
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
112 episodes
Episode 9.8 Rethinking Bacterial Vaginosis and More!
In this episode, Antonia and Howard explore the groundbreaking study on treating male partners for bacterial vaginosis, revealing significantly reduced recurrence rates and challenging our traditional understanding of BV pathophysiology....
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Season 9
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Episode 8
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1:05:20

Episode 9.7 OB Triage Essentials (plus The Pitt)
This episode features our favorite podcast ninja, Dr. Maddie White. She and Howard discuss how medical dramatizations misrepresent obstetric emergencies (yes, we are watching The Pitt). Then, we dissect evidence-based approaches to common triag...
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Season 9
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Episode 7
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1:01:45

Episode 9.6 New Birth Control Products and Other Updates
Antonia Roberts and Howard Herrell review several new articles: • Epifoam for postpartum pain lacks evidence of effectiveness compared to simple ice packs while costing nearly $100 per unit• AMH levels above 5.39 are associated ...
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Season 9
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Episode 6
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1:05:53

Episode 9.5 Operative Vaginal Deliveries
We discuss the pressing issues surrounding operative vaginal deliveries, including trends in their usage and the disparities impacting delivery outcomes. Join us as we navigate these critical insights with expert guests Jamie Perry and Howard H...
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Season 9
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Episode 5
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1:00:00

Episode 9.4 Barbs, Birth Control Risks, Maternal Cancers, Aspirin, and More!
This episode dives into the debate surrounding the efficacy and cost of barbed sutures in surgical practice, questioning whether their time-saving advantages are justified compared to traditional techniques, especially for uterine closure. Addi...
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Season 9
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Episode 4
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1:05:22

Episode 9.3 Obstetric Life Support with Jacqueline Vidosh
Join Howard with guest host Jacqueline Vidosh as we explore the challenges of maternal cardiac arrest. This episode emphasizes the urgent need for specialized training in obstetric life support. From discussing causes of maternal mortality to s...
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Season 9
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Episode 3
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52:19

Episode 9.2 Circumvallate Placenta, Pregnancy Apps, Oral Meds for GDM, and HPV
In this episode, Howard and Antonia focuses on the evolving guidelines for HPV screening and the implications for women's health, highlighting its superior effectiveness over traditional Pap smear tests. Additionally, we explore the reliability...
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Season 9
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Episode 2
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1:00:56

Episode 9.1 Cesarean Hysterectomy
Discover how cesarean hysterectomy, once a procedure shrouded in fear, has evolved into a life-saving operation with contributions from pioneering figures like Eduardo Porro and Lawson Tate. In this episode, we are joined by gynecologic oncolog...
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Season 9
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Episode 1
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59:08

Episode 8.13 Flagyl, GBS, DUTCH, Jada, Quickening and More!
Challenge preconceived notions in obstetrics and gynecology with our latest episode, where we dismantle myths that have long influenced medical practices, even in the absence of scientific backing. From unraveling the misunderstood reaction bet...
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Season 8
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Episode 13
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1:00:00

Episode 8.12 Four Tips for Paps, OB Unit Closures, and the Importance of Hospital Based Obstetrics
In this episode, we give four simple tips for performing a Pap smear. Then we dive into the complicated problem of obstetric units closing across the United States and actions we need to take to stop this dangerous trend that threatens the safe...
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Season 8
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Episode 12
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1:03:10

Episode 8.11 Catheters in Labor, Occiput Posterior Fetuses, and Cesarean Scar Disorder
Do patients in labor need continuous bladder drainage? We will review the literature comparing intermittent to continuous drainage. Next, we venture into the art and science of manual rotation for persistent posterior fetal presentation...
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Season 8
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Episode 11
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1:02:18

Episode 8.10 Birth Control Counseling, MOC Article Highlights, and Feminine Forever
In this episode, we discuss four tips for effective birth control counseling. By dissecting communication techniques, we highlight how striking a balance between relational and task-oriented approaches can maximize patient interactions and ensu...
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Season 8
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Episode 10
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1:05:08

Episode 8.9 Intrapartum Fentanyl, IUDs and Breast Cancer, Pretrm Test and Bias in Studies
Can IV fentanyl use during labor actually be safe for mothers and newborns beyond six centimeters of dilation? Join us as we unpack a pivotal 1989 study and question the stereotypes surrounding fentanyl use in labor.Our second segment t...
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56:15

Episode 8.8 Finding Clinical Answers, Iron, Fetal Testing, and Steroids
In this episode, we discuss four tips for finding evidence based answers quickly. Then we discuss some new literature about pap smears and new guidelines regarding iron supplementation in pregnancy. We also discuss the history of corticosteroid...
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57:06

Episode 8.7 One Layer or Two? Endometrium or Serosa? And Minimally Invasive Surgery
In this episode, we discuss the evidence behind one layer and two layer Cesarean closures with an emphasis on inclusion of the endometrium and the risk of cesarean scar ectopics and placenta accreta spectrum disorders. Plus, we define minimally...
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Season 9
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Episode 7
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1:04:07

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
