists) and TERIS (Teratogen Information System) in providing evidence-based guidance on drug and environmental exposures in pregnancy. They also discuss the importance of research in identifying and managing teratogenic risks, the role of teratology databases, and combating misinformation in the field. Tune in for practical insights and resources on navigating these complex issues in MFM practice. Additional Resources: TERIS OTIS/MotherToBaby Teratogenesis, Perinatal, and Neurodevelopmental Outcomes After In Utero Exposure to Antiseizure Medication Practice Guideline From the AAN, AES, and SMFM smfmadvocates.org/positions Transcript: Click here for the full transcript 

Welcome to another riveting episode of Hearts of Oak, where we delve deep into the stories that shape our world. Today, we're honored to host a distinguished guest, a board-certified obstetrician gynecologist with a background in maternal fetal medicine, whose journey through the medical field has been nothing short of extraordinary.   In this episode, our guest shares insights from a career marked by a relentless pursuit of truth, especially in light of the tumultuous events surrounding public health strategies during recent global crises. We'll explore how personal experiences, influenced by historical figures like Dr. Ignaz Semmelweis, have shaped his approach to medicine, emphasizing the importance of standing firm against mainstream narratives when patient safety is at stake.   Our discussion will take a critical look at how health policies, driven by a complex web of government, pharmaceutical, and medical organizations, have impacted the most vulnerable among us. We'll tackle the uncomfortable truths about medical ethics, the silence of influential societal groups, and the personal sacrifices made by those who speak out against the status quo.   This episode promises to be a beacon of awareness, urging us all to question, to learn, and to remember the importance of integrity in the face of systemic challenges. So, join us as we navigate through the ethical dilemmas of our time, inspired by a physician's commitment to never compromise patient care for profit or popularity.   Stay with us as we uncover the layers of this compelling story, right here on Hearts of Oak. Connect with Dr James Thorp Freedom In Truth | Substack   Recorded on 17.10.24   *Special thanks to Bosch Fawstin for recording our intro/outro on this podcast.   Connect with Hearts of Oak...

Ultrasound assessment of placental volume has been proposed as an important aspect of prenatal care. It involves measuring the size and volume of the placenta, which may provide critical information regarding fetal health and development. Abnormal placental volume can be associated with various complications such as FGR, preeclampsia, and other pregnancy-related conditions. Some advocates suggests the volume and vascularity of the first trimester placenta may be linked to the most devasting adverse pregnancy outcomes which is stillbirth. Social Media posts have been advocating and endorsing the measurement of placental volume antenatally as a stillbirth prevention strategy. Is this evidence-based? It's very controversial. Nonetheless, we have principles from the AIUM. ISUOG, ACOG, and SMFM to guide us here. Listen in for details.

The SMFM, ACOG and RCOG all recommend screening for Antiphospholipid Antibody Syndrome (APS) in women with Recurrent Pregnancy Loss (RPL). However, once identified, there has been controversy historically regarding the best TIME to initiate low dose aspirin and prophylactic LMWH. The main controversy regarding this is whether to begin treatment before a confirmed pregnancy, right after a positive pregnancy test, or only after an ultrasound confirms a viable fetus; with some studies suggesting potential benefits from starting earlier, while others debate the optimal timing due to lack of conclusive evidence and potential risks associated with early anticoagulation. Nonetheless, we DO HAVE current guidance here to make an evidence-based plan of care for these patients. In this episode, we will summarize a recent Clinical Expert Series from the ACOG (May 2024) and the RCOG (June 2023). PLUS, we will highlight some persistent controversies surrounding APS and RPL.

Hurricane Helene has caused massive devastation for a part of the US, and now we are bracing again for Milton, set to affect Florida within the next 24 hours. Baxter, one of the country's leading manufactures for IV fluid bags has closed its plant for an unknown amount of time as it was affected by Helene. On October 4, 2024, the SMFM released a news brief on IVF conservation intrapartum. Listen in for details.

