Best SMFM Podcasts (2025)

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New SMFM Stillbirth Checklist Update (July 2025) 25:42

Play Pause

20d ago25:42

25:42

Stillbirth is one of the most devastating adverse pregnancy outcomes, occurring in 1 in 160 deliveries in the United States. In March 2020, the ACOG released OCC #10, "Management of Stillbirth". Now, formally released July 2025, the SMFM has an updated checklist for stillbirth care, published in the journal Pregnancy. In this episode, we will highl…

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FEAR the HELLP (& Liver Rupture): RESPECT the MAG 32:50

11h ago32:50

32:50

Podcast family, in this episode we will reply to 2 questions raised by our 2 of our podcast family members. The first pertains to a real world, HORRIBLE tragedy of hepatic rupture in pregnancy (no identifiable information released). We will review how and why this happens and what is the single, 5-letter, clinical diagnosis that makes this a possib…

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When to Deliver for Mod/Severe Poly 25:38

4d ago25:38

25:38

Polyhydramnios may be due to excess urine production or impaired fetal swallowing. The ACOG CO 831 states that mild, idiopathic polyhydramnios may be delivered at 39 weeks and 0 days and thereafter, but there is no specific mention regarding moderate to severe poly. In this episode we will cover delivery of moderate to severe poly. Is that data in …

1
Yes, More Stuff on CS Skin Closure 36:40

7d ago36:40

36:40

What’s best for skin closure at C-Section? Staples or suture? This debate has raged for over 20 years. Past data has shown greater odds of wound complications with metal staples compared to suture. But new a meta-analysis from June 2025 is challenging the prior results. In this episode, we will explore the data from 2010 to present day. PLUS, we wi…

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Continue LDA PP For PreE Prevention? New Data 31:11

10d ago31:11

31:11

We have covered Low Dose Aspirin (LDA) for pre-natal preeclampsia prevention MANY times before. But here's a good clinical question: Since preeclampsia can also pop-up in the first 6 weeks postpartum (pp), should we continue it in the immediate pp interval? There is a new publication, an RCT, in the AJOG that looked to answer this- and we will high…

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Obstetric Emergency Preparedness for Natural Disasters 31:56

11d ago31:56

31:56

In this episode of the SMFM Podcast, Dr. Rupesh Patel welcomes Dr. Kay Daniels and Dr. Carey Eppes for an important conversation on emergency preparedness in the setting of obstetric (OB) care. Together, they break down the four key principles of emergency preparedness—mitigation, preparedness, response, and recovery—and explore how these apply to …

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AFS in Second Trimester: Implications? 30:15

13d ago30:15

30:15

Amniotic Fluid Sludge (AFS) has been theorized to be sonographic evidence of an underlying infection/inflammation. Others have proposed it may represent an organized clot from the placental surface. At the same time, the finding of AFS may be more common as a benign finding especially at/after 40 weeks as the amniotic fluid accumulates shed skin ce…

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BIG Announcement! 6:31

15d ago6:31

6:31

Podcast family, we are in process of an exciting rebrand! Dr. Chapa's Clinical Pearls will soon become our legacy show as we change names and channels to, "Dr. Chapa's OBGYN No Spin Podcast". This will allow us to better align with our mission. Listen in for details and FIND US, as Dr. Chapa's OBGYN No Spin Podcast!!…

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New ICP Proposed Schema 32:10

16d ago32:10

32:10

Intrahepatic Cholestasis of Pregnancy (ICP) has dichotomous effects: Benign for the mother (although the itching it causes may be a qualify of life issue, yet potentially devasting for the child in-utero. In 2021, SMFM released Consult series 53 on the subject. This, together with the ACOG 's CO 831 (Medically Indicated Late Preterm and early term …

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FOCUS For PPH: A DIY Approach 35:07

23d ago35:07

35:07

PPH is terrible. PPH must be assessed quickly via the “4Ts” and acted upon in a timely manner. And listen to this: new data from the Journal of Maternal-Fetal & Neonatal Medicine (June 24, 2025 ahead of print) finds an association with PPH and adverse outcomes years later: the odds of cardiovascular disease (CVD) and thromboembolism disease are inc…

