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Sterile or Clean Gloves for Labor Checks? New RCT Data (June 2023)
When performing cervical examinations during labor, providers in the United States commonly use sterile gloves, even when there is no rupture of memb…
2 years, 10 months ago
GDM Screen After 28 Weeks? Yay or Nay.
Here’s a real world clinical conundrum: A patient first presents for prenatal care in the 3rd trimester. As healthcare providers, we play a game of “…
2 years, 10 months ago
The 39 Week IOL “Dilemma”
We are now 5 years into the publication of the Arrive trial (2018) which opened the door to elective induction of labor at 39 weeks in an otherwise l…
2 years, 10 months ago
Nonhypoxic Antepartum Fetal Bradycardia
The fetal heart rate is controlled by various integrated physiological mechanisms, most importantly by a balance of parasympathetic and sympathetic n…
2 years, 10 months ago
New Serum Biomarker Test for sPreeclampsia (The Praecis Study).
On May 19, 2023, the FDA cleared a novel biomarker serum test for the risk stratification for severe preeclampsia in hypertensive pregnant women. Thi…
2 years, 10 months ago
Umbilical Vein Injection for 3rd Stage?
The 3rd stage of labor is the time from child's birth to delivery of the placenta. Delayed placental separation and expulsion is a potentially life-t…
2 years, 10 months ago
Laughing Gas in Labor.
Although labor epidural remains the gold standard for labor analgesia, some patients may opt for a trial of a less invasive analgesic agent. While IV…
2 years, 10 months ago
Bipolar in Pregnancy
Just the other day I received a text from one of our wonderful FM attendings in our group concerned about refilling a patient’s Lamictal in early pre…
2 years, 10 months ago
Lactational Mastitis and Abscess: New Data on the Milk Microbiota
The ACOG recommends exclusive breastfeeding for the first 6 months of life, with continued breastfeeding while complementary foods are introduced dur…
2 years, 10 months ago
You Asked, We Answered! (#2): 4 Topics Clarified.
This is our second episode in the format of “You Asked, We Answered!” In this episode we will clarify and discuss 4 topics currently active: (1) Is t…
2 years, 10 months ago