The ACOG defines Fetal Growth Restriction (FGR) as fetuses with an estimated fetal weight or abdominal circumference that is less than the 10th percentile for gestational age. Currently, the ACOG, SMFM, FIGO, and the ISUOG do not recommend maternal bed rest for this condition. However, a recent publication from the AJOG (May 2024) concluded that strict maternal bed rest could in fact reverse FGR in a short two-week interval! Is this possible? In this episode, we will dissect this controversial, retrospective study and give it proper perspective with real world clinical implications.

In this episode of the SMFM Podcast Series, Dr. Ashley Battarbee, a member of the SMFM Publications committee, speaks with past committee chair Dr. Jeffrey Kuller and current committee chair Dr. Judette Louis about the consult development process. In their conversation they cover how a consult goes from brainstorm to publication and who is involved along the way. Listen to learn about how to get involved with SMFM Publications. To access the full transcript, click here.  Additional Resources: ·         Publications landing page ·         Overview of the SMFM guideline development process

Back in January 2024, we summarized the SFP's position statement on RH IG use (or rather non-use) under 12 weeks IUP gestations. Then, in February 2024, we released an episode summarizing the more conservative stance from the SMFM. Well now, 7 months after that episode, we have a new Clinical Practice Update from the ACOG on this very issue. That is the focus of this episode...and as we have said better, WORDING matters. We will discuss in this episode.

Just when we thought we had put coronavirus in our rearview mirror for the most part, here comes mPOX again. We covered that in a previous episode. Unfortunately, that is not the only pathogen to be concerned about. Enter: OROPOUCHE VIRUS (OROV). This virus was first reported in 1955, but it is making news today due to a rapid increase in cases. Coming from the Amazon Basin, and even Cuba, there have been 21 cases in the USA diagnosed in US travelers. This virus is a concern for pregnant women. Information gaps still exist but things are moving quickly here: On August 16, 2024, the Centers for Disease Control and Prevention issued a Health Alert Network (HAN) Health Advisory to notify clinicians and public health authorities of an increase in Oropouche virus (OROV) disease, originating from endemic areas and in new areas in South America and the Caribbean. Then, on August 22, 2024, SMFM released its alert on the virus. Today, the ACOG released its Practice Advisory (August 29, 2024) on this very issue. Listen in for details.

In this episode of the SMFM podcast series, Dr. Heidi Leftwich speaks with Dr. Priyanka Gaur and Dr. Maria Phillis about SMFM's new Get Out the Vote initiative. They delve into the critical role that voting plays as a social determinant of health and its far-reaching impact on reproductive healthcare. The discussion covers the intersection of civic engagement and patient care, offering insights on how MFM specialists can advocate for their patients by encouraging voter participation. Dr. Gaur and Dr. Phillis share their personal experiences with civic engagement, the challenges and opportunities in the current political climate, and practical tips on how healthcare providers can integrate voting discussions into their practice. Learn about the resources available to help you and your patients get involved in this election season, ensuring that every voice is heard. Recorded on July 31, 2024 Click here to access the full transcript.  Additional Resources:        SMFM's Get Out the Vote Initiative          Vot-ER

Our immediate past episode focused on the “C-section scar pregnancy”. In that episode we discussed the ultrasound markers of early pregnancy (first trimester). Now – today – HOT

In this episode of the SMFM podcast series, Dr. Akila Subramaniam welcomes Dr. Alan Tita, a renowned MFM researcher and Senior Associate Dean for Global and Women's Health at UAB Heersink School of Medicine. Dr. Tita shares his inspiring journey to becoming a leading figure in maternal health research, discussing his motivations, global experiences, and influential mentors. He also provides valuable advice for aspiring researchers. Don't miss this engaging conversation filled with wisdom and practical insights.  Subscribe now and visit education.smfm.org for more educational resources.   A full transcript to this episode can be found here. 

