Bedste Pregnancy Pearls-podcasts (2024)

1
CS Scar Pregnancy 48:52

11d ago48:52

48:52

Cesarean scar pregnancy (CSP) occurs when an early pregnancy implants on the cesarean scar defect (CSD), myometrial tissue previously disrupted by cesarean delivery. The first case of CSP was reported in 1978 in a patient with a previous cesarean section (CS) who had heavy bleeding and abdominal pain after uterine curettage for a suspected miscarri…

1
The REFEREE: MORE SSRI and PTB Info (Sept 2024) 16:45

1d ago16:45

16:45

on 09/02/2024, we released an episode called, "Do SSRIs Raise PTB Risk?". In that episode, we highlighted a new publication from the AJOG (August 30. 2024) which indicated that SSRIs may raise PTB risk. This is in contrast to a separate cohort study released Feb 2024. This is a classic case of "He Said, She Said". But now we have a REFEREE on the f…

1
Failure Rates S/P Tubal Sterilization: NOT What we Thought. 34:59

2d ago34:59

34:59

Tubal sterilization goes back to the 1880s. The first collaborative review of sterilization effectiveness was the CREST study published in 1996 in the AJOG. But that was with prior sterilization techniques. As a way to update the data researchers looked at the national survey for family growth (NSFG) from 2002 to 2015 to determine failure rates aft…

1
Do SSRIs Raise PTB Risk? 40:17

4d ago40:17

40:17

Depressive disorders during pregnancy are common, with estimated prevalence ranging from 11% to 16%. Accordingly, antidepressant drugs, most commonly selective serotonin reuptake inhibitors (SSRI), are used by approximately 3–4% of pregnant women worldwide, with a higher prevalence in the United States compared to Europe. As antidepressants cross t…

1
Shortness of Breath - 3 26:43

4d ago26:43

26:43

Ben and I discuss shortness of breath, and I completely miss the diagnosis. Can you figure out what is going on? I resort to AI to help ....... For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net Find us on X @amieburbridge @DrBenLovell @amieburbridge @DrBenLovell…

1
010 Pregnancy and Birth 26:51

5d ago26:51

26:51

Pregnancy and childbirth are incredible experiences filled with joy, anticipation, and a fair share of challenges, whether you are a first-time parent-to-be or a seasoned pro preparing for another addition to the family. So is the challenge of having a baby or family worth it? That’s what we are going to discuss in this episode. We’ll also share th…

1
OROPOUCHE! 32:10

7d ago32:10

32:10

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. Co…

1
“New” Info on PCOS: Name Change? OB Implications? 31:06

8d ago31:06

31:06

Polycystic ovary syndrome (PCOS) was first described in 1935 by Irving Freiler Stein and Michael Leo Leventhal at the Central Association of Obstetricians and Gynecologists. Since that time, it has gone through several name changes: Stein-Leventhal syndrome, PCOD, and currently PCOS. Nonetheless, proponents and scientists are still recommending yet…

1
BRAND NEW Lexicon for 1st Trimester US (08/27/24)! 27:18

9d ago27:18

27:18

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 🔥🔥OFF THE PRESS- is a new publication in the AJOG, which is “A Lexicon For First Trimester US: Society of Radiologists in Ultrasound Consensus Conference Recommendations“. …

1
Make it TIGHT! 😳 41:33

13d ago41:33

41:33

(DISCLOSURE: Sexual Content) Back in April 2023, we released an episode on the “Jade Vaginal Egg” and vaginal weights for vaginal tightening. While we tackled the Jade Egg successfully, we now have a new player on the field: the VAGINAL TIGHTENING STICK. This over the counter “sex aid” can lead to chemical burns and severe vaginal dryness/agglutina…

1
The “Broken” IUD: Detection and Clinical Management 32:02

15d ago32:02

32:02

The IUD is a very safe and supremely effective contraceptive method. Given its increasing rate of use, practitioners are bound to see its relatively infrequent complications with greater regularity. Typical complications are considered “lost strings“, uterine perforation at placement, and expulsion. But there is another complication, device FRACTUR…

1
Umbilical Cord Gases: What, Why, When? 46:16

16d ago46:16

46:16

In 1958, James et al. first described umbilical cord blood gas analysis to evaluate the fetus's metabolic condition at the time of delivery. It's recommended by both the British and American Colleges of Obstetrics and Gynecology for all high-risk deliveries. Cord blood gas provides the most accurate and objective evidence of fetal acidosis at the t…

1
Active Surveillance 20:10

17d ago20:10

20:10

In this episode of Voices of Wisdom, host Janice Pasieka and expert guest Eyal Robenshtok dive into the revolutionary approach of active surveillance in thyroid cancer treatment. They explore how this method challenges traditional surgery-first strategies, offering valuable insights for clinicians. Discover the criteria for selecting patients for a…

1
FDA HPV Self-Swab Ready Aug 15, '24: NOT FOR HOME (Listen for Details) 22:15

19d ago22:15

22:15

According to the National Institutes of Health, almost 13,000 women in the United States are diagnosed with cervical cancer each year, resulting in around 4,000 deaths, with most of the deaths occurring among under-screened women. Now, there is potentially a barrier-breaker. As of August 15, 2024, self-collection kits for cervical cancer screening …

1
NEW Syphilis At-Home Test: Promises and Problems 32:30

19d ago32:30

32:30

The rise of home testing for STIs/HIV started long before the recent pandemic (the FDA approved its first HIV home test collection kit way back in 1996), but COVID-19 seems to have accelerated the popularity of getting tested from the comfort of our homes. In Nov 2023, the Food and Drug Administration granted marketing authorization, the first of i…

