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Antonia Howard
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Honestly Speaking with Antonia Howard
What Role Does Mental Health Play in Sierra Leone's Journey?
Sierra Leone has survived war, disease, economic instability, and natural disaster, but what has it done to our minds?In this episode of Honestly Speaking, Antonia Howard sits down with mental health advocate Dr. Carol Labor to explore how unspoken trauma, cultural stigma, and the absence of support systems continue to affect the nation’s emotional health.We unpack the long-term psychological effects of the civil war, even on those born after it, and examine how traditional and religious beliefs shape the way mental illness is understood and treated. From schools and homes to national po...
2025-07-28
53 min
Honestly Speaking with Antonia Howard
Is Beauty Empowering or Exploitative in Sierra Leone?
We talk about beauty all the time in Sierra Leone, but rarely do we stop to ask what beauty actually represents.In this episode, Antonia is joined by Hawa Turay - pageant coach, entrepreneur and Sierra Leone's first representative to Miss Universe, to reflect on how beauty pageants shape society’s expectations of women. They discuss the perception of beauty as power, but also the drawbacks that may come with being in the spotlight.Hawa also speaks candidly about her own journey and challenges us to think differently about what beauty means.#HonestlySpeakingSL #Be...
2025-07-21
30 min
Honestly Speaking with Antonia Howard
Is Patriarchy Our Biggest Barrier to Progress?
We talk about bad roads, corruption, poor education systems, but how often do we name patriarchy as a root cause of Sierra Leone’s slow progress?In this powerful episode, lawyer and activist Nicky Spencer-Coker challenges us to rethink development through a gender lens. She argues that until we address gender-based oppression - at home, in schools, in parliament, in the court, we’ll continue building a nation that leaves half its population behind.#HonestlySpeakingSL #GenderJustice #PatriarchyAndProgress #SierraLeone #WomenInLeadership
2025-07-14
51 min
Thinking About Ob/Gyn
Episode 10.1: VBAC Updates, Estrogen Packs, Co-Sleeping, and More!
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 candid...
2025-07-10
1h 07
Honestly Speaking with Antonia Howard
Why Honestly Speaking?
In this special solo episode, I’m taking a moment to pause and reflect. No guest, just me, Antonia, sharing the heart behind the podcast and what I hope it does for you, for us, for Sierra Leone.This episode is about the why: The thoughts that sparked it. The love that fuels it. The honest conversations we desperately need but rarely have.If this podcast has ever made you pause, laugh, nod, think, see something differently or feel slightly uncomfortable, that’s the point. And we’ve only just begun.Let’s keep tal...
2025-07-07
23 min
Honestly Speaking with Antonia Howard
Is Feminism Misunderstood in Sierra Leone?
Feminism is a word that sparks debate — sometimes curiosity, sometimes backlash.In this episode of Honestly Speaking, Antonia Howard and Dr. Aisha Fofana Ibrahim explore the meaning, the misconceptions, and the lived realities of feminism in Sierra Leone. From cultural resistance to structural inequality, the conversation unpacks why some view feminism as threatening, how power and patriarchy shape daily life, and what it truly means to advocate for gender equity in a society still redefining its norms. This episode is a reflection on identity, inclusion, and the systems that still determine who gets he...
2025-06-30
46 min
Thinking About Ob/Gyn
Episode 9.13 The Surgical Maze: Trocars, Cuff Closure, Visceral Slide, and More
Surgical techniques in gynecology vary widely between surgeons, creating both excitement and frustration for residents trying to learn the "right way" to perform procedures. Howard and guest host Maddie White discuss this and more:• Trocar placement during laparoscopy requires careful consideration of patient factors and potential adhesions• Elevating the abdomen during trocar placement remains standard practice, though definitive evidence on its necessity would require studies of over 100,000 patients• Surgeons should understand power analysis to recognize when studies are underpowered to detect meaningful differences in rare complications• Visceral slide technique using ultrasound can identify adhesions and dete...
2025-06-25
1h 05
Honestly Speaking with Antonia Howard
How Do Cultural Events Contribute to Nation-Building?