Vincent Alvarez was the first skateboarder on the Dickies program. He got on Chocolate Skateboards, turned pro, and had the first part in "Pretty Sweet". That's just the tip of the iceberg though. What's the most blood he's seen, how long has he been playing drums, what does Patlanta Saves mean??? Whether it was meeting S.A.D. at a young age or seeing Jimmy Wilkins land his first bump to bar with Tony Hawk; Vincent has stories for days. Sam Smyth said it in his first impression, “Vinnie's the fuckin' man-just ask anyone that knows him. He's the best!” SMFM with: OMEGA JACKSON: http://www.instagram.com/omegajackson --------------------------------------- SUBSCRIBE NOW: https://bit.ly/2RYE75F --------------------------------------- FOLLOW VINCENT ON THE GRAM: http://www.instagram.com/_vincentalvarez_ --------------------------------------- INTRO MUSIC: "Mary's Cross" by Natur INTERVIEW & EDITED: Greg "Schmitty" Smith FIRST IMPRESSION: SAM SMYTH CREDITS MUSIC: “Adirondack gate” by Shane Medanich CLOSING MONOLOGUE: Noelle Fiore EXECUTIVE DIRECTOR: Sharal Camisa Smith SMFM MUSIC DIRECTOR: Shane Medanich http://www.instagram.com/shanmedanich WEBSITE: https://talkinschmit.com/ YOUTUBE: http://www.youtube.com/TalkinSchmit INSTAGRAM: @Talkin_Schmit FACEBOOK: https://www.facebook.com/TalkinSchmit/ --------------------------------------- CONTACT with comments or suggestions: TalkinSchmit@Gmail.com --------------------------------------- SUPPORT OUR SPONSORS: BLOOD WIZARD (http://bloodwizard.com/) BLUE PLATE (http://www.blueplatesf.com/) ORO COFFEE (http://www.instagram.orocoffeeroasters_sf --------------------------------------- #skateboarding #podcast #talkinschmit #skateshopday #TalkinSchmit #VincentAlvarez #chocolateskateboards #crailtap #Switchskateboarding #Kickflip --- Support this podcast: https://podcasters.spotify.com/pod/show/talkin-schmit/support

In this episode of the SMFM podcast series, Dr. Amy Valent is joined by Dr. Abigail Wilpers and Dr. Ashish Premkumar to explore the critical issue of public misinformation surrounding fetal therapy and perinatal palliative care. They address the emotional challenges faced by pregnant individuals with fetal diagnoses, the benefits and limitations of fetal therapy, and the true nature of perinatal palliative care. The discussion includes ethical implications of misinformation, barriers to accessing care, and the impact of recent legislative trends. Join us as we dispel myths and advocate for informed, compassionate patient care in maternal-fetal medicine. To access the full transcript, click here. Additional Resources:  Kolder article: Court-Ordered Obstetrical Interventions | New England Journal of Medicine (nejm.org) Early pregnancy loss post-AL court decision re: embryonic death: Early Pregnancy Loss in an Era of “Wrongful Embryonic Death” | Reproductive Health | JAMA | JAMA Network Texas Policy Project (Kari White's group): Publications | Texas Policy Evaluation Project | Liberal Arts | UT - Austin (utexas.edu) ANSIRH, Advancing New Standards in Reproductive Health Dr. Katrina Kimport's work on later abortion: Is third-trimester abortion exceptional? Two pathways to abortion after 24 weeks of pregnancy in the United States - PubMed (nih.gov) The Turnaway Study Dr. Ashish Premkumar study focused on parental decision-making in the setting of fetal anomalies amenable to maternal-fetal surgery: Society of Family Planning: Decision making in the setting of congenital anomalies (NATAL) study (societyfp.org) From Congress to the Vatican: The Promotion of Maternal-Fetal Surgery & Perinatal Palliative Care as Alternatives to Abortion Care (talk by Dr. Abigail Wilpers) Maternal-fetal surgery is not an alternative to abortion care by Dr. Abigail Wilpers and Kristen Gosnell Exceptions to abortion restrictions often fail people like Kate Cox whose babies are sure to die by Dr. Abigail Wilpers The legal article mentioned by Dr. Abigail Wilpers outlining the PPC notification laws and how some “triggers” for the laws make no sense (because the laws are really meant to obstruct abortion care). Fetal Health Foundation (parent-run non-profit) Society for Family Planning ACOG Clinical Guidance: Perinatal Palliative Care (SMFM Endorsed)  Care levels for fetal therapy centers  SFP Statement on Abortion Nomenclature (SMFM Endorsed)   SMFM Policy Tracker  SMFM Consult Series #59: The use of Analgesia and Anesthesia for maternal-fetal procedures NAFTNet   Study on Maternal Autonomy Nebraska Law Text    