1
2024 UPDATE: Mpox in Pregnancy 41:32

21d ago41:32

41:32

The World Health Organization declared on 8/14/24 that the increasing spread of Mpox in Africa is a global health emergency, warning the virus might ultimately spill across international borders. Mpox, also known as monkeypox, was first identified by scientists in 1958 when there were outbreaks of a “pox-like” disease in monkeys. Until recently, mo…

1
Boar’s Head, Listeria, and Pregnancy 43:18

24d ago43:18

43:18

On July 26, 2024, Boar’s Head issued its recall of 7 million pounds of ready-to-eat meat and poultry products that might be contaminated with the potential harmful bacteria, listeria. Sporadic listeria outbreaks are nothing new; in June 2024, chicken-based products were recalled for the same concern in Canada. The US recall includes more than 70 pr…

1
New Way to Reduce HDFN?: Enter, Nipocalimab 35:23

25d ago35:23

35:23

Our tagline, “Medicine moves fast“, is the absolute truth! Historically, identification of fetuses at risk of hemolytic disease of the fetus/newborn (HDFN) required amniocentesis for determination of the Delta OD450, Liley Curve. This was the first screen, which would then trigger cordocentesis for determination of the fetal hematocrit. We’ve now m…

1
The Return to LT-O-Whole Blood (LTOWB) for OB Transfusion 39:51

28d ago39:51

39:51

Prior to the 1970s, when component therapy became the preferred method of resuscitation, whole blood (WB) was the resuscitative medium of choice for hemorrhagic shock. In modern medicine, sometimes it turns out that the old way is better than the new…and using whole blood for transfusions is one example. Research is emerging that shows whole blood …

1
Facial Numbness 22:27

28d ago22:27

22:27

In this episode we discuss cranial nerve palsies and I once again face my fear of neurology. We reflect on what imaging is best at the front door. Ben is quoting Steps lyrics yet again; 5,6,7,8 ............. For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net Find us on X @amieburbridge @DrBe…

1
2024 CDC MEC UPDATE! HOT OFF THE PRESS! 51:05

29d ago51:05

51:05

MEC CHANGES ARE HERE! During January 2022, the CDC held virtual scoping meetings that included 27 participants with expertise in contraception, adolescent health, and thrombosis, as well as representatives from partner organizations, to solicit their individual input on the scope for updating both the 2016 U.S. MEC. The 27 invited participants repr…

1
New Non-Estrogen Medication for Hot Flashes? Veozah's Competitor 24:04

1M ago24:04

24:04

In May 2023, the FDA approved fezolinetant (Veozah), an oral medication that's the first neurokinin 3 (NK3) receptor antagonist to treat moderate to severe hot flashes caused by menopause. Now, a separate oral medication which blocks the NK 1 and 3 receptor iis on the scene. Although not yet FDA approved, the published phase 1, 2, and 3 data make t…

1
Antepartum AI for Stillbirth Prevention 35:37

1M ago35:37

35:37

Artificial Intelligence (AI) has arrived. Machine Learningis a form of AI which is being investigated/used for improving maternal outcomes. The UK has already launched the TOMMY APP (through the RCOG) for use to reduce PTB and stillbirths in the UK. In this episode we will highlight a new systematic review which assessed Machine Learning’s ability …

1
Maternal Obesity and SUID: New Data 33:54

1M ago33:54

33:54

We all are aware that multiple adverse obstetrical outcomes have been linked to maternal obesity, such as stillbirth, preterm birth, NICUs admission, and congenital anomalies. But once delivery and hospital discharge occurs uneventfully, a new cohort study is raising the alarm for another possible adverse event up until the child’s first year of li…

1
NEW Clinical Practice Update (Aug 2024) 16:56

1M ago16:56

16:56

Our immediate past episode summarized a validation study of cell-free DNA (cfDNA) isolated from maternal plasma for fetal RBC genotyping in alloimmunized patients. And now, in this episode, we will highlight a BRAND NEW ACOG Clinical Practice Update on this very subject! YEP... we now have new ACOG guidance regarding using maternal derived cfDNA fo…

1
cfDNA Fetal RBC Genotyping in Alloimmunized Pregnancies: July 2024 NEW DATA 23:19

1M ago23:19

23:19

In September 2022, a cell-free DNA assay using next-generation sequencing and quantitative counting tech for fetal antigen status determination became clinically available in the USA. This allowed maternal screening for fetal RBC genotypes for RH negative patients. This test was recognized by thre ACOG in March 2024 as one option to “triage” anti-D…

1
Skyrocketing Sex Strangulation Rates: The Alert 45:15

1M ago45:15

45:15

First off, let’s all agree that everyone has a different STYLE of sexual intimacy, and that’s OK. Yep, we all understand that there's always been a lot of sexual act “diversity” in the world… and throughout history. But there is a more recent trend that has increased in popularity, some surveys attribute it to its representation in pornography, tha…

1
Tired All The Time 40:00

1M ago40:00

40:00

In this episode Ben and I discuss tiredness and its many possible causes. We reflect on the power of a mentor and the positive, lasting effect they can have on a career. For more clinical reasoning; https://www.efimacademy.org/login/index.php Get in touch at a.burbridge@nhs.net Find us on X @amieburbridge @DrBenLovell @amieburbridge @DrBenLovell…

1
Candida as IAI & Perinatal Sepsis? YES. 38:50

1M ago38:50

38:50

Candida in women is being right? Afterall, vulvovaginal candidiasis during pregnancy is common. Candida species may be isolated from the vagina of 15 %-21% of nonpregnant women; this rate increases to 30% during pregnancy. While it is generally benign and isolated to the vagina clinically, some Candida species have the capacity to be troublemakers.…