OBGYN Delivered

Join Mohika and Kelsey, the podcast's new hosts, as they kick off their first episode with a quintessential topic in women's health: contraception! They take our listeners through the entire spectrum of contraception options and stud the episodes with their take on how to help women find the right option for them. Transcript: bit.ly/Delivered-Contraception

Join Rachel and Sanaya, recently matched M4s, as they share reflections and advice about the residency application process. Timestamps:Writing application, personal statement 1:00Where to apply, signaling 9:50Interviews 21:20 Ranking 26:50Quick notes on SOAP 32:20 Takeaways 33:00 Resources:AAMC Report on SignalsResidency Prep EpisodeMatch 2023 EpisodeSOAP Episode

Join Rachel for tips and tricks to prepare for OBGYN clinic.TranscriptPrenatal Visits:Routine Prenatal TestingUltraSounds Routine Prenatal CarePreventative Care:USPSTF A&B GuidelinesNCCN Breast Cancer ScreeningACOG Breast Cancer ScreeningUltraSounds Cervical Cancer ScreeningUltraSounds ContraceptionUltraSounds Sexual FunctioningProblem Visits:ACOG Bulletin 128 Diagnosing AUBUltraSounds AUB PALMUltraSounds AUB COEINACOG Bulletin 215 VaginitisUltraSounds STIsAAFP Lower Quadrant Pain

Rachel describes what a medical student can expect during a C-section. C-section Walkthrough Transcript

Join Rachel for a walkthrough of what you can expect as a medical student during a vaginal delivery. Vaginal Delivery Walkthrough ⁠Transcript⁠

Tune in for a rundown on the basics of L&D with 4th year med student, Rachel! Transcript: https://bit.ly/UltraSoundsCSG1 Labor 1:28 Fetal Positioning 3:25 Fetal Monitoring 5:05 Induction 9:25 Postpartum Hemorrhage 12:28 Resources UltraSounds Normal Labor Practice Bulletin 106 Fetal Monitoring Practice Bulletin 116 Fetal Monitoring Management Practice Bulletin 107 Labor Induction Arrive Trial Medical Indications for Induction Committee Opinion 831 Practice Bulletin 183 Postpartum Hemorrhage  UltraSounds Postpartum Hemorrhage

Rachel and Sanaya chat with Dr. Helen Morgan about the residency application process. ⁠APGO Resources⁠ 00:46 Dr. Morgan Bio 01:27 Overview of Application Process 03:39 Understanding what you want in a program 07:17 Signaling 10:18 Equity in application process 13:12 What makes an applicant stand out 16:06 New application platform 17:33 Final advice Transcript: bit.ly/UltraSounds_ResApp

Asavari and Rachel speak with Olivia de Bear, MPAS, PA-C about her journey to becoming an inpatient PA within the field of gynecology oncology. 00:38: Olivia de Bear Bio Transcript:bit.ly/ultrasounds_PA

Asavari and Rachel discuss common postop complications, workup, and management with Olivia de Bear, MPAS, PA-C. 0:30: Olivia de Bear Bio 1:01 Case 1: 52yo woman s/p TLH and bilateral salpingectomy with low urine output 11:06 Case 2: 58yo woman s/p ex lap, TAH, BSO, pelvic mass removal, and staging procedures for ovarian cancer with intolerance of PO intake, nausea, and emesis 20:11 Case 3: 62yo with newly diagnosed endometrial cancer s/p TLH, BSO, and sentinel lymph nodes with new-onset dyspnea Transcript: bit.ly/gynpostop References: Postop oliguria differential Brackmann voiding trial Acute abdominal series Review of postop fever w's MD Calc Caprini Score ACOG Practice Bulletin no. 232: Prevention of Venous Thromboembolism in Gynecologic Surgery Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update⁠

Jourdan and Sanaya talk with Dr. K about her research and career path in epidemiology and public health examining sex differences through menopause and pregnancy. 00:48 Bio 01:45 To start, could you tell us a little bit about your educational trajectory and how you ended up teaching at the school of public health?  10:01 Now we’d love to hear a little about your current research projects, the lab you run through SPH as well how you began working in this discipline.  19:06 With that, what are some specific considerations individuals interested in women’s health research should be mindful of?  21:37 How do you recommend that medical practitioners or medical students who are interested in your research get involved? 24:07 In light of this, how do you see epidemiology transforming the medical field in the next 10 years?  25:54 Our last question for you Dr. K, what would you say is your favorite part of your work?  Mid Life Science SWAN Study School of Public Health Epidemiology NIA Biobank Transcript: https://bit.ly/Ultrasounds_Research_K

Asavari and Rachel discuss endometrial cancer risk factors, diagnosis, workup, and management with Dr. Katelyn Tondo-Steele. 00:30:  Dr. Tondo-Steele Bio  01:32: Endometrial Cancer Overview 05:00 Case 1: 28yo G0 woman with EIN  14:00 Case 2: 59yo G3P2 postmenopausal woman with AUB  22:23 Case 3: 73yo G2P2 with postmenopausal bleeding, dyspnea, pelvic pain, and other systemic symptoms  Transcript: https://bit.ly/Ultrasounds_endocancer Resources: ACOG Practice Bulletin 149: Endometrial Cancer ACOG Clinical Consensus Number 5: Management of Endometrial Intraepithelial Neoplasia or Atypical Endometrial Hyperplasia NEJM Endometrial Cancer Review Article NCCN Endometrial Cancer Guidelines ACOG Committee Opinion Number 734: The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Women with Postmenopausal Bleeding American Cancer Society: Ket Statistics for Endometrial Cancer AAFP Endometrial Biopsy