I think we got a NBD for you all. Schmitty went down to SKATELINE in suit and tie and chopped it up with its host, GARY ROGERS. Listen in as they discuss Gary's upbringing, grandmas house right down the street from Thrasher, skating the shitty San Leandro park, Thrasher Boys, meeting Joel Jutigar, skating the mini and hanging at Metro skateshop, comedy, getting into video making, meeting Corey Duffel, SKATELINE on the Ride Channel, meeting Tony Hawk, getting the offer he couldn't refuse from Tony V and Thrasher Magazine, hosting events and much more... Special thanks to Joel for helping me with filming the interview and donating SKATELINE assets to make this one, hope I did him proud. MAGIC MIND OFFERING YOU ALL A THREE SAMPLE PACK FOR FREE! https://magicmind.com/SCHMITTRIAL USE THE CODE: SCHMITTRIAL --------------------------------------- SUBSCRIBE NOW: https://bit.ly/2RYE75F --------------------------------------- FOLLOW GARY ON THE GRAM: http://www.instagram.com/gcode_tb4l --------------------------------------- INTRO MUSIC: "Mary's Cross" by Natur INTERVIEW & EDITED: Greg "Schmitty" Smith CREDITS MUSIC: “Adirondack gate” by Shane Medanich CLOSING MONOLOGUE: Noelle Fiore EXECUTIVE DIRECTOR: Sharal Camisa Smith SMFM MUSIC DIRECTOR: Shane Medanich http://www.instagram.com/shanmedanich (sadly SMFM is only available on the audio side this week, but Shane will be back next week right here!) WEBSITE: https://talkinschmit.com/ YOUTUBE: http://www.youtube.com/TalkinSchmit INSTAGRAM: @Talkin_Schmit FACEBOOK: https://www.facebook.com/TalkinSchmit/ --------------------------------------- CONTACT with comments or suggestions: TalkinSchmit@Gmail.com --------------------------------------- SUPPORT OUR SPONSORS: BLOOD WIZARD (http://bloodwizard.com/) BLUE PLATE (http://www.blueplatesf.com/) ORO COFFEE (http://www.instagram.orocoffeeroasters_sf --------------------------------------- #skateboarding #podcast #talkinschmit #skateshopday #TalkinSchmit #GaryRogers #Skateline #NBD #ThrasherBoys --- Support this podcast: https://podcasters.spotify.com/pod/show/talkin-schmit/support

Approximately 0.5% of all births occur before the 3rd trimester of pregnancy, and very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. Preterm prelabor rupture of membranes (PPROM) is a known risk factor for preterm birth and is responsible for 30–40% of preterm deliveries. While PROM occurs around 8% of all (term) pregnancies, PPROM occurs around 1% of the time. Periviable birth is delivery occurring from 20 0/7 weeks to 25 6/7 weeks of gestation. Women who experience PPROM before 27 weeks have a 10% risk of early PPROM and a 35% risk of preterm delivery in a subsequent pregnancy. Despite improvements in perinatal and neonatal care, infants born at