From festivals to fashion shows, cultural events in Sierra Leone are doing more than just entertaining — they’re building identity, community, and pride.In this episode of Honestly Speaking, Antonia sits down with educator and vibe curator Yeniva Sisay to explore how intentionally curated events help shape national consciousness, challenge social norms, and raise the standard for what progress can look like.They discuss the power of storytelling, safe spaces, and shared experience in a country still redefining itself — and why events like Ma Dengn are far more than just moments of celebration.🎧 Listen no...
2025-06-23
25 min
Honestly Speaking with Antonia Howard
Customer Service: A Reflection of Culture and Standards
Why is poor service so widely accepted in Sierra Leone?Is it a lack of training — or a deeper cultural mindset about what people deserve?In this episode of Honestly Speaking, Antonia and guest, Edleen Elba, explore how customer service reveals more than just business practices — it reflects what we’ve come to tolerate as a society. From apologies to the absence of accountability, we break down how low expectations and cultural complacency have allowed bad service to thrive.If we want better, we have to expect better — and demand a shift in both mindset...
2025-06-16
29 min
Thinking About Ob/Gyn
Episode 9:12 Serial Cervical Lengths, MAHA, and More!
Howard Herrell and Antonia Roberts explore evidence-based practices in obstetrics and gynecology, examining both established protocols and emerging research with critical perspectives on medical misinformation.• Serial cervical length monitoring after LEEP procedures lacks evidence for improving outcomes despite being common practice• SMFM's 2016 recommendation explicitly advises against routine cervical length screening for patients with history of cervical procedures• Retrospective studies on induction timing require careful interpretation due to inherent biases in methodology• Understanding the difference between intent-to-treat and per-protocol analysis is crucial when evaluating medical research• Pseudoscience and alternative medicine have gained mainstream acceptance over decad...
2025-06-12
1h 04
Honestly Speaking with Antonia Howard
Environmental Crisis: Are We Ignoring the Writing on the Wall?
Floods. Landslides. Rising tides. The signs are no longer subtle — Sierra Leone is in the middle of an escalating environmental crisis. In this episode of Honestly Speaking, Antonia sits down with environmental scientist and advocate Dr. Alhaji Njai to explore the urgent consequences of environmental neglect. From disappearing mangroves to unchecked construction and poor waste management, they ask: why aren’t we acting — and what will it take to change course?This conversation is a wake-up call about responsibility, policy, and the power of prevention before the damage becomes irreversible.#Honest...
2025-06-09
36 min
Honestly Speaking with Antonia Howard
The Digital Dilemma: Is Social Media Helping or Hurting Sierra Leone?
From trending clips to viral outrage, Sierra Leone’s digital space is louder than ever — but is it actually moving us forward?In this episode, Antonia Howard is joined by media personality and digital strategist Vickie Remoe to explore how social media is shaping our society. They discuss online conflict culture, influencer responsibility, digital integrity, and the blurred line between relevance and reputation.It’s a real conversation about how we use our platforms — and what it costs when we don’t use them well.#HonestlySpeakingSL #TheDigitalDilemma #VickieRemoe #SocialMediaSL #DigitalResponsibility #MindsetShi
2025-06-02
36 min
Thinking About Ob/Gyn
Episode 9.11 Cervical Cancer with Stuart Winkler
Cervical cancer represents a success story in developed countries due to screening and vaccination, yet remains a significant global health problem with over 340,000 deaths annually worldwide. We explore the current state of cervical cancer prevention, screening, and treatment while discussing exciting advances that could eventually eliminate this disease.• Different levels of prevention for cervical cancer: primordial, primary, secondary, tertiary, and quaternary• HPV vaccination as the most effective primary prevention method, with Australia on track to make cervical cancer rare by 2035• Evolution from Pap smears to primary HPV testing, with potential future urine-based screening options• Less rad...
2025-05-28
1h 05
Honestly Speaking with Antonia Howard
Youth on the Rise: Can We Really Make It Here?
In a country where systems often fail and opportunities feel limited, what does it really take to succeed? In this episode, media entrepreneur Phebean Swill and host Antonia Howard unpack the balance between personal responsibility and systemic barriers.They discuss youth mindset, entrepreneurship, the over-reliance on government for jobs, and why young Sierra Leoneans need to stop waiting — and start building.This episode challenges us to rethink where we place our energy, and who we expect to create our future.📺 Watch the Word on the Street segment here: https://youtu.be/qvJDTUmeOH0
2025-05-26
37 min
Honestly Speaking with Antonia Howard
What Does It Take To Make Music A Sustainable Career in Sierra Leone?
