In this episode Dr. Kim joins me to discuss an article about postplacental IUD placement from the American Journal of Obstetrics and Gynecology.
Postplacental intrauterine device expulsion by 12 weeks: a prospective cohort study
In this episode Dr. Kim joins me to discuss an article about postplacental IUD placement from the American Journal of Obstetrics and Gynecology.
Postplacental intrauterine device expulsion by 12 weeks: a prospective cohort study
Please consider giving to www.breac225.org to help support the victims of Hurricane Harvey.
In this episode we discuss the link between baby powder and ovarian cancer, the effect of breastfeeding on endometriosis, and the long term emotional effect of mode of delivery.
In this episode we trace the history of polycystic ovarian syndrome, learn about the underlying physiology, and how to diagnosis it.
Diagnostic Criteria for Polycystic Ovary Syndrome: Pitfalls and Controversies
Secretion of Androgens by the Polycystic Ovary and its Significance
Defective Biosynthesis of Ovarian Steroids in the Stein-Leventhal Syndrome
Functional Studies of Aromatase Activity in Human Granulosa Cells from Normal and Polycystic Ovaries
Polycystic ovary syndrome: etiology, pathogenesis and diagnosis
In this episode we discuss "Patterns of Opioid Prescription and Use After Cesarean Delivery" published in Obstetrics & Gynecology in July 2017 by Brian Bateman et al.
If you want to get in contact with Dr. Ballas then please send email to feedback@obgyn.fm
In this episode Dr. Kim and I discuss three current topics from the medical world.
1. CDC MMR - Placenta Encapsulation
2. Effect of Cervical Screening Changes on STD testing
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279217/
In this episode we discuss the use of fetal scalp pH and scalp stimulation in the triage of abnormal electronic fetal heart rate tracings.
Scalp pH
http://www.sciencedirect.com/science/article/pii/0002937885903308
http://www.tandfonline.com/doi/abs/10.1080/14767050500526172
http://www.sciencedirect.com/science/article/pii/S0002937899700839
http://www.bmj.com/content/336/7656/1284
http://www.sciencedirect.com/science/article/pii/0002937880908509
http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.1995.tb10878.x/full
http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.1995.tb10878.x/full
http://www.sciencedirect.com/science/article/pii/0002937869901021
http://onlinelibrary.wiley.com/doi/10.1111/j.1447-0756.1987.tb00238.x/full
http://www.bmj.com/content/340/bmj.c1471.long
http://fn.bmj.com/content/80/3/F246
Scalp Stim
http://www.sciencedirect.com/science/article/pii/S0002937887802624
http://www.sciencedirect.com/science/article/pii/S0002937886800072
http://onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.1989.tb03256.x/full
http://www.sciencedirect.com/science/article/pii/S0002937884800678
http://www.ajog.org/article/S0002-9378(84)80067-8/pdf
http://www.sciencedirect.com/science/article/pii/S0029784401016453
http://www.sciencedirect.com/science/article/pii/S002978449600525X
In this episode we conclude our discussion on intrapartum fetal monitoring by discussing fetal pulse oximetry and ST waveform analysis.
July Journal Club Article: Patterns of Opioid Prescription and Use After Cesarean Delivery
ST Waveform Analysis
Fetal Pulseoximetry
In this episode Dr. Ballas and I review and discuss an article from the American Journal of Obstetrics & Gynecology from April 2017 entitled "Planned home births: the need for additional contraindications".
Link: http://www.ajog.org/article/S0002-9378(17)30119-9/abstract
feedback@obgyn.fm
In this episode we discuss the evolution of intrapartum fetal monitoring from the Pinard Horn to modern doppler techniques. We also discuss the benefits and harms of these approaches and their role in modern obstetrics.
This is the first in our monthly Journal Club Series. In this episode we will be discussing a paper from the April 2017 issue of the Green Journal entitled "Sildenafil Citrate Therapy for Oligohydramnios".
feedback@obgyn.fm
In this closing chapter on Puerperal Fever we will examine GBS related neonatal sepsis and the science behind its prevention.
Diagnosis and Management of Group B Streptococcus in Pregnancy
Daily antibiotic cost estimates
Timing of intrapartum ampicillin and prevention of vertical transmission of group B streptococcus
Influence of probiotic enterococci on the growth of Streptococcus agalactiae
The Impact of Prenatal Probiotics on Group B Streptococcus Colonization
Preventing Early-onset Group B Streptococcal Sepsis: Strategy Development Using Decision Analysis
The Prevention of Early-onset Neonatal Group B Streptococcal Disease
Dr. Kim walks us through the history of cord clamping and examines the evidence behind delayed vs. immediate clamping.
ACOG, Committee Opinion. Delayed Umbilical Cord Clamping After Birth. (American College of Obstetricians and Gynecologists, 2017).
Downey, C., and Bewley, S. Third Stage Practices and the Neonate. Fetal and MAternal Medicine Review 20, 229-246 (2009).