In this episode of the SMFM podcast series, Dr. Janine Rhodes discusses the critical topic of managing pregnancy during extreme heat with guests Dr. Sarah Boudova and Dr. Romeo Galang. They delve into the physiological impacts of heat on pregnant individuals, potential adverse outcomes, and practical strategies for healthcare providers to support their patients. The conversation also covers the CDC's CHIL'D OUT Questionnaire, the importance of staying hydrated, and considerations for medication management in high temperatures. This episode is a must-listen for maternal-fetal medicine specialists looking to better support their patients during the summer months.  The full transcript can be found here.  Additional Resources: CDC Guidance on Heat and Health CHIL'D OUT Questionnaire Five Steps to Prepare for Hot Days for Pregnant Women Tool Kit for Pregnant Women National Weather Service CDC Heat Risk Tool Air Quality Index How to use the HeatRisk Tool and Air Quality Index Cooling Centers Information CDC Heat and Medications Articles: Extreme heat exposure in pregnancy and risk for preterm birth, low birth weight and stillbirths Analysis of Heat Exposure During Pregnancy and Severe Maternal Morbidity Temperature and preeclampsia: Epidemiological evidence that perturbation in maternal heat homeostasis affects pregnancy outcome

In this episode of the SMFM podcast series, Dr. Rachel Harrison welcomes Dr. Torri Metz, Vice Chair for Research at the University of Utah's Department of OBGYN, to discuss the ins and outs of publishing in maternal-fetal medicine. Dr. Metz shares her journey into research, providing invaluable advice on developing a successful research career, navigating the challenges of publishing, and integrating research into clinical practice. Whether you're an early career professional or a seasoned clinician looking to delve into research, this episode offers practical tips and inspiration. Tune in to hear Dr. Metz's experiences and strategies for making a significant impact in maternal-fetal medicine.   Full transcript can be found here. 

In this episode, Dr. Amy Valent and guest Dr. Sarah Osmundson discuss the updated guidelines from the American Academy of Neurology on Teratogenesis, Perinatal, and Neurodevelopmental Outcomes After In Utero Exposure to Antiseizure Medication. These guidelines, developed in collaboration with the American Epilepsy Society and SMFM, provide evidence-based recommendations on anti-seizure medications, perinatal outcomes, and neurodevelopmental impacts for people with epilepsy of childbearing potential. The episode emphasizes the importance of preconception planning and appropriate medication management, addressing the complexities of epilepsy in pregnancy, including congenital malformations and neurodevelopmental outcomes. Tune in to gain valuable insights into the latest recommendations for managing epilepsy in pregnancy. Additional Resources: Practice Guidelines from the AAN, AES, and SMFM Full transcript can be found here. 

It definitely is interesting how published data tends to have sporadic “groupings” in print. For example, last week 2 publications were released which could be placed under one “group”: prediction/prevention of spontaneous preterm birth. One publication (AJOG MFM) presented a systematic review and meta-analysis on universal cervical length screening. The second publication, SMFM's consult series # 70, pertains to the management of a short cervix in individuals without a history of spontaneous preterm birth. In this episode, we will review these 2 similar, yet different, publications and make sense of all!

All of us can agree that the rates of obesity are progressively climbing, not just in the US, but globally. Obesity is a known independent risk factor in pregnancy for VTE. Several professional societies (ACOG, CMQCC, RCOG, SMFM) have clear recommendations for VTE pharmacoprophylaxis in patients considered at high risk. These include having a high risk thrombophilia, having a personal history of VTE, or having multiple risk factors. But these recommendations address POSTPARTUM prophylaxis. The ACOG does not specifically address inpatient prophylaxis during the antepartum interval. However, in cases of prolonged antepartum admission, where ambulation may be slightly limited, there is concern that the hypercoagulable state of pregnancy, together with obesity, may raise the risk of VTE in these antepartum patients. To be clear, no professional organization or guidelines recommend strict bedrest for pregnancy complications. Is VTE pharmacoprophylaxis endorsed in these admitted antepartum patients? The answer is both YES and NO. The use of heparin based agents in this group is controversial, with published expert opinions having a dichotomy of thought. Plus, recent data (2023) has raised questions regarding pharmacoprophylaxis' efficacy in the postpartum interval. nonetheless, at the end of the episode, will provide some common sense approaches to VTE prevention in the admitted antepartum, obese patient. (With a special shout-out to our podcast family in Australia.).

