Thinking About Ob/Gyn

By: Antonia Roberts and Howard Herrell
  • Summary

  • 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.

    © 2024 Thinking About Ob/Gyn
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Episodes
  • Episode 8.10: Birth Control Counseling, MOC Article Highlights, and Feminine Forever
    Nov 14 2024

    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 ensure comprehensive, evidence-based care regarding birth control choices.

    Then we delve into several studies from the recent ABOG MOC cycle that we found interesting or curious and point out several informative nuggets.

    Finally, we discuss the book "Feminine Forever" and its impact on estrogen replacement therapy perceptions.

    00:00:02 Communication Strategies for Birth Control Counseling

    00:11:56 Effective Communication of Birth Control Risks

    00:21:08 PAS After Myomectomy

    00:23:03 Risk-Reducing Surgery Adherence Discussion

    00:30:33 Issues With Modern Labor Curves

    00:38:49 Stopping ASA Early

    00:42:17 Prophylactic Slings

    00:46:01 Clinical Updates on UTIs

    00:51:34 Mental Health Guidelines and Other Articles

    00:55:51 Feminine Forever

    Follow us on Instagram @thinkingaboutobgyn.

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    1 hr and 5 mins
  • Episode 8.9: Intrapartum Fentanyl, IUDs and Breast Cancer, Pretrm Test and Bias in Studies
    Oct 30 2024

    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 tackles sensational claims about IUDs and breast cancer, as we dissect a Danish study recently published in JAMA. Listen as we unpack the methodological nuances and confounders that mainstream publications have overlooked, and explore the media's role in shaping public perception with incomplete or skewed interpretations of data.

    This episode closes with an in-depth look at the biases that pervade pharmaceutical research, particularly when funding sources have a vested interest in outcomes. By examining the "sponsorship effect" and its implications on research validity, we highlight the need for rigorous, unbiased scientific inquiry. We examine the evidence for the new Pretrm Test for preterm labor risk. Learn about the challenges of implementing biomarker testing for predicting preterm births and why high-quality evidence must remain the cornerstone of clinical practice. As we celebrate our 100th episode, we discuss the need for truth and transparency in scientific research—creating a future where clinical practices are driven by reliable, evidence-based insights.

    00:00:02 Navigating IV Fentanyl Use in Labor

    00:07:56 Debunking Misconceptions About IUDs and Breast Cancer

    00:22:17 Evaluating Biomarker Testing for Preterm Birth: The PreTRM test

    00:38:50 Conflicts of Interest in Medical Research

    00:45:15 Biased Influence in Medical Research

    Follow us on Instagram @thinkingaboutobgyn.

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    56 mins
  • Episode 8.8: Finding Clinical Answers, Iron, Fetal Testing, and Steroids
    Oct 17 2024

    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 corticosteroids for fetal maturity and the hype cycle in medicine.

    00:00:02 Finding Evidence-Based Clinical Answers Quickly

    00:13:36 Understanding Evidence-Based Clinical Practice

    00:23:30 Cervical Cancer Screening During Pandemic

    00:33:51 Optimal Timing for Cervical Cancer Prevention

    00:40:12 Iron Supplementation in Pregnancy

    00:47:13 Corticosteroids and Hype in Medicine

    Follow us on Instagram @thinkingaboutobgyn.

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    57 mins

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