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Measles in 2025: A Preventable Threat 19:43

25d ago19:43

19:43

In this episode of the SMFM Podcast, Dr. Ahmed Zaki Moustafa welcomes Dr. Irene Stafford to discuss the current measles outbreak in the US. Together, they review treatment and management options for measles, and strategies for how to rebuild patient confidence in the MMR vaccine amid rising vaccine hesitancy. Finally, they emphasize that the MMR va…

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Can Metformin Prevent HG? 32:37

26d ago32:37

32:37

Severe nausea and vomiting in pregnancy/hyperemesis gravidarum (HG) takes a toll on patient, and the healthcare system. According to a June 2024 ACOG Clinical Expert Series on the subject, GFD15 and IGFBP7 both play important roles in placentation, appetite, and cachexia that are linked to hyperemesis gravidarum. Specifically, LOW pre-pregnancy GFD…

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SVD or CS After OASIS? 50:04

28d ago50:04

50:04

OASIS (3rd and 4th degree perineal lacerations) occur at a rate of 4-11% (average around 5.5%). OASIS lacerations have both short term and ling term potential morbidities. Practice Bulletin 198, from 2018, briefly discusses counseling patients following OASIS on subsequent mode of delivery options. Now, in a soon to be released AJOG publication, au…

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You Asked, We Answered (Again) 26:41

1M ago26:41

26:41

Ladies and gentlemen, welcome back to another addition of “You asked, We answered”! In this brief episode, we will tackle 2 very appropriate clinical questions:1. Why do cervical psychology reports still state the presence or absence of endocervical cells/TZ component if it does not change management, and 2. Does continued magnesium sulfate infusio…

1
New Guidance on OB CX Ripening (July 2025) 33:42

1M ago33:42

33:42

The Bishop Score was originally developed in 1964 by Dr. Edward Bishop and remains the central assessment tool for determining the appropriateness of cervical ripening for labor induction. We have covered pharmacologic and mechanical methods of cervical ripening for labor induction many times in prior episodes. Ut now, in July 2025, there will be a…

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KO the KB for OB-VB 37:27

1M ago37:27

37:27

Second and/or Third trimester vaginal bleeding is a common reason for L&D Triage patient assessment. The evaluation starts with determining the status of maternal hemodynamic stability. This together with IV access are key first steps. This is followed by an assessment of fetal-placental status. Typically this includes bedside ultrasound for fetal …

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Vector-Borne Illnesses in Pregnancy 22:25

1M ago22:25

22:25

In this episode of the SMFM Podcast, Dr. Rachel Harrison welcomes Dr. Christina Megli to discuss vector-borne illnesses like Lyme, malaria, and dengue—highlighting symptoms, current trends, and diagnostic approaches. Together, they review treatment and management strategies, and offer practical tips to help patients make informed decisions about tr…

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Antenatal Steroids, and Baby Brains, Oh-MY! 36:39

1M ago36:39

36:39

Antenatal Corticosteroids (ACS) for Fetal Lung Maturation (and more) is an ever evolving saga. This is how science and medicine evolve, by always seeking more information. The effect of antenatal corticosteroids on neonatal/child neurodevelopmental outcomes is controversial and may be influenced by the gestational age at which exposure occurred. In…

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Zoliflodacin, Coming to Your Pharmacy Soon 22:38

1M ago22:38

22:38

Innovation in medicine is happening. In our immediate past episode, we summarized how AI is improving standard mammography to now PREDICT breast cancer rather than just diagnosing it once it was appeared. In a past episode, we covered a new and novel “first in class” oral medication for uncomplicated UTIs in women called Blujepa. This is innovation…

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NEW Breast Imaging AI is HERE 20:50

2M ago20:50

20:50

Each year, more than 2.3 million women worldwide are diagnosed with breast cancer—including over 370,000 in the United States alone. For more than 60 years, mammograms have saved lives by detecting early-stage cancers. Now, advancements in AI have lead to a first of its kind breast imaging algorithm that can PREDICT future (5-year) breast cancer ri…

