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Cara Busenhart And Missi Stec

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The EngagED MidwifeThe EngagED MidwifeThe Midwifery Boards: Are You Ready For It?Send us a textThinking about when to take your midwifery boards? Cara and Missi dive into the art of timing on this episode. They cover essential exam prep strategies, discuss the importance of self-assessment, and help you determine if you're truly ready to showcase your skills. From managing test anxiety to understanding the nuances of exam readiness, Missi and Cara help you make the best decision for your journey to certification. #DeliverEDExamPrep #ReadySetTest #AsSoonAsYouAreReady #IndividualizED #GuidED #ReviewED #TSwift2025-04-2033 minThe EngagED MidwifeThe EngagED MidwifeSparklers & Squiggles: Demystifying Fetal Heart Rate MonitoringSend us a textEver feel like fetal heart rate tracings are speaking a language you don't quite understand? In this episode, Missi and Cara are here to translate--they are diving deep into the world of FHR tracings, breaking down the physiology and naming those tricky patterns. They'll also share their go-to interventions and actionalble steps for non-reassuring tracings, and, of course, there will be plenty of those *asterisk* moments—because, let's face it, those little side notes are like sparklers of wisdom! Cara and Missi will also have you ready to take on certification in EFM fo...2025-03-231h 02The EngagED MidwifeThe EngagED MidwifeCheers to 10 Seasons: Celebrating You, Our Listeners!Send us a textCheers to ten incredible seasons! In this special episode, Missi and Cara are celebrating 10 seasons of bringing you engaging and informative conversations about midwifery. They share their gratitude for your continued support and exploring some of their favorite memories from the past ten seasons. Cara and Missi also are dreaming big about the future of the podcast and inviting you to be a part of it! Share your feedback, topic requests, and questions on social media or via email. We can't wait to hear from you! #EngagED #deliverEDExamPrep #TalkNerdyToMe #MidwifeLife #WeBelongToEachOther #Midwives #MidwivesMakeADifference...2025-02-0232 minThe EngagED MidwifeThe EngagED MidwifeHigh Stakes: Marijuana and PregnancySend us a textIn this episode, Cara and Missi take a look at the high stakes surrounding marijuana, THC, and cannabis use during pregnancy, including the complex risks and potential effects on both mother and child. They also iscuss the importance of drug screening and testing, providing intervention and/or referral, and the challenging terrain of mandated reporting to child welfare services. Ethical principles that guide nurses and midwives in their duty to avoid harm to patients, ensuring that we support and protect families in the best ways possible, is reviewed as Missi and Cara provide...2025-01-1954 minThe EngagED MidwifeThe EngagED MidwifeFight or Flight? Uh....Flight, Please!Send us a textIn episode, Cara and Missi take us on a tour around the body to see what the effects of chronic stress can be on health. From identifying types of stress, reviewing risk factors, listing signs and symptoms, and explaining long-term effects, they break it down to explain how chronic stress leads to abnormally high cortisol levels and inflammation. But, most importantly, Cara and Missi talk about how to manage stess and reduce cortisol with personal examples and advice.  #StressedOut #ChronicStress #WeCanDoHardThings #FightOrFlight #CalgonTakeMeAway 2024-12-0848 minThe EngagED MidwifeThe EngagED MidwifeWe're Getting Midwives--Now What?Send us a textWhat's it like to work with midwives when you never have before? What's it like to be a new midwife in a facility that has never had one? In this episode, Missi and Cara share some advice for nurses and midwives that encounter change in their work environment. Pulling from their own experiences and many years of practice, Cara and Missi talk about curiosity, scope of practice, and unit culture in building relationships and a collaborative work environment. #MidwivesMakeADifference #Interprofessional #TeamworkMakesTheDreamWork #NursesRock #ObsAndMidwives #NurseMidwives #WeBelongToEachOther #WeCanDoHardThings 2024-11-2443 minThe EngagED MidwifeThe EngagED MidwifeTraining up the Next Generation: Teaching Roles for Midwives in Medical EducationSend us a textIn this episode, Cara and Missi talk with Dr. Christy Evers, a midwifery educator that is experienced in working with OB/GYN residents in a large community-based hospital. Christy and Missi compare and contrast the various teaching roles that they've had in working with medical students and residents. From learning the language of academia...to sharing midwifery tips and tricks...to best practices in debriefing--we hope this episode inspires more midwives to work with learners. And, of course, we hope that physicians are inspired to work with midwives. It takes a collaborative team...2024-10-1353 minThe EngagED MidwifeThe EngagED MidwifeMore than Just the Blues: How to Identify, Evaluate, and Manage Perinatal Mood and Anxiety DisordersSend us a text**Trigger: This episode covers mental health disorders and discussion of suicide.