Thinking About Ob/Gyn
A fresh and evidence-based perspective of all things related to obstetrics and gynecology. Follow us on Instagram @thinkingaboutobgyn or visit thinkingaboutobgyn.com for show notes and more.
Episodes
97 episodes
Episode 8.6 Cervical Catheters, SGA, Due Date Errors, History of Postpartum Depression
In this episode, we discuss four tips for placing and using catheters for induction of labor. Then we revisit the issue of small for gestational age versus fetal growth restriction. We also discuss the most common mistake made in calculating du...
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Season 8
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Episode 6
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59:53
Episode 8.5 Ultrasounds of Twins, Tongue Ties, and Pap-sploitation
In this episode, we discuss the frequency of Pap smears for twin pregnancies as well as the need for using twin-based growth data for the diagnosis of fetal growth restriction in twins. We will poke the fire of controversy of the use of the ter...
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Season 8
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Episode 5
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1:04:36
Episode 8.4 Anticoagulation Use In Pregnancy
In this episode, we discuss prevention of thromboembolism during pregnancy and the postpartum period and the evidence for which patients should receive anticoagulation. Plus, the history of heparin and four tips for preventing embolism. 00:...
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Season 8
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Episode 4
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1:03:17
Episode 8.3 Antiquated Physical Exam Techniques, Cord Blood Banking, and More!
In this episode, we challenge the reliability of traditional tests like Homan's sign and cervical motion tenderness. Learn how understanding and applying likelihood ratios can vastly improve diagnostic accuracy, and why combining multiple findi...
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Season 8
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Episode 3
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1:06:25
Episode 8.2 Cesarean Under Local, New Literature, and History of Preeclampsia
In this episode, we discuss four tips for Cesarean under local. Then we discuss some new literature including full versus empty bladder during gyn procedures and endometrial ablation vs IUD for abnormal uterine bleeding. We also discuss the ine...
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Season 8
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Episode 2
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58:56
Episode 8.1 Overuse of HCGs, Famous Studies in OB, and the History of Mag Sulfate
In the season 8 premiere, we discuss over-utilization of serial quantitative HCGs. Then we discuss several famous or influential studies in obstetrics, including the WOMAN trial, the CLASP trial, the ARRIVE trial, MagPIE, and several more. Fina...
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Season 8
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Episode 1
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1:03:52
Episode 7.13 Uterine inversion, Trainee Harassment and Mistreatment, and Suicide
In this episode, we discuss four tips for uterine inversion. Then, we discuss mistreatment and abuse of trainees in OB/GYN plus physician suicide. Finally, we answer a question about closure of peritoneum. 00:00:02
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Season 7
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Episode 13
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1:06:44
Episode 7.12 BV Screening, WHI, First Trimester Anatomy Ultrasound, and Postpartum Sterilization
In this episode, we discuss routine bacterial vaginosis screening in patients with preterm labor symptoms. Then, we discuss some dietary and other less-discussed findings from the Women's Health Initiative. We also discuss a new review article ...
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Season 7
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Episode 12
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1:01:18
Episode 7.11 IUD insertion, teaching residents and students, and the history of blood transfusion
In this episode, we discuss four tips for IUD insertion. Then we discuss the qualities of good teachers and the important of teaching students and residents, with some practical advice thrown in as well. Finally, we discuss the history of blood...
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Season 7
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Episode 11
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57:31
Episode 7.10 Risks of multiple Cesareans, tips for vaginal hysterectomy, and listener questions
In this episode, we discuss the risks and counseling related to higher numbers of Cesareans. Then, we finish our discussion about vaginal hysterectomy with tips and tricks for some common problems. Finally, we answer a listener question about e...
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Season 7
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Episode 10
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1:11:04
Episode 7.9 Deeply Impacted Fetal Head, Route of Hysterectomy, and the Taj Mahal
In this episode, we discuss four tips for managing the deeply impacted fetal head at the time of Cesarean. Then we discuss the optimal route of hysterectomy (hint: its a vaginal hysterectomy). Finally, we discuss the obstetric history of the Ta...
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Season 7
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Episode 9
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1:02:48
Episode 7.8 Osteopenia treatments, antenatal steroids, IOL methods, VBAC risk factors, and surgical hemostasis
In this episode, we discuss the latest recommendations for treatments for osteopenia and osteoporosis, including vitamin D and calcium, as well as bisphophonates and other medications. Then we discuss new literature about best methods f...