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SFP vs ACOG on EPL 35:06

2M ago35:06

35:06

It’s interesting how, at times, different medical societies can look at the same data and arrive at different recommendations. It happens! In April 2025, the Society of Family Planning (SFP) released its new clinical recommendations for the medical management of early pregnancy loss (EPL), AKA miscarriage. This clinical guidance has 4 remarkably in…

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WCH in Pregnancy 44:20

2M ago44:20

44:20

The white-coat effect is a measure of blood pressure change from before to during the visit in office/clinic when the blood pressure is recorded by a physician or nurse; this was first described in 1983 by Mancia et al, and was initially thought to represent a benign process. But it was unclear what this actually meant for pregnancy. Ambulatory blo…

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The Incarcerated Gravid Uterus 36:19

2M ago36:19

36:19

Uterine incarceration in pregnancy, is a rare but troublesome complication. This occurs when a retroverted uterus becomes trapped in the pelvic cavity during pregnancy. This happens when the uterus fails to move forward as it grows, becoming stuck between the sacral promontory and pubicsymphysis. It's more common in women with prior pelvic issues o…

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Is At-Home Cervical HPV Screening VALID? 17:45

2M ago17:45

17:45

In May 2024, the FDA approved vaginal self-collection for HPV as a cervical cancer screening tool. This was limited to health care settings. While this self collection option can help address some of the emotional deterrents to a speculum examination, it fails to overcome the remaining substantial clinic access barriers cited among those who are un…

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LEA And Bladder Catheter: Yea or Nay? 35:33

2M ago35:33

35:33

In the US, an estimated 70-75% of women who give birth use an epidural for pain relief during labor. Epidural anesthesia during labor can affect bladder function by delaying the return of bladder sensation and potentially leading to urinary retention. This can be due to the nerves that control bladder function being affected by the epidural, reduci…

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Threats to Vaccine Access, Information and Research 17:14

2M ago17:14

17:14

In this episode of the SMFM Podcast, Dr. Alireza Shamshirsaz welcomes Dr. Laura Riley, Chair of OB-GYN at Weill Cornell Medicine who was also the first OB-GYN to serve on the advisory committee for immunization practice at the CDC. Together, they discuss recent threats to vaccine access, the impact of reduced vaccine uptake, cuts in research, and t…

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Prophylactic CS ABX: What is Too Much? (New Data, May 2025) 27:59

2M ago27:59

27:59

At the end of April 2025, we released an episode summarizing the ERAS update for 2025. In that episode/update, we summarized the data on extended spectrum prophylactic antibiotics at cesarean section in patients living with obesity. The ERAS protocol recognized the value of oral cephalexin and metronidazole for 48 hours in patients with obesity who…

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Vaginal E2 FACE Cream, & ‘Roids: A Two-Fer! 43:38

2M ago43:38

43:38

We have covered menopause on this show on various occasions. That’s fitting and non-surprising as we are a women’s health education podcast! While vaginal dryness and hot flashes get most of the attention in menopause, and they should, less attention often is given to skin changes. Nonetheless, these dermal manifestations of perimenopause and menop…

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“GSL” New Data (Obstet Gynecology) 30:26

2M ago30:26

30:26

In 2014, the International Society for the Study of Women's Sexual Health together with the North American Menopause Society introduced the term “Genitourinary syndrome of menopause” to replace the prior term vulvovaginal atrophy. Ten years after that, in 2024, a related term “Genitourinary Syndrome of LACTATION, was introduced to better capture th…

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New DATA on Endo RX for Pain (May 2025) 31:36

2M ago31:36

31:36

Endometriosis is a prevalent gynecologic condition that affects approximately 10–15% of women of reproductive age worldwide. For endometriosis related pelvic pain, continuous combination birth control pills have long been the first-line pharmacologic intervention of choice. But new data published May 15, 2025 (ahead of print) in Obstetrics and Gyne…

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IUD/S Placement NEW Guidance: Was It Racism Before? 36:22

