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 Herrell, revealing the complexities and nuances surrounding forceps and vacuum deliveries.

• Examining the historical context of operative vaginal deliveries
• Analyzing the decline in forceps and vacuum usage since the 1990s
• Discussing the rise of cesarean deliveries as an alternative
• Revealing racial disparities adjacent to delivery practices
• Outlining effective techniques for both forceps and vacuum-assisted deliveries

Learn more about this pressing topic and gain valuable insights by listening to our episode.

00:00:00 ntroduction and Overview of the Episode

00:01:18 The Decline in Operative Vaginal Deliveries

00:05:24 Forceps

00:24:21 Vacuums

00:49:30 Advice For Trainees

00:55:38 Four Tips for Forceps and Vacuums

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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. Additionally, it explores the implications of non-invasive prenatal testing for cancer detection and recent maternal mortality statistics, while advocating for evidence-based practices in both surgical and obstetric care.

• Analysis of barbed suture use and cost implications

• Discussion of unexpected cancer detection via NIPS

• Exploration of maternal mortality statistics and misconceptions

• The relative value of baby (a discussion of the perverse economics of pediatric and obstetric care)

• Summary of recent findings on aspirin dosages for preeclampsia

• Examination of venous thromboembolism risks with hormonal contraceptives

00:00:01 Barbed Suture in OBGYN Surgery

00:09:13 Comparing Surgical Sutures

00:17:11 NIPS Results and Maternal Cancer Detection

00:24:04 Maternal Mortality Trends and Data Analysis

00:38:50 Medical Reimbursements and Healthcare Priorities

00:47:20 Risk Factors in Birth Control Thromboembolism

00:54:37 Birth Control and Thromboembolism Risk

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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 sharing practical tips for first responders, the insights presented aim to enhance awareness and preparedness in critical situations.

• Discussing the alarming rise in maternal mortality rates
• Identifying common causes of maternal cardiac arrest
• The importance of OBLS training and education for healthcare providers
• Emphasizing the need for left uterine displacement during resuscitation
• Addressing healthcare disparities affecting Black women
• Sharing unique physiological adaptations in pregnant patients
• Strategies for improving outcomes in maternal cardiac arrest cases
• Highlighting the value of simulation training for all healthcare personnel

Every healthcare professional plays a role in improving maternal health outcomes. Listen in for tips and insights on how we can enhance readiness for maternal cardiac arrest situations.

00:00:01 Obstetric Life Support

00:03:34 Maternal Mortality and OBLS Training

00:15:23 Maternal Health Disparities and Physiologic Changes

00:27:53 Cesarean Delivery and Post-Delivery Care

00:41:15 History and Implementation of CPR

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