In this episode of Honestly Speaking, award-winning artist Drizilik joins Antonia Howard for an honest conversation about what it really takes to turn music into a sustainable career in Sierra Leone.They explore the business side of creativity — from record deals, branding, and financial discipline, to the mindset and strategy needed to survive in an industry with limited infrastructure. Drizilik shares his personal journey, the lessons he’s learned, and why fame without focus won’t take you far.Whether you're a creative, a music lover, or just curious about how talent translates into livelihood, this e...
2025-05-19
39 min
Thinking About Ob/Gyn
Episode 9.10 Pit Breaks, Cannabis, and IUDs for Endometrial Protection
Howard and Antonia explore the evidence behind pit breaks in labor, cannabis use in pregnancy, and IUD options for hormone replacement therapy.• Pit breaks in labor lack substantial evidence of benefit when used in active labor• Current research suggests stopping oxytocin during active labor may slightly increase cesarean rates rather than decrease them• Long pit breaks (up to 8 hours) in latent labor may be beneficial by allowing rest and promoting patience• Recent systematic review shows prenatal cannabis use increases risk of low birth weight by 75%, preterm birth by 50%, and perinatal mortality by 29%• Cannabis use during...
2025-05-15
1h 06
Honestly Speaking with Antonia Howard
Is Sierra Leone's Education System Preparing Us for the Future? (Part 2)
In Part 2 of our education deep dive, we move beyond policy talk and dive into what really happens in classrooms, workshops, and training spaces across Sierra Leone.Why do we still treat vocational skills like a fallback plan?What does it say about our values when creativity and craft are seen as “second options”?This episode explores how deeply rooted mindsets continue to undermine skills-based learning — and why true development depends on reimagining what success looks like.🔗 Watch the companion Word on the Street segment here: https://youtu.be/cRK5fJurf...
2025-05-12
36 min
Honestly Speaking with Antonia Howard
Is Sierra Leone's Education System Preparing Us for the Future?
In this episode, Antonia and Dr. Yakama Manty Jones explore whether Sierra Leone’s education system is equipped to meet the demands of the future. The conversation dives into outdated curricula, the need for skills-based training, and how the system prepares young people for work in an increasingly digital and globalised world. Check out the #wordonthestreet segment here: https://youtu.be/cRK5fJurfI0
2025-05-05
38 min
Thinking About Ob/Gyn
Episode 9.9 Pediatric & Adolescent Gynecology Essentials
Join Howard and Janeen Arbuckle for this discussion of pediatric and adolescent gynecology essentials. Pediatric and adolescent gynecology is a newer discipline bringing specialized care to young women with unique gynecologic needs, with a focus on counseling, education, and age-appropriate interventions. • Abnormal uterine bleeding in adolescents is rarely caused by structural problems (unlike in adults) and typically relates to immaturity of the hypothalamic-pituitary-ovarian axis• Hematologic workup should be considered for adolescents with heavy menstrual bleeding as this may be the first time their clotting system is challenged• Hormonal therapies are safe to use once menarche has oc...
2025-05-01
57 min
Honestly Speaking with Antonia Howard
What is the Sierra Leonean Mindset?
Exploring the cultural and psychological traits that shape Sierra Leone’s national identity—for good or bad. Antonia Howard and Dama James dive into the often unspoken ways attitudes influence national growth, with critical reflection on how mindsets shape the nation’s future.Check out the #WordOnTheStreet Segment on YouTube: Word on the Street - What is the Sierra Leonean Mindset?
2025-04-28
37 min
Thinking About Ob/Gyn
Episode 9.8 Rethinking Bacterial Vaginosis and More!
In this episode, Antonia and Howard explore the groundbreaking study on treating male partners for bacterial vaginosis, revealing significantly reduced recurrence rates and challenging our traditional understanding of BV pathophysiology.Plus: • Evidence doesn't support treating mild gestational hypertension with antihypertensives• Studies confirm acetaminophen in pregnancy doesn't cause ADHD or autism• New research questions the benefit of routine postpartum thromboprophylaxis• The history of heparin and coumadin00:00:34 Treating Mild Hypertension in Pregnancy00:06:14 Distinguishing Chronic vs. Gestational Hypertension00:15:46 Male Partner Treatment for Recurring BV00:27:0...
