Nonreassuring fetal heart tracing Category 2-remote from delivery Minimal/absent variability is most significant predictor of fetal acidemia Category 3 any time is emergent deliver Failed IOL Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor Arrest of dilation Can only meet criteria once in active labor 6cm ... Show More
Jan 2018
Before Your First: Hysteroscopy
Hysteroscopy = looking inside the uterus with a scope Steps: Dilate the cervix Distend the uterus with fluid Look around, identify pathology, identify tubal ostia, remove pathology if using an operative scope or Myosure or another resectoscope. Feared complication: Hyponatremia f ... Show More
10m 15s
Feb 2018
Before Your First: Colposcopy and LEEP
Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, t ... Show More
14m 50s
Feb 2024
Fetal Manual Rotation: 1st or 2nd Stage Practice?
Women whose fetuses are in the occiput posterior head position at the time of delivery are known to have longer second stages of labor and more complicated deliveries, including more operative assisted births, more 3rd and 4th degree lacerations, PPH, and in some studies lower Ap ... Show More
47m 3s
Mar 2019
Chapter 25: Obstetrics part 2
Content covered in this episode includes: [0:27] Obstetrics chapter of S2S including questions like: - What are the different terms for spontaneous abortion? - In fetal heart monitoring, what is the difference between early decelerations, late decelerations, and variable decelera ... Show More
50m 28s
Aug 2025
Episode 236 -- August 2025 -- Part 2 AFP: American Family Physician
Contraception (1:30), delayed pushing in labor (6:10), bacterial vaginosis (8:50), outpatient care of the premature infant (11:10), nocturnal leg cramps (17:30), and AFP Clinical Answers (19:20).
22m 36s
Mar 2025
Ep 170 Pregnancy: Act 3
Content Warning: This episode includes mentions of miscarriage, pregnancy loss, pregnancy complications, traumatic birth experiences, and other potentially disturbing topics related to childbirth, pregnancy, and the postpartum period. In Act 3 of our pregnancy series, we arrive a ... Show More
1h 55m
<p dir="ltr"><strong>Contributor: Aaron Lessen MD</strong></p> <p dir="ltr"><strong>Educational Pearls:</strong></p> <ul> <li dir="ltr" aria-level="1"> <p dir="ltr" role="presentation">Pregnant patients at high risk of cardiac arrest, in cardiac arrest, or in extremis require spe ... Show More