Downey, C., Bewley, S. HIstorical Perspectives on umbilical cord clamping and neonatal transition. Journal of the Royal Society of Medicine 105, 325-329 (2012).
Drife, J. The start of life: a history of obstetrics. Postgrad Medicine 78, 311-315 (2002).
Loudon, I. General practitioners and obstetrics: a brief history. JR Soc Med 101 (2008).
McDonald, S., Middletone, P, Dowswell, T, Morris PS. Effect of timing of umbilical cord clamping of term infants on maternal and neonatal outcomes (Review). Cochrane Database of Systematic Reviews, 1-93 (2013).
Mercer, J., Vohr, BR, McGrath, MM, PAdbury, JF, WAllach, M, Oh, W. Delayed Cord Clamping in Very Preterm Infants Reduces the Incidence of Intraventricular Hemorrhage and Late-Onset Sepsis: A Randomized Controlled Trial. Pediatrics 117, 1235-1242 (2006).
Mercer, J., Vohr, BR, Erickson-Owens, DA, Padbury, JF and Oh, W. Seven-month developmental outcomes of very low birth weight infants enrolled in a randomized controlled trial of delayed versus immediate cord clamping. Journal of Perinatology 30, 11-16 (2010).
Mercer, J., Erickson-Owens, DA, Collins, J, Barcelos, MO, Parker, AB, Padbury, JF. Effects of Delayed cord clamping on residual placental blood volume, hemoglobin and bilirubin levels in term infants: a randomized controlled trial. Journal of Perinatology 37, 260-264 (2017).
National Institute for Health and Care Excellence,. Intrapartum care for healthy women and babies, 2014).
Paco, C., Florido, J, Garrido, MC, PRados, S, NAvarrete, L. Umbilical cord blood acid-base and gas analysis after early versus delayed cord clamping in neonates at term. Arch Gynecol Obstetric 283, 1011-1014 (2011).
Rabe, H., Wacker, A, Hulskamp, G, Hornig-Franz, I, Schulze-Everding, A, Harms, E, Cirkel, U, Louwen, F, Witteler, R, Schneider, H. A randomised controoled trial of delayed cord clamping in very low birth weight preterm infants. Eur J Pediatrics 159, 775-777 (2000).
Rabe, H., Reynolds, G. Diaz-Rossello, J. A Systematic Review and Meta-Analysis of a Brief Delay in Clamping the Umbilical Cord of Preterm Infants. Neonatology 93, 138-144 (2008).
Rabe, H., Jewison, A, Alvarez, RF, Crook, D, Stilton, D, Bradley, R, Holden, D. Milking Compared with Delayed Cord Clamping to increase Placental Transfusion in preterm neonates. Obstetrics and Gynecology 117, 205-211 (2011).
Rabe, H., Diaz-Rossello, JL, Duley, L, Dowswell, T. Effect of timing of umbilical cord clamping and other strategies to influence placental transfusion at preterm birth on maternal and infant outcomes. Cochrane Database of Systematic Reviews, 1-84 (2012).
Rabe, H., Sawyer, A, Amess, P, Ayers, S. Neurodevelopmental outcomes at 2 and 3.5 years for very preterm babies enrolled in a randomzied trial of milking the umbilical cord versus delayed cord clamping. Neonatology 109, 113-119 (2016).
Speer, H. Obstetrics and Gynecology: A history and iconography. New England Journal of Medicine 352, 844-845 (2005).
World Health Organization. WHO recommendations on Postnatal care of the mother and newborn. (2013)
In this episode we explore the differential diagnosis of postpartum fever.
Show notes and message board can be found at www.obgyn.fm
Please email me at feedback@obgyn.fm if you would like to join the slack community.
Prevalence of postpartum infections: a population-based observational study
Early Postpartum Endometritis: The Role of Bacteria, Genital Mycoplasmas, and Chlamydia trachomatis.
A comparison of once-daily and 8-hour gentamicin dosing in the treatment of postpartum endometritis
Abbreviated Antibiotic Therapy for the Treatment of Postpartum Endometritis.
Prophylactic antibiotics for manual removal of retained placenta in vaginal birth
Postcesarean wound infection: prevalence, impact, prevention, and management challenges
Antimicrobial-Associated Risk Factors for Clostridium difficileInfection
The effect of manual removal of the placenta on post-cesarean endometritis
Vaginal cleansing before cesarean delivery to reduce post-cesarean infections
Fever and deep venous thrombosis. Findings from the RIETE registry
Puerperal Fever is one of the leading causes of maternal and neonatal mortality throughout the world. In this episode we trace the role of modern medicine in both the rise and fall of the severity of childbed fever. We also review the causes, diagnosis, treatment, and prevention of chorioamnionitis.
In this episode Dr. Sara Kim discusses the history, diagnosis, consequences, and treatment of bacterial vaginosis.
ACOG. Vaginisits Practice Bulletin. (2015).