2025-04-17
1h 05
Thinking About Ob/Gyn
Episode 9.7 OB Triage Essentials (plus The Pitt)
This episode features our favorite podcast ninja, Dr. Maddie White. She and Howard discuss how medical dramatizations misrepresent obstetric emergencies (yes, we are watching The Pitt). Then, we dissect evidence-based approaches to common triage scenarios including labor evaluation, rupture of membranes, and preterm labor assessment.• Television shows like "The Pitt" and "ER" portray shoulder dystocia and postpartum hemorrhage inaccurately, lacking proper urgency and technique• Hospital-based labor triage often costs approximately 10 times more than office-based evaluation, often without clinical benefit• Understanding pretest probability fundamentally changes how test results should be interpreted for suspected rupture of membranes•...
2025-04-03
1h 01
Thinking About Ob/Gyn
Episode 9.6 New Birth Control Products and Other Updates
Antonia Roberts and Howard Herrell review several new articles: • Epifoam for postpartum pain lacks evidence of effectiveness compared to simple ice packs while costing nearly $100 per unit• AMH levels above 5.39 are associated with PCOS diagnosis, providing a specific threshold for clinical use• External aortic compression demonstrated as a life-saving technique during severe obstetric hemorrhage• Vaginal estrogen in breast cancer survivors shows no increased risk of cancer recurrence or mortality• Delayed cord clamping in preterm twins reduces mortality by 30% and significantly decreases transfusion needsThen they discuss new birth control options while questioning...
2025-03-19
1h 05
Thinking About Ob/Gyn
Episode 9.5 Operative Vaginal Deliveries
We discuss the pressing issues surrounding operative vaginal deliveries, including trends in their usage and the disparities impacting delivery outcomes. Join us as we navigate these critical insights with expert guests Jamie Perry and Howard Herrell, revealing the complexities and nuances surrounding forceps and vacuum deliveries.• Examining the historical context of operative vaginal deliveries • Analyzing the decline in forceps and vacuum usage since the 1990s • Discussing the rise of cesarean deliveries as an alternative • Revealing racial disparities adjacent to delivery practices • Outlining effective techniques for both forceps and vacuum-assisted deliveries Learn more about...
2025-03-05
00 min
Thinking About Ob/Gyn
Episode 9.3 Obstetric Life Support with Jacqueline Vidosh
Join Howard with guest host Jacqueline Vidosh as we explore the challenges of maternal cardiac arrest. This episode emphasizes the urgent need for specialized training in obstetric life support. From discussing causes of maternal mortality to sharing practical tips for first responders, the insights presented aim to enhance awareness and preparedness in critical situations.• Discussing the alarming rise in maternal mortality rates• Identifying common causes of maternal cardiac arrest• The importance of OBLS training and education for healthcare providers • Emphasizing the need for left uterine displacement during resuscitation • Addressing healthcare disparities affecting Black women •...
2025-02-06
52 min
Thinking About Ob/Gyn
Episode 9.2 Circumvallate Placenta, Pregnancy Apps, Oral Meds for GDM, and HPV
In this episode, Howard and Antonia focuses on the evolving guidelines for HPV screening and the implications for women's health, highlighting its superior effectiveness over traditional Pap smear tests. Additionally, we explore the reliability of pregnancy apps for information and address a listener question about Group B Streptococcus screening and management. • Discusses the transition to HPV testing as primary cervical cancer screening • Reviews a recent study confirming HPV's effectiveness in preventing cervical cancer • Examines the reliability and misinformation in pregnancy apps • Answers listener questions regarding Group B Streptococcus management 00:00:01 Circumvallate Placenta00:13...
2025-01-23
1h 00
The Rebellious Business Show
Still struggling to get leads on Facebook?
Wondering if it's even worth your time in the era of TikTok, LinkedIn, and YouTube? Well, hold up! In this episode, we’re diving deep into why Facebook is still a goldmine for client generation—if you know how to navigate the ecosystem. Whether you're tired of low engagement on your business page or frustrated by spammy DMs, this episode is packed with actionable strategies to make Facebook work for you. Plus, we wrap things up with a hilarious round of "Rebel in the Spotlight" where Nicola Howard reveals if her story about being picked up by the police on a...