In this episode of the SMFM podcast series, Dr. Rachel Harrison and guest Dr. Neil Silverman discuss the latest SMFM guidelines on managing measles in pregnancy. They address the rise in measles cases in the U.S., the importance of vaccinations, and the specific risks and complications for pregnant individuals and provide critical insights on transmission, diagnosis, and care strategies to help healthcare providers manage measles effectively during this significant outbreak. Tune in for essential guidance on protecting maternal and neonatal health during a measles outbreak.     Links: Measles and Pregnancy: What Maternal-Fetal Medicine Subspecialists Need to Know ACOG Practice Advisory CDC guidelines for pregnancy and vaccination the CDC healthcare providers measles page Photos of Measles and People with Measles | CDC

In this episode of the SFM Podcast Series, Dr. Stephanie Ros welcomes Dr. Cynthia Gyamfi-Bannerman, the new SMFM President, to discuss her path to maternal-fetal medicine, her research on preterm birth, and her goals for the society, including increasing member engagement and focusing on preterm birth solutions. Dr. Gyamfi-Bannerman shares inspiring advice for early-career MFMs and highlights opportunities for members to contribute to SMFM's mission. For those interested in maternal-fetal medicine developments and contributing to the field, this conversation offers valuable insights and ways to get involved. See links below for involvement opportunities or contact SMFM via SMFM@smfm.org. ·        SMFM Committees | SMFM.org - The Society for Maternal-Fetal Medicine ·        SMFM Committees: General Abstract Reviewer Application | SMFM.org - The Society for Maternal-Fetal Medicine ·        SMFM Committees: Diversity & Inclusion in the Workforce Committee | SMFM.org - The Society for Maternal-Fetal Medicine ·        State Liaison Network — SMFM Advocacy Hub (smfmadvocates.org)  Full transcipt can be found at this link. 

Ruby Lilley drove all around the USA at a young age and landed herself a new home in Oceanside and some sponsors on the way. Listen as we discuss: Growing up skating at Ocean Bowl Maryland, takin an RV all around the country, going to the Big O in Montreal, getting mistaken for the Volcom team at FDR, getting asked to sell her teeth to some random guy at a skatepark, skating the Nude Bowl at an early age, getting inspired by the Combi contest, falling in love with Oceanside and making it her California home, rifling thru sponsors like H-Street and Madness, being invited to XGames Japan from Sinclair  , quitting H Street on her birthday,  Creature and Foundation offers at the same time, being besties with Brycey,  meeting Avril Lavigne, her MT RUSHMORE OF ladies skateboarding and more. Also, SMFM checks in with CARDIEL THE BAND for our first band video and an exclusive interview to boot. Stoked on this episode, hope you are too. ALL HAIL CARDIEL! --------------------------------------- SUBSCRIBE NOW: https://bit.ly/2RYE75F --------------------------------------- FOLLOW RUBY ON THE GRAM: http://www.instagram.com/ruby_lilley FOLLOW CARDIEL THE BAND ON THE GRAM: http://www.instagram.com/cardieltheband FOLLOW SMFM ON THE GRAM: http://www.instagram.com/OnSMFM --------------------------------------- INTRO MUSIC: "Mary's Cross" by Natur INTERVIEW & EDITED: Greg "Schmitty" Smith FIRST IMPRESSION: Amelia Brodka FIRST IMPRESSION: Lisa Pabich CREDITS MUSIC: “Adirondack gate” by Shane Medanich CLOSING MONOLOGUE: Noelle Fiore EXECUTIVE DIRECTOR: Sharal Camisa Smith SMFM MUSIC DIRECTOR: Shane Medanich http://www.instagram.com/shanmedanich WEBSITE: https://talkinschmit.com/ YOUTUBE: http://www.youtube.com/TalkinSchmit INSTAGRAM: @Talkin_Schmit FACEBOOK: https://www.facebook.com/TalkinSchmit/ --------------------------------------- CONTACT with comments or suggestions: TalkinSchmit@Gmail.com --------------------------------------- SUPPORT OUR SPONSORS: BLOOD WIZARD (http://bloodwizard.com/) BLUE PLATE (http://www.blueplatesf.com/) TALKIN' SCHMIT SOFT GOODS IN JAPAN: https://www.instagram.com/underdogdistribution --------------------------------------- #skateboarding #podcast #talkinschmit #RubyLilley #CardieltheBand #internationalwomensday --- Send in a voice message: https://podcasters.spotify.com/pod/show/talkin-schmit/message Support this podcast: https://podcasters.spotify.com/pod/show/talkin-schmit/support