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Season 7
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Episode 8
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1:01:19
Episode 7.7 Cord Prolapse, Radical Hysterectomy for Cervical Cancer
In this episode, Dr. Stuart Winkler returns to discuss new evidence about the risks and benefits of radical hysterectomy for cervical cancers. Also, for fun, we torture a Gyn-Onc with a four tips for managing cord prolapse. Also, we discu...
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Season 7
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Episode 7
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1:03:43
Episode 7.6 Maternal Mortality Declining? Plus skin closures and listener questions
In this episode, we discuss which laparoscopic ports need to be closed and how. Plus, we discuss more evidence that the current narrative about maternal mortality in the US is false. Finally, we answer listener questions about oxytocin protocol...
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Season 7
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Episode 6
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59:52
Episode 7.5 Breech Delivery Tips, Laparoscopy Entry, and IVF Legality
In this episode, we discuss four tips for breech vaginal delivery. Then, we respond to the Alabama Supreme Court's decisions about embryos and the impact on IVF and reproductive rights. Finally, we discuss the best methods for initial lap...
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Season 7
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Episode 5
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1:08:20
Episode 7.4 Oxygen for Decels, Interpreting Studies Part 2, Frozen Eggs
In this episode, we discuss the use of supplemental oxygen for fetal decelerations. Then we get into part 2 of our discussion of interpreting clinical studies and when to adopt new interventions into practice, including a discussion of intranas...
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Season 7
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Episode 4
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1:03:08
Episode 7.3 Cephalic Version, Interpreting Studies Part 1, and Jackie Kennedy
In this episode, we discuss four tips for external cephalic version. Then we dive into the basics of interpreting scientific studies. Finally, we discuss the pregnancy history of Jackie Kennedy. 00:00:20
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Season 7
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Episode 3
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1:01:17
Episode 7.2 Cesareans for Macrosomia, Yearly Pelvic Exams, Zuranolone, and more!
In this episode, we discuss performing Cesarean for fetal weights at lower thresholds than currently recommended. Then we discuss new literature regarding utility of pelvic exams or screening asymptomatic women and early rupture of membranes af...
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Season 7
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Episode 2
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1:04:03
Episode 7.1 New Mammography Guidelines, Four Tips for Fetal Tracings, and Pregnancy after Hysterectomy
In the first episode of our new season, we introduce a new segment with Four Tips for managing fetal heart tracings. Then we discuss the new mammography guidelines. And finally we discuss a case of a viable pregnancy in a woman who had had a hy...
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Season 7
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Episode 1
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1:05:57
Episode 6.13 Hormone Replacement Myths Part 2
In this episode, we discuss five more myths about hormone replacement therapy. Also, we discuss the utility of cervical exams at later pregnancy visits and the history of synthetic hormones. 00:00:02
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Season 6
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Episode 13
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1:06:41
Episode 6.12 Hormone Replacement Therapy Myths Part 1
In this episode we debunk the first of five myths about menopausal hormone replacement therapy. 00:00:02 Horm...
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Season 6
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Episode 12
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1:05:00
Episode 6.11 Vaginal Estrogen and More!
In this episode, we discuss several new articles related to treatment of vaginal atrophy or genitourinary syndrome of menopause, including literature that clarifies the role of vaginal estrogen cream. Plus, we discuss the role of washings at th...
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Season 6
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Episode 11
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59:07
Episode 6.10 Magnesium Sulfate for Neuroprotection for Preterm Infants
In this episode, we review the literature regarding the use of magnesium sulfate for neuroprotection to prevent CP in preterm infants. 00:00:02
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Season 6
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Episode 10
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1:08:14
Episode 6.9 Male Circumcision: A Global, Historical, and Ethical Debate
In this episode, we discuss neonatal circumcision and the pros, cons, and ethics. Prepare for controversy. We also discuss the utility of labs for fetal growth restriction. 00:00:02
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Season 6
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Episode 9
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1:02:03
Episode 6.8 The (Near) Future of Obstetrics
In this episode, we speculate about the near future of advancement of obstetrics, including new vaccines, new uses for cell-free DNA screening, advancement in diabetes monitoring, the use of artificial intelligence and remote monitoring in obst...
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Season 6
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Episode 8
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59:40