2024-09-24
59 min
Missing Miles, missing/unsolved
Khadijah Rose Britton
Become a supporter of this podcast: https://www.spreaker.com/podcast/missing-miles-missing-unsolved--5942583/support.Details of DisappearanceBritton was last seen in Covelo, California on February 7, 2018. She was visiting a friend in the 23000 block of Airport Road that night when, according to a witness, Britton's ex-boyfriend, Negie Tony Fallis IV, and his new girlfriend, Antonia Bautista-Dalson, pulled up in a black Mercedes.Fallis was armed with a small Derringer pistol. He went to the door of the house and demanded that Britton come out and speak to him. A physical altercation ensued and Fallias chased Britton around the...
2024-03-11
32 min
Thinking About Ob/Gyn
Episode 5.9 Cookies, Virgin Birth, Forceps, and the History of Handwashing
In this episode, we discuss several new articles, including evidence about operative delivery in obese women, lactation, cookies, propranolol for labor arrest. We also discuss virgin birth in America, whether to place IUD's early in women who have had chorioamnionitis, and the history of hand-washing. Featuring guest co-host Jamie Perry, MD. Follow us on Instagram @thinkingaboutobgyn.
2023-05-03
41 min
Thinking About Ob/Gyn
Episode 5.8 Medical and Surgical Management of Missed Abortion
In this episode, we discuss a variety of commonly ordered prenatal labs that are unnecessary. We also discuss new studies that affect both surgical and medical management of miscarriage. Finally, we debunk a new study that claims that induction of labor leads to lower test performance in children. Follow us on Instagram @thinkingaboutobgyn.
2023-04-19
1h 02
Thinking About Ob/Gyn
Episode 5.7 In vitro fertilization (infertility Part 4)
In this episode, we discuss routine labs for patients with a history of hypertension. Then, we take a deeper dive into in vitro fertilization (IVF). Follow us on Instagram @thinkingaboutobgyn.
2023-04-06
1h 03
Thinking About Ob/Gyn
Episode 5.6 COVID Update, Cystotomies, Scope, and More
In this episode, we discuss the repair of cystotomies along with the scope of general OB/GYN. Plus, COVID and maternal mortality updates. Then some new literature including an update on Clomiphene vs Letrozole and Azithromycin for vaginal birth. Finally, the best female eponym ever and the removal of Makena from the market. Follow us on Instagram @thinkingaboutobgyn.
2023-03-23
1h 03
Thinking About Ob/Gyn
Episode 5.5 PCOS
In this episode, we discuss Polycystic Ovary Syndrome and discover a couple of more female eponyms. Follow us on Instagram @thinkingaboutobgyn.
2023-03-09
58 min
Thinking About Ob/Gyn
Episode 5.4 Meds for IUD placement, some recent studies, and a poem!
In this episode, we discover three more female eponyms, plus we review the utility of premedication for IUD placement. We review new literature about maximum dose of oxytocin in labor, surgery vs pessary for pelvic organ prolapse, buprenorphine vs methadone for management of addiction in pregnancy, new guidelines for male infertility evaluation, fasting for the glucose challenge, increasing VBAC rates, delayed pushing, and a poem!Follow us on Instagram @thinkingaboutobgyn.
2023-02-23
1h 02
Thinking About Ob/Gyn
Episode 5.3 Eponyms! and some oncology
In this episode, we have our new favorite guest Stuart Winkler, to discuss eponyms and also a touch of oncology, including the appropriate work up of unilocular ovarian cysts. Follow us on Instagram @thinkingaboutobgyn.
2023-02-09
1h 05
Thinking About Ob/Gyn
Episode 5.2 Baby Season (a listener question) and RhoGAM
In this episode, we discuss the use of RhoGAM in the first trimester. Then we discuss the timing of birth and why babies are born more commonly in some months and days than others. Follow us on Instagram @thinkingaboutobgyn.
2023-01-26
51 min
Thinking About Ob/Gyn
Episode 5.1 OB Emergencies Part 2
In this episode, we discuss caffeine and other supplements and breast pain, then we continue our discussion of management of obstetric emergencies, focusing on amniotic fluid embolism, shoulder dystocia, cesarean under local, and eclamptic seizure. Follow us on Instagram @thinkingaboutobgyn.