In this episode, Dr. Janine Rhoads interviews Dr. Mara Greenberg, an author of SMFM Consult Series #68 Sickle Cell Disease in Pregnancy. They delve into the challenges and opportunities for managing pregnant individuals with sickle cell disease. From pre-conception counseling to the importance of a multidisciplinary team approach, the discussion sheds light on optimizing outcomes for both mothers and newborns. Dr. Greenberg provides valuable insights into pain management and reproductive autonomy while emphasizing the importance of an equity-based approach in care delivery. Subscribe to the SMFM podcast series for more insightful discussions on maternal-fetal medicine. Click here to access the SMFM Consult Series #68 Sickle Cell Disease in Pregnancy.  For the full transcript click here. 

Yes, the subject of RhoGAM/RHIG administration to RH negative patients under 12 weeks gestational age is a continuously controversial issue. We have covered this issue in past episodes, most recently- last month- on January 4, 2024. Today, February 26, 2024, the SMFM released their position statement on the subject. As you would guess, the controversy continues! In this episode, we will review this brand new, hot off the press, position statement regarding RHIG administration, or avoidance, under 12 weeks gestation.

Dr. Keely Robinson and Dr. Madhurima Keerthy speak on the importance of understanding coding for MFM professionals. They review coding resources that are out there for MFM Fellows and where to access them. Plus, share their personal take aways on the “Coding Fundamentals for MFM” course found on the SMFM website.   The full transcript can be found at this link. 

On August 26, 2023, we summarized the ACOG update on viral hepatitis in pregnancy and discussed new concepts regarding Hep B viral infection. To follow that up, the SMFM has now released its Consult Series #69 (Hepatitis B in Pregnancy: Updated Guidelines) which was published on December 21, 2023. In this episode, we will reinforce some topics originally discussed back in August 2023 and emphasize key management issues regarding Hep B in pregnancy based on this Consult Series… both for the infected, and the non-infected/non-immune patient. Is antepartum fetal surveillance indicated in these patients? Is C-section a way to prevent perinatal transmission? What's the viral load cut-off to begin antiviral medication? Is it safe to administer hepatitis B vaccine during pregnancy for those who need it? Listen in for details.

Although there were some early reports of sickle cell disease (SCD) in the late 19th century, the 1st time that the disease was referenced in literature was in 1910. Then in 1957, a doctor studying protein chemistry in England discovers that a single genetic mutation causes the abnormal hemoglobin found in patients who inherit SCD. And our knowledge of SCD continues to grow. In this episode, we will review a soon-to-be released new SMFM Consult Series # 68 highlighting the data on management of SCD and pregnancy. Are routine, prophylactic blood transfusions in pregnancy recommended? What about hydroxyurea? What is the dose of folic acid recommended for these patients? Is antepartum fetal surveillance recommended? We will answer all of these questions, and more, in this episode.

In April 2023, both the ACOG and SMFM released their clinical updates regarding the use of progesterone for preterm birth prevention. While 17-OHP is gone, vaginal progesterone remains an option in the appropriate patient, with some slight differences between the opinions from ACOG and SMFM. A new expert commentary from October 2023 in the AJOG -MFM is calling for a reappraisal of those opinions. Is vaginal progesterone for PTB prevention coming back to treat ALL patients with a history of PTB, not just those with a short cervix? That depends on how you look at the data. And, where does cerclage fit in? Listen in for all this...and more.