Chawla, R. B., Preena; Chadha, Sanjim; Grover, Sujatha; Garg, Suneela. Comparison of Hay's Criteria with Nugent's Scoring System for Diagnosis of Bacterial Vaginosis. Biomed Research International 2013 (2013).
Eschenbach, D. A. History and review of bacterial vaginosis. American Journal of Obstetrics and Gynecology 169, 441-445 (1993).
Fettweis, J. B., J Paul; Serrano, Myrna; Sheth, Nihar; Girerd, Philippe; Edwards, David; Strauss, Jerome; Jefferson, Kimberly; Buck, Gregory, Vaginal Microbiome Consortium. Differences in vaginal microbiome in African American women versus women of European ancestry. Microbiology 160, 2272-2282 (2014).
Greenwood, J. P., MJ. Transfer of Haemophilus vaginalis Gardner and Dukes to a New Genus, Gardnerella: G. vaginalis (Gardner and Dukes). International Journal of Systematic Bacteriology 30, 170-178 (1980).
Hillier, S. N., Robert; Eschenbach, David; Krohn, Marijane; Gibbs, Ronald; Martin, David; Cotach, Mary Frances; Edelman, Robert; Pastorek, Joseph; Rao, Vijaya; McNellis, Donald; Regan, Joan; Carey, Christopher; Klebanoff, Mary A. Association between bacterial vaginosis and preterm delivery of a low-birth-weight infant. New England Journal of Medicine 333, 1737-1742 (1995).
Koumans, E. S., Maya; Bruce, Carol; McQuillan, Geraldine; Kendrick, Juliette; Sutton; MAdeline; Markowitz, Lauri. The Prevalence of Bacterial Vaginosis in the United States, 2001-2004; Associations with Symptosm, Sexual Behaviors, and Reproductive Health. Sexually Transmitted Diseaese 34, 864-869 (2007).
Lachiewicz, M. M., Laura; Jaiyeoba, Oluwatosin. Pelvic Surgical Site Infection in Gynecologic Surgery. Infectious Diseases in Obstetrics and Gynecology 2015 (2014).
Larsson, P.-G. a. C., Bodil. Does pre- and postoperative metronidazole treatment lower vaginal cuff infection rate after abdominal hysterectomy among women with bacterial vaginosis? Infect Dis Obstet Gynecol 10, 133-140 (2002).
Lin, L. S., J; Kimber, N; Shott, S; Tangora, J; Aroutcheva, A; Mazees, MB; Wells, A; Cohen, A; Faro, S. The Role of Bacterial Vaginosis in Infection After Major Gynecologic Surgery. Infectious Diseases in Obstetrics and Gynecology 7 (1999).
Ling, Z. L., Xia; Chen, Weiguan; Luo, Yueqiu; Yuan, Li; Xia, Yaxian; Nelson, KAren; Shalei, Huang; Zhang, Shaoen; Wang, Yuezhu; Yuan, Jieli; Li, Lanjuan; Xiang, Charlie. The Restoration of the Vaginal Microbiota After Treatment for Bacterial Vaginosis with Metronidazole or Probiotics. Microbial Ecology 65, 773-780 (2013).
Menard, J.-P. Antibaterical treatment of bacterial vaginosis: current and emerging therapies. International Journal of Women's Health 3, 295-305 (2011).
Muthuamy, S. E., Selvi. Comparison of Amsel's Criteria, Nugent Score and Culture for the Diagnosis of Bacterial Vaginosis. National Journal of Laboratory Medicine 5, 37-40 (2016).
Onderdonk, A. D., Mary L; Fichorova, Raina N. The Human Microbiome during Bacterial Vaginosis. Clinical Microbiology Reviews 29, 223-238 (2016).
Tebes, C. L., Catherine; Sinnott, John. The effect of treating bacterial vaginosis on preterm labor. Infect Dis Obstet Gynecol 11, 123-129 (2003).
Xiao, B. N., Xiaoxi; Wang, Ben; Du, Pengcheng; Na, Risu; Chen, Chen; Liao, Qinping. Predictive value of the composition of the vaginal microbiota in bacterial vaginosis, a dynamic study to identify recurrence-related flora. Scientific Reports Nature 6, doi:10.1038/srep26674 (2015).
A bonus episode describing the life and contributions of Russel Earl Marker. He led a fascinating life and his work made possible the great advances in the understanding of female fertility that took place in the 1950s. Without his work the history of hormonal contraception would likely look completely different and in this episode we pay tribute to his brilliance and dedication.
In this episode we discuss the history, methods, effectiveness, and pitfalls of permanent sterilization.
In this episode we discuss the ancient and modern history of barrier contraceptives and their effect on society. We also review the development of the IUD and its place in the modern contraceptive landscape.
In this episode we discuss the menstrual cycle and how a few people figured out how to hack it to provide safe, effective contraception.
Effectiveness of Birth Control Methods
Contraception is major element in the life of women throughout the world. In this episode we chart its history from ancient Egypt to modern times and discuss its implications at the personal and societal levels.