2023-01-11
00 min
Thinking About Ob/Gyn
Episode 4.13 OB Emergencies Part 1
In this episode, we discuss the management of nuchal cords at the time of delivery. Then we begin part 1 of our review of obstetric emergencies, focusing on postpartum hemorrhage, uterine inversion, cord prolapse, breech deliveries, and other not so fun stuff. Follow us on Instagram @thinkingaboutobgyn.
2022-12-29
58 min
Thinking About Ob/Gyn
Episode 4.12 Angle of Progression, Two Layer Closure, and Deliverance
In this episode, we discuss the newest evidence for two layer closure at the time of Cesarean. Plus, delivery vs birth, a clarification from the prior episode about sexism. Finally, we take a deep dive into the angle of progression and how it can be used to reduces cesareans and promote safety during delivery. Follow us on Instagram @thinkingaboutobgyn.
2022-12-15
59 min
Thinking About Ob/Gyn
Episode 4.11: Amnioinfusions, Stat Cesareans, Braxton-Hicks, and TikTok
In this episode, we discuss the utility of amnioinfusion for both variable decelerations and meconium stained fluid. Plus, how fast do we need to go when doing a Cesarean under general anesthesia. Then we talk about how Braxton-Hicks is still relevant today. Finally, new studies about TikTok and the placebo effect in menopause treatments. Follow us on Instagram @thinkingaboutobgyn.
2022-12-01
00 min
Creative Welly's Podcast : AUDIO VERSION
Creative Welly Episode #38 | Antonia Milkop & Dion Howard
For full bios, video version and subscription options go to https://www.creativewelly.com/creative-welly-episode-38-antonia-milkop-dion-howard
2022-11-23
1h 30
Thinking About Ob/Gyn
Episode 4.10 Iron in pregnancy, Sexism in OB/GYN, and the Postpartum visit
In this episode, we discuss the pros and cons of iron supplementation during pregnancy. We take a big of a dangerous dive into chauvinism and sexism in OB/GYN. Then, we discuss rethinking the postpartum visit(s) to better serve patients. Follow us on Instagram @thinkingaboutobgyn.
2022-11-17
57 min
Thinking About Ob/Gyn
Episode 4.9 Value Based Care Part 2: Vaginal Delivery (and some other stuff)
In this episode, we discuss management of soft markers of aneuploidy on ultrasound. Also, on update on Makena's potential withdrawal by the FDA. And finally, we discuss value based care for vaginal induction and delivery, including methods of inductions, routine labs, methods of hemorrhage control, sterilization, etc. Follow us on Instagram @thinkingaboutobgyn.
2022-11-03
56 min
Thinking About Ob/Gyn
Episode 4.8 Fish, Maternity Deserts, and Value Based Care Part 1
In this episode, we discuss the value of eating fish during pregnancy and the potential harm of warning women about fish. Plus, we discuss factors driving an increase in maternity deserts in the US and discuss value based care in obstetrics and how that may reverse this dangerous trend. In Part 1 of this discussion, we discuss value decisions at the time of Cesarean, including the Alexis O retractor, the fetal pillow, routine gases and labs, methods for salpingectomy, appropriate lengths of stay, and lots more. Follow us on Instagram @thinkingaboutobgyn.
2022-10-20
1h 06
Thinking About Ob/Gyn
Episode 4.7 Gases, Marijuana, Sugar, Milking, and Other Things?
In this episode, we discuss the utility of cord blood gases. Then we discuss the impact of THC exposure during pregnancy. Plus, new studies about cord milking, tighter glycemic control during pregnancy, the effects of maternal infection on the development of autism, appropriate dosing of Lovenox after Cesarean, dermatoses of pregnancy, and the metabolomic profile of hormonal IUDs. Follow us on Instagram @thinkingaboutobgyn.
2022-10-06
51 min
Thinking About Ob/Gyn
Episode 4.6 The Queen's Births and more
In this episode we discuss the history of Queen Elizabeth's birth and the the birth of her children - which includes home Cesareans and home VBACs. Plus, we discuss checking IUD strings, rising blood pressure rates, and draining the placenta after birth. Follow us on Instagram @thinkingaboutobgyn.