SLE can affect people of all ages, including children. However, women of childbearing ages—15 to 44 years—are at greatest risk of developing SLE. Women of all ages are affected far more than men (estimates range from 4 to 12 women for every 1 man). Are you familiar with the 2019 updated diagnostic criteria for SLE? What are some specific concerns regarding this condition in pregnancy? Do patients with anti-SSA/SSB antibodies need serial fetal echocardiograms? And do these patients need early induction of labor? We will cover all this information, and more, in this episode (summary of SMFM, Consult Series # 64; 2023)

Oh, the ever evolving drama of “progesterone in high risk obstetrics”. Today, April 13, 2023, the SMFM released its Special Statement response to the recent change in the progesterone PTB prevention landscape. Where does cerclage fit in? In this episode we will summarize the current recommendation for cerclage for preterm birth prevention and how it fits in to the vaginal progesterone story. Is cervical ultrasound surveillance after vaginal progesterone initiation warranted? We will make it clear in this episode.

Traditionally, fetal growth restriction (FGR) was diagnosed when the Hadlock EFW was < 10th percentile. However, in 2020, SMFM updated its publish guidelines endorsing the use of an isolated abdominal circumference (AC) under the 10th percentile as an additional diagnostic criterion. Is the isolated small AC linked to adverse perinatal outcomes? And what are the delivery recommendations for an isolated small AC? It's a complicated issue with complicated data. In this episode we will provide the “He said, She said” reported outcomes for this clinical conundrum. At the end of the episode we will provide some real-world practical tips on how to manage the isolated AC growth restricted fetus.

Successful in vitro fertilization was first described in 1978. Births from IVF now account for 1.6% of all births and up to 18% of all multiple births in the US. While these techniques offer infertile couples hope for childbearing, they are not without some risks. Pregnancies resulting from IVF are at increased risk for both perinatal and maternal morbidity. What is the data surrounding genetic abnormalities following these procedures? What about congenital anomalies? Is the placenta affected? And what about Antepartum Fetal Surveillance? In this episode we will review the SMFM Consult Series #60 addressing management of pregnancies after IVF. This is also on the ABOG MOC article list from February 2023.

The first case of placenta accreta listed on PubMed was reported in 1927 by Dr D.S. Forster out of Montreal. That was 1 case in 8000 deliveries! Now, according to the National Accreta Foundation, PAS occurs in 1 in 272 pregnancies. How did we get to this rate? In this episode we will highlight data from ACOG, SMFM, and the National Accreta Foundation. We will highlight key ultrasound markers, patient risk stratification, and review what a PAS Care Center is. This is how we win the battle against PAS.

Delayed cord clamping (DCC) provides vital placental transfusion to newborns and is endorsed by ACOG, SMFM, March of Dimes, and the ACNM. However, DCC in nonvigorous newborns may not be provided owing to a perceived need for immediate resuscitation. Umbilical cord milking, in late-term and full-term neonates, is an alternative in these cases. In December 2020, the ACOG's Committee Opinion stated a lack of outcomes data for umbilical cord milking in nonvigorous newborns. This Level 1 data has now arrived (February 2023). In this episode, we will summarize the key findings from this soon-to-be released publication from the AJOG on umbilical cord milking in nonvigorous newborns born at >/= 35 weeks.

Fei and Nick discuss the work up and differential for microscopic hematuria. When exactly do you need to send someone for work up? Who is at risk for urologic malignancy? Listen to find out.  Also, SMFM will be emailing out a survey about education preferences. If you respond, you will be entered into a drawing for 10 prizes, five of which is a free registration for SMFM!  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

Nick and Fei talk today about ways to suppress menstruation -- and the reasons behind this are many! Check out the new ACOG clinical practice guideline to read more as we review methods of menstrual suppression.  Also, SMFM will be emailing out a survey about education preferences. If you respond, you will be entered into a drawing for 10 prizes, five of which is a free registration for SMFM!  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