Asavari and Rachel discuss what it’s like to be a midwife and Joanne’s personal career journey. Transcript: bit.ly/Ultrasounds_midwifery

Rachel and Asavari discuss routine prenatal care with midwife Joanne Bailey. 00:40: ⁠Joanne’s Bio 01:10 Case 1: Preconception Visit  05:48 Case 2: First Trimester Visit 17:21 Case 3: Second Trimester Visit 19:58 Case 4: Third Trimester Visit Transcript: ⁠bit.ly/Ultrasounds_prenatal References:  Michigan Medicine Prenatal Care Guidelines ACOG Birth Plan Tool

Asavari and Rachel discuss contraception counseling while utilizing a reproductive justice framework with Dr. Starr. 00:31: Dr. Starr Bio 01:15: Introduction to Contraception and Reproductive Justice Definition 02:22 Case 1: 36yo G1P1 woman with contraindications to estrogen-containing contraceptive methods 11:39 Case 2: 24yo G3P2 needing to discuss postpartum contraception 21:49 Case 3: 31yo G0 interested in emergency contraception Transcript: https://bit.ly/ultrasounds_contraception References: ACOG Committee Statement no. 1: Patient Centered Contraception Counseling ACOG Infographic: Effectiveness of Birth Control Methods Bedsider Birth Control ACOG Postpartum Contraception & Breastfeeding MDHHS Informed Consent for Sterilization UC Davis Emergency Contraception Infographic ACOG Practice Bulletin no. 152: Emergency Contraception ACOG Committee Opinion no. 707: Access to Emergency Contraception Planned Parenthood: What type of emergency contraception should I use?

Rachel and Brittany discuss reproductive justice with Dr. Charisse Loder. Transcript: https://bit.ly/UltraSounds_RJ References RJ Med Ed Project Loder, Charisse MD; et al. Is Perceived Discrimination Associated With Contraceptive Method Use in a National Sample of Women? Obstetrics & Gynecology 129(5):p 67S, May 2017. Finkbeiner, Chelsea; et al. Changing Obstetrics and Gynecology Residency Education to Combat Reproductive Injustice: A Call to Action. Obstetrics & Gynecology 137(4):p 717-722, April 2021.

Brittany and Rachel discuss evidence based abortion care with Dr. Charisse Loder. 01:23 Dr. Loder Bio 02:00 Case 1: 27 year old G1P0 with positive pregnancy test 07:59 Case 2: 31 year old G2P1 nonbinary patient with undesired pregnancy 14:02 Case 3: 29 year old G3P2 at 20w4d with fetal anomaly Transcript: https://bit.ly/UltraSounds_abortioncare References ACOG Practice Bulletin 225. Medication Abortion Up to 70 Days Gestation. ACOG Practice Bulletin 135. Second Trimester Abortion. PEW Research Center. What the data says about abortion in the U.S. Guttmacher Institute. Interactive Map: US Abortion Policies and Access After Roe

Asavari and Rachel review three patient cases and the infertility workup for each case with Dr. Moravek. 00:38: Dr. Moravek Bio 01:43: Infertility Introduction and Definitions 03:24 Case 1: 29yo G0 woman with irregular periods, acne, and weight gain 11:26 Case 2: 32yo G0 woman with a history of a sexually transmitted infection 18:22 Case 3: 38yo G2P2 woman with difficulty becoming pregnant  Transcript: https://bit.ly/ultrasounds_infertility References: ACOG committee opinion, number 781: Infertility workup for the women’s health specialist AAFP Diagnosis and Treatment of Polycystic Ovarian Syndrome AAFP Polycystic Ovarian Syndrome Common Questions and Answers AAFP Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention ASRM Ovarian Reserve (predicting fertility potential in women) Michigan Medicine OB/GYN Infections Guidelines The Normal Menstrual Cycle and the Control of Ovulation Khan Academy Ovarian Cycle Video Additional Resources for LGBTQ+ Health and Infertility: ACOG committee opinion no. 749: Marriage and Family building Equality for Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual, and Gender Nonconforming Individuals ASRM Access to Fertility Services by Transgender and Nonbinary persons: an Ethics Committee Opinion Since this podcast was recorded, ASRM has expanded the definition of infertility to be more inclusive. Infertility includes any of the following factors: 1) the inability to achieve a successful pregnancy based on a patient’s medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any combination of those factors OR 2) the need for medical intervention, including, but not limited to, the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as an individual or with a partner, OR 3) in patients having regular, unprotected intercourse and without any known etiology for either partner suggestive of impaired reproductive ability, evaluation should be initiated at 12 months when the female partner is under 35 years of age and at 6 months when the female partner is 35 years of age or older.

Rachel and Asavari speak with Dr. McEvoy about her career working with adolescents at the Corner Health Clinic. Transcript: https://bit.ly/UltraSounds_CornerHealth Corner Health Center

Asavari and Rachel discuss adolescent reproductive healthcare with Dr. Anna McEvoy. 00:30 Dr. McEvoy Bio 01:07 Case 1: 15 year old seeking contraception 10:13 Case 2: 16 year old with foul-smelling vaginal discharge  15:20 Case 3: 17 year old with late period  Transcript: https://bit.ly/UltraSounds_teens Resources: Guttmacher Institute ACOG committee opinion no. 710: counseling adolescents about contraception Bridgercare’s 4 most popular birth control methods ACOG committee opinion no. 803: Confidentiality in adolescent health care Mott Children's Hospital, Contraception for Teens CDC STI Treatment Guidelines Corner Health Center

Rachel and Brittany discuss Dr. Kalwani's career path including her experiencing SOAPing into family medicine after applying to OBGYN. Transcript: https://bit.ly/UltraSounds_careers