2M ago36:22

36:22

In August 2024, the CDC updated its MEC. This included a recommendation for local anesthesia for IUD/S placement and also had guidance regarding misoprostol for that procedure. Coming up in July 2025, the ACOG will officially release a new clinical consensus on “Pain Management for In-Office Uterine and Cervical Procedures”. Are these recommendatio…

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POPs=Asthma? New Data 39:24

2M ago39:24

39:24

Asthma is more prevalent in adult women than in adult men. Specifically, data from the National Health Interview Survey (NHIS) indicates that 9.7% of adult women had asthma, compared to 5.5% of adult men. This higher prevalence is observed across various racial and ethnic groups within the adult female population. At the end of April 2025, new popu…

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FGM 2025 Update. 28:35

2M ago28:35

28:35

Female Genital Mutilation (FGR) is condemned by the WHO, Unicef, and the US. Nonetheless, it is still being performed worldwide, and in North America. In this episode, we will recently published data (April 2025) from BMC regarding this practice. This episode's topic was brought to me by one of our podcast family members who currently has a pregnan…

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US Medical Eligibility Criteria for Contraceptive Use Updates 16:00

2M ago16:00

16:00

In this episode of the SMFM Podcast Series, Dr. Adam Crosland is joined by Dr. Sarah Horvath. Together, they discuss updates made to the CDC MEC and best practices for patient counseling. Click here for the full episode transcript.

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Ca-Mg “Love-Hate” Bond: Follow Ca Levels on MagSulfate? 25:55

3M ago25:55

25:55

(Topic Requested): Serum Magnesium and Calcium have an intimate and complex relationship best described as “love-hate”. One of our podcast family members sent me this fascinating question: “Should we be following serum calcium levels in patients undergoing IV Mag Sulfate use in obstetrics, in order to identify dangerous hypocalcemia?...Should we be…

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ERAS POST CS 2025 UPDATE: Stop Stuff Early? 26:11

3M ago26:11

26:11

Some debates in medicine and in OBGYN are “the same ol’ thing”. Like the debate on when to remove the urinary catheter after a “routine” cesarean section. In the original 2019 ERAS publication, the authors stated that “immediate” removal of the urinary catheter was “strongly recommended”. This drew concern and criticism as being too early in the re…

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Estrogen the Vag: Live Better! 23:46

3M ago23:46

23:46

The term "genitourinary syndrome of menopause" (GSM) was introduced in 2014 by the International Society for the Study of Women's Sexual Health and the North American Menopause Society (now the Menopause Society). This new term was created to replace older terms like vulvovaginal atrophy, urogenital atrophy, and atrophic vaginitis, and it encompass…

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NEW ERAS-CS UPDATE: 2025! 28:01

3M ago28:01

28:01

The ERAS (Enhanced Recovery After Surgery) concept was initially developed for colorectal surgery in 1997 to standardize surgical protocols. The ERAS Society then first published a guideline for cesarean section (ERAC) in 2018-2019. Now, as of April 28, 2025, the ERAS Society has released a NEW UPDATE for ERAS-CS. In this episode we will focus on 2…

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Mini Q&A: 1. TOLAC Ut Rupture, & 2.Measles! 22:36

3M ago22:36

22:36

I know this sounds braggadocious, but I'm going to say it anyway: I work with some incredible people! We recently released a podcast on updated TOLAC uterine rupture data. One of our former residents reached out to me with a question about this: “Did they include interdelivery interval in their assessment?” You see, I work with really smart people!…

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Dating a TWIN Gestation: Smaller or Larger Fetal Estimate? 22:26

3M ago22:26

22:26

Spontaneous twin pregnancies occur in about 1 out of every 250 pregnancies. A real world clinical question has to do with dating a spontaneous twin gestation: Do we use the smaller crown rump length or the larger for dating in the 1st trimester? Do we use the smaller or larger measurement of biometry in the 2nd trimester? We had this discussion tod…

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"TOLAC SEEMS SAFE": Ya Don't Say. (NEW DATA) 27:53