2022-09-22
58 min
Thinking About Ob/Gyn
Episode 4.5 Surgeon Outcome By Gender, Kick Counts, Vitamin D, and More
In this episode, we catch up on a lot of recent literature including differences in surgical outcomes by gender, preferences for race of obstetrician, a new study about cut-offs for gestational diabetes screening, suture vs staples for Cesarean, and vitamin D screening and treatment. Plus, we discuss the evidence for fetal kick count recommendations. Oh, and Howard apologizes for being offensive!Follow us on Instagram @thinkingaboutobgyn.
2022-09-08
1h 06
Thinking About Ob/Gyn
Episode 4:4 Fertility Part 3: Fertility Treatments
In this episode, we finish up our dive into fertility issues with a discussion of basic fertility treatments and answer several fundamental questions with current evidence. Also, 36-37 weeks routine ultrasounds: yea or nay? Follow us on Instagram @thinkingaboutobgyn.
2022-08-25
56 min
Thinking About Ob/Gyn
Episode 4.3 Fertility Part 2: Basic Fertility Evaluation
In this episode, we continue our discussion of fertility with a discussion of the basic fertility evaluation. Plus, should you sound before placing an IUD? Or use a tenaculum? Follow us on Instagram @thinkingaboutobgyn.
2022-08-11
53 min
Thinking About Ob/Gyn
Episode 4.2 Fertility Part 1: Optimizing Natural Fertility
In this episode we discuss the evidence behind stress dose steroids. Then we discuss scientific ways of optimizing natural fertility (and debunk some myths as well). TLDR: save your money on those Facebook fertility testing gimmicks. Follow us on Instagram @thinkingaboutobgyn.
2022-07-28
59 min
Thinking About Ob/Gyn
Episode 4.1 Maternal Deaths Pre-Roe, This is Going to Hurt, Caffeine, Covid, and Navajo Sterilizations
In this episode, we discuss routine use of LDH and uric acid in evaluation of hypertension. Plus, new studies about caffeine use during pregnancy, the efficacy of home visits to pregnant patients, and the declining value of mammography. We also discuss emergency contraception and birth control in a world post Dobbs and how many women died of illegal abortions before Roe. Finally, we discuss forced sterilization of Native American women as depicted in Dark Winds and Adam Kay's book, This Is Going to Hurt. Follow us on Instagram @thinkingaboutobgyn.
2022-07-14
55 min
Thinking About Ob/Gyn
Episode 3.13 Abortion Laws, Lawsuits, and a Defense of American Maternity Care
In this episode, we discuss appropriate use of internal fetal monitors. Then an update on abortion legislation, thoughts about lawsuits, and a discussion of why the US actually has the best maternal and infant care system in the world, not one of the worst. Plus, how abortion restrictions affect our rates of maternal and infant mortality. And a lot about Finland, for some reason. Follow us on Instagram @thinkingaboutobgyn.
2022-06-30
58 min
Thinking About Ob/Gyn
Episode 3.12 The Second Victim Syndrome and Several Sundry Studies
In this episode, we discuss the Second Victim Syndrome and Just Culture. We also discuss progesterone levels and vaginal progesterone for prevention of preterm labor, a new study about Exparel, the ARRIVE trial and news of a lower primary Cesarean rate, piercings and surgery, and whether we should include the endometrium in the closure of Cesareans. Follow us on Instagram @thinkingaboutobgyn.
2022-06-16
46 min
Thinking About Ob/Gyn
Episode 3.11 Fundal Heights, Fetal Monitoring, Fentanyl, Formula, and So Forth
In this episode, we discuss the science of fundal heights, a captivating new article about the science of continuous electronic fetal monitoring, and other whatnots, including the formula shortage, SIDS breakthrough, the optimal age of prophylactic oophorectomy, overdose deaths in America, and few other things (including calcium!). Follow us on Instagram @thinkingaboutobgyn.
