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Welcome to Our Skin, a Personal Discovery Podcast. Each week, host Holly Frey showcases a personal story from someone who lives–and thrives!--while managing psoriasis. Being diagnosed with a chronic skin condition can throw anyone off track, but Our Skin guests have a message of hope: a diagnosis can be an opportunity to discover new things about ourselves, our grit, and our power. In addition to these tales of hope, Frey and her guests plunge into the jaw-dropping, bizarre, and occasionally ...
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Howard and Antonia dive into their tenth season with a critical look at several new studies. Topics include:
• Estrogen-soaked vaginal packing after surgery lacks evidence for benefits while carrying unnecessary costs
• Recent studies on vaginal birth after cesarean deserve careful interpretation beyond aggregate outcomes
• Hospital uterine rupture rate is 0.2-0.4%, with only 8% resulting in catastrophic outcomes when properly managed
• Warnings against infant co-sleeping date back to ancient times, predating modern pediatric recommendations
• Vaginal hysterectomy continues to decline despite shorter OR times, lower costs, and similar complication rates
• Swedish study shows only 25% of ideal candidates receive vaginal hysterectomies, with projections showing disastrous decline in rates of appropriate surgeries
Stay tuned for our next episode featuring Scott Guthrie discussing neonatal resuscitation and other neonatal concepts important for OB-GYNs to understand.
00:00:00 Season 10 Introduction
00:01:13 No Evidence for Estrogen Packs After Surgery
00:10:35 VBAC Studies: Interpreting Maternal Risks
00:19:12 Catastrophic Uterine Rupture: Hospital vs Home
00:28:53 King Solomon and Infant Co-Sleeping Dangers
00:39:50 Vaginal Hysterectomy: Declining Despite Evidence
00:54:09 Cost and Time Analysis of Hysterectomy Routes
01:06:24 Closing Thoughts on Season 10
Follow us on Instagram @thinkingaboutobgyn.
Chapters
1. Season 10 Introduction (00:00:00)
2. No Evidence for Estrogen Packs After Surgery (00:01:13)
3. VBAC Studies: Interpreting Maternal Risks (00:10:35)
4. Catastrophic Uterine Rupture: Hospital vs Home (00:19:12)
5. King Solomon and Infant Co-Sleeping Dangers (00:28:53)
6. Vaginal Hysterectomy: Declining Despite Evidence (00:39:50)
7. Cost and Time Analysis of Hysterectomy Routes (00:54:09)
8. Closing Thoughts on Season 10 (01:06:24)
118 episodes
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