3M ago27:53

27:53

In the ACOG Practice Bulletin 205 (Reaffirmed August 2025), the stated risk of uterine rupture with TOLAC is stated as 0.7% (after 1 prior LTCS). However, as our podcast tag list holds true, "Medicine Moves Fast". In an new upcoming publication from Obstet Gynecol (The Green Journal), May 2025, authors looked at the rate of uterine rupture with TOL…

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The MYTH of Multitasking 21:05

3M ago21:05

21:05

As healthcare professions we are often pulled in different directions ALL AT ONCE. It happens. We "multitask" every day. Or do we? Neuroscience actually states that we don't multitask at all; rather, we "task-switch" and that may lead to increased physiologic and mental stress and patient error. Yep, there is a MYTH about multitasking. In this brie…

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The OBGYN EXODUS that wasn't (April 21, 2025 Data) 26:53

3M ago26:53

26:53

I love my home state of TEXAS. I am definitely full of Texas pride. We have Texas barbecue, Texas, hospitality, and of course, the Texas music scene! Our state definitely has some issues to improve on, mainly access to maternity care. We have a HUGE state and 50% of our counties are maternity care deserts. It’s a vast vast Land to cover! Texas has …

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Rectus at CS: Close or Not? 24:12

3M ago24:12

24:12

There have been various publications and commentaries published on “evidence-based” cesarean section techniques. Still, one of the persistent controversies on abdominal wall closure relates to the rectus. With transverse fascial entries, should we close/reapproximate the rectus or not? In June 2025, a new RCT looking at this very issue will be prin…

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Cancer in Pregnancy 43:22

3M ago43:22

43:22

In this episode of the SMFM Podcast Series, Dr. Amy Valent is joined by Drs. Clarissa Bonanno and Elyce Cardonick, two of the authors of the SMFM Consult Series on Cancer and Pregnancy. Together, they discuss the complex and evolving landscape of cancer diagnosis and treatment during pregnancy. Topics include treatment options that align with stand…

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New ACOG Guidance on PATH Prenatal Care (May 2025) 17:38

3M ago17:38

17:38

On December 13, 2022, we released an episode describing a new concept in prenatal care, called the PATH model. This was to “redesign” prenatal care, as needed, for those who may have limitations for the “traditional” model of prenatal care visits. Well, what we covered 2.5 years ago is NOW an OFFIICAL guidance from the ACOG and will be out in May 2…

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Pelvic Congestion Syndrome (PCS): Fact or Fiction? 43:08

3M ago43:08

43:08

Pelvic congestion syndrome is a controversial entity that does not currently have validated diagnostic criteria. In the ACOG PB 218 (2020), it states, “Pelvic congestion syndrome is a proposed etiology of chronic pelvic pain related to pelvic venous insufficiency. Although venous congestion appears to be associated with chronic pelvic pain, evidenc…

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Baby After Uterine Transplant Q&A: Fantastical Facts 35:11

3M ago35:11

35:11

On Monday April 7, 2025, the UK’s publication The Guardian wrote, “Surgeons are hailing an ‘astonishing’ medical breakthrough as a woman became the first in the UK to give birth after a womb transplant. Grace Davidson, 36, who was a teenager when diagnosed with a congenitally absent uterus, said she and her husband had been given ‘the greatest gift…

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2025 Update (ACCP): ABX Safety in Pregnancy 30:58

4M ago30:58

30:58

On March 19. 2025, The American College of Clinical Pharmacy published, "A review of antibiotic safety in pregnancy- 2025 Update". In this episode, we will review some of the confusion surrounding aminoglycosides, sulfa, and nitrofurantoin in pregnancy. Its interesting how different professions view certain medications in pregnancy. Does ACOG say y…

1
EASY BREEZY IUS Patient Tale 3:40

4M ago3:40

3:40

Well Podcast Family, in this VERY BRIEF episode, we will highlight a patient's perspective on IUS insertion with lidocaine jelly pre-insertion prep. As we have stated in past episodes, I am a BIG ADVOCATE of lidocaine jelly for IUD/IUS insertion. This patient agreed to share her experience of the EASY BREEZY IUS placement. (NOTE: HIPAA protected, p…