2022-06-02
57 min
Honor Your True Story
The Journey of the Fatherless Daughter - You are Not a Secret with Nicole Howard
Today we will be talking about "The journey of a fatherless daughter - You are not a Secret." My guest is Nicole Howard, a wife, and mother of 4, who was born in Door County, WI, and raised primarily by her Grandmother; and her longing to solve the family secret, who was Nicole's father? At age 42, the mystery has been solved! Contact Nicole at nolongersecret.nicole@gmail for help or info on your search. You can visit her shop in Sturgeon Bay, Wisconsin, The Purple Bird Studios, 41 N. 3rd Avenue.
2022-05-27
47 min
Thinking About Ob/Gyn
Episode 3.10 ACOG ACM, Advertisers, and Abortion
In this episode we discuss some hits and misses at the ACOG Annual Clinical Meeting, including the Prevena incision management system, as well as other products and how they are marketed to Ob/Gyns. Plus, we discuss the implications for practice of a total abortion ban. Follow us on Instagram @thinkingaboutobgyn.
2022-05-19
53 min
Thinking About Ob/Gyn
Episode 3.9 Breast Cancer, CHAP Trial, Bump Studies, and Picking Outcomes That Matter
In this episode, we revisit outcomes in the CHAP Trial and have a general discussion about understanding the difference in the rate of diagnosis and disease. Along the way, we discuss PCOS and inositol, the Bump Studies, HIV tests and several important concepts for clinicians.Follow us on Instagram @thinkingaboutobgyn.
2022-05-05
57 min
Thinking About Ob/Gyn
Episode 3.8 Measuring Amniotic Fluid, Magnesium, and Treating Chronic Hypertension
In this episode, we discuss the evidence for the best ways to measure amniotic fluid and diagnose oligohydramnios and polyhydramnios. We also discuss a new study about when to stop magnesium after delivery of patients with preeclampsia and then we discuss the CHAP study that has changed our management of chronic hypertensive patients while pregnant. Follow us on Instagram @thinkingaboutobgyn.
2022-04-21
57 min
Thinking About Ob/Gyn
Episode 3.7 Choosing Wisely Part 2 and the New Book!
In this episode, we finish up the Choosing Wisely recommendations relating to OB/GYN. Plus, the new book, Clinical Reasoning is now available! Buy it here: https://square.link/u/V5FKsaD2Follow us on Instagram @thinkingaboutobgyn.
2022-04-07
56 min
Thinking About Ob/Gyn
Episode 3.6 Choosing Wisely Recommendations for OB/GYN, Part 1
In this episode, we review women's health related recommendations from the Choosing Wisely project.Follow us on Instagram @thinkingaboutobgyn.
2022-03-24
47 min
Thinking About Ob/Gyn
Episode 3.5 Tilts, Twins, Outpatient Induction, PCOS, and Pessaries
In this episode we discuss a several new articles relating to mode of delivery for preterm twins, outpatient cervical ripening with balloons, PCOS, and pessaries for prevention of preterm birth in women with shortened cervixes. We also discuss the lateral tilt at the time of Cesarean. Follow us on Instagram @thinkingaboutobgyn.
2022-03-10
1h 01
Thinking About Ob/Gyn
Episode 3.4 Ovarian and Endometrial Cancers, Endometrial Ablation, and COVID
In this episode, we discuss reasons for the falling rates of ovarian cancers and the rising rates of endometrial cancers. We also discuss the impact that endometrial ablation may have on worsening endometrial cancer outcomes in light of other alternatives to hysterectomy, such as IUDs. Finally, we discuss some COVID updates including whether or not pregnant women with COVID should receive anticoagulation. Follow us on Instagram @thinkingaboutobgyn.
2022-02-24
52 min
Thinking About Ob/Gyn
Episode 3.3 When should we use new treatments? Jada And cfDNA
In this episode we discuss the new Jada postpartum hemorrhage device. More importantly, we discuss the process for choosing to utilize new interventions in clinical practice. Then we discuss a recent New York Times article detailing the problem of false positives in the noninvasive prenatal screening tests. Follow us on Instagram @thinkingaboutobgyn.
2022-02-10
55 min
Thinking About Ob/Gyn
Episode 3.2 Optimal Cord Clamping
In this episode, special guest Scott Guthrie, MD joins us to discuss optimal cord clamping (or what used to be called delayed cord clamping). We discuss the vital benefits of this practice and efforts in Tennessee to make this available to more than 90% of babies born in the next two years. Follow us on Instagram @thinkingaboutobgyn.
2022-01-27
50 min