* In this episode, Missi and Cara discuss perinatal mental health, including mood and anxiety disorders. These PMADs include OCD, posttraumatic stress disorder, and bipolar disease. Cara and Missi share screening recommendations, signs and symptoms, risk factors, and basic treatment modalities. Unfortunately, suicide is the leading cause of death in the perinatal period--during pregnancy and up to 1 year after birth. The aim of this episode is to support providers in screening, assessing, diagnosing, and treating PMADs, as well as knowing when to seek...2024-09-2941 minThe EngagED MidwifeThe EngagED MidwifeNo GOMERs Here: Rolling Out the Midwifery Welcome Mat for TriageSend us a textIn this episode, Cara and Missi are joined by Dr. Krsyta Ramirez Henry, a Certified Nurse-Midwife that works in a recently developed OB emergency department at a high-volume community hospital. Krysta and Missi compare and contrast the various triage presentations, protocols, and interprofessional communication that takes place in a busy triage unit. #MidwifeLife #ScopeOfPractice #InterprofessionalCare #PatientTeaching #EveryWomanDeservesAMidwife #TeamBasedCare2024-09-1536 minThe EngagED MidwifeThe EngagED MidwifeCut it Out (but, actually, DON'T): Perineal Integrity, Obstetric Lacerations, and EpisiotomySend us a textThis episode has Cara and Missi reminiscing about the old days of learning, in which episiotomies were more common...unfortunately! Thankful for changes in practice and a focus on improving patient outcomes and satisfaction, Missi and Cara discuss types of obstetric lacerations, the history and types of episiotomies, repair techniques, and midwifery skills to "manage" the perineum during birth. #CutItOut #Episiotomy #MidwifeTricks #Intact #Lacerations #ObstetricLacerations #OASIs #Intrapartum #Postpartum #Birth #HandsOn #HandsOff #ProtectTheVulva @midwifenell @midwifece @acog_org2024-08-1940 minThe EngagED MidwifeThe EngagED MidwifeCut it Out (but, actually, DON'T): Perineal Integrity, Obstetric Lacerations, and EpisiotomySend us a Text Message.This episode has Cara and Missi reminiscing about the old days of learning, in which episiotomies were more common...unfortunately! Thankful for changes in practice and a focus on improving patient outcomes and satisfaction, Missi and Cara discuss types of obstetric lacerations, the history and types of episiotomies, repair techniques, and midwifery skills to "manage" the perineum during birth. #CutItOut #Episiotomy #MidwifeTricks #Intact #Lacerations #ObstetricLacerations #OASIs #Intrapartum #Postpartum #Birth #HandsOn #HandsOff #ProtectTheVulva @midwifenell @midwifece @acog_org2024-08-1840 minThe EngagED MidwifeThe EngagED MidwifePersonal Detour: Breast Cancer Screening RevisitedSend us a textFor this episode, Cara and Missi take a little detour into personal territory while also reviewing new breast cancer screening guidelines from the United States Preventive Services Task Force. They discuss the emotional toll of abnormal screening results and share insight into patient-centered, holistic care of patients undergoing screening tests for cancer.  #WhenNormalIsNotNormal #BreastCancerScreening #MammogramsSaveLives #USPSTF #Cancer @americancancersociety @acog_org 2024-06-2347 minThe EngagED MidwifeThe EngagED MidwifeAdded ValueSend us a textIn this episode, Cara and Missi discuss nutrition and vitamin supplements during pregnancy. They cover what is important in a prenatal vitamin, vitamin excess, supplements to avoid, and disciss ways to get the nutrition that pregnant people and fetuses need--whether lactose-intolerant, vegan, or those with other dietary restrictions. They also dispel some of the common food concerns during pregnancy--soft cheeses and fish aren't our enemies. We just have to be wise about our intake and ensure food is prepared safely. #YouAreWhatYouEat #VitaminsForTwo #ExpectingGoodThings #Pregnant #Vitamins #Antepartum #Supplements #Vegetarian2024-06-0928 minThe EngagED MidwifeThe EngagED MidwifeHelp from Below: Phone a FriendSend us a textCara and Missi are joined for this episode by Dr. Sam Bleull to discuss the use of forceps or vacuum when needed for operative vaginal birth. While midwives may have expanded scope to use vacuum and/or forceps, they often rely on physician colleagues to step in and assist. Indications, contraindications, and sequelae are reviewed. #HelpFromBelow #Collaborate #Intrapartum #PhoneAFriend #CollaborativePractice #CanIGetAnAssist 2024-05-2641 minThe EngagED MidwifeThe EngagED MidwifeGoing Viral Isn't Always a Good ThingSend us a textIn this episode, Missi and Cara talk about viral illness in pregnancy and how to protect against some of the most common and most harmful respiratory infections. Influenza, COVID, and RSV are reviewed in detail (with a small shoutout to pertussis, whoop whoop!), as these infections not only impact the pregnancy and pregnant person, but may have profound impact on the newborn infant. Vaccine recommendations are provided and a great illness triage algorithm is discussed.  #Viral #Flu #COVID #RSV #VaccinesSaveLives #VaccineSuperHero #VaccinesInPregnancy #ProtectYourself #Illness #Triage #WhoopWhoop 2024-05-1239 minThe EngagED MidwifeThe EngagED MidwifeAFE is not A-Okay!Send us a textFor this episode, Cara and Missi are joined by Certified Nurse-Midwife Linda Johnson. Linda is an experienced clinician with over 30 years of practice--she not only shares key management decisions in the care of patients with amniotic fluid embolism, but also highlights the need for clinician preparation/practice for maternal collapse and debriefing when sentinel events occur. Missi and Cara also review managment recommendations and use of the A-OK protocol for this catastrophic OB emergency. #AFE #AOK #BirthTrauma #Simulation #InterprofessionalCare2024-04-2850 minThe EngagED MidwifeThe EngagED MidwifeWe're Beyond Basic: Expanding Midwifery ScopeSend us a textTo kick off the 9th season of The EngagED Midwife, Missi and Cara describe the process that midwives can take to expand their practice beyond that of the beginning CNM/CM with core competencies for basic midwifery practice. They provide examples of expanded practice skills and review the educational preparation and maintenance of competency needed to offer these skills in your practice. #MidwifeLife #Expanded #BeyondBasic #ACNM #PatientCentered #Continuity #WeveGotSkills #ARDMS #colposcopy #FirstAssist #Ultrasound #Circumcision @acnm @asscp1 @carolyngegor 2024-04-0748 minThe EngagED MidwifeThe EngagED MidwifeDid we ARRIVE too early?Send us a textIn this episode, Cara and Missi review the implications of the 2018 ARRIVE study on patient outcomes and practice changes. They provide a midwifery-focused perspective on rapid application of research findings and how analysis of study design, analysis, and conclusions can help you to interpret the study outcomes. #arrive #induction #elective #expectant #shareddecisionmaking2024-03-1040 minThe EngagED MidwifeThe EngagED MidwifeWhat's In a Name? Cervical Cancer Screening & Management UpdatesSend us a textIn this episode, Cara and Missi discuss recent updates to cervical cancer screening and management of results. They give a brief history of cervical cancer screening, incidence and mortality for cervical cancer in the US, and recommendations for the frequency of screening. Then, they provide an update to screening abnormalities and how to individualize follow-up management for patients.  #cervicalcancer #screening #cancer #gynecology #womenshealth #cytology #midwivesmakeadifference #vaccinessavelives #HPV2024-02-2545 minThe EngagED MidwifeThe EngagED MidwifeItchy, Stinky, and Mo' (Discharge): Vaginitis ConundrumsSend us a textIn this episode, Cara and Missi review common vaginitis symptoms, evaluation, diagnosis, and treatment. They then dive deeper into complex presentations, recurrent infections, and treating mixed vaginitis. Vulvar and vaginal itching, irritation, discharge, and odor are a frequent reason for visits to a midwife or other GYN provider and this episode will build your confidence and competence in treating these issues. Resources for additional learning are provided.  #vaginitis #vulva #vagina #vaginaldischarge #selfcleaningoven #nodouching #boricacid #treatlocallyPowell A, Ghanem KG, Rogers L, et al. Clinicians' Use of Intravaginal Boric Acid Maintenance Therapy f...2024-02-1149 minThe EngagED MidwifeThe EngagED MidwifeFibroids and SuchSend us a textIn this episode, Cara and Missi dive into an overview of fibroids and adenomyosis.  Both diagnoses can be associated with abnormal uterine bleeding, pelvic pain, and pelvic fullness.  While definitive treatment is likely surgery, conservative management of these dignosis can be accomplished by the midwife or nurse practitioner.  This episide will explore symptoms, diagnosis, and treatment particularly in women who want to perserve fertility or which surgery is not a viable option. #fibroids #adenomyosis #abnormaluterinebleeding #lysteda #lupron 2024-01-2837 minThe EngagED MidwifeThe EngagED MidwifeMismatchedSend us a textIn this episode, Cara and Missi continue a previous conversation on causes of jaundice.  ABO and Rh incompatability are predominate causes of hyperbilirubinemia in newborns.  This episode reviews the physiology of ABO and Rh and the care of women in the antepartum period as well the implications in care of the newborn. #ABO #Rh #Alloimmunization #jaundice #rhogam #newborncare #bilirubin2024-01-1438 minThe EngagED MidwifeThe EngagED MidwifeHow Much is Enough?Send us a textIn this episode, Cara and Missi look into the evidence surrounding obesity and induction of labor. Obesity alone is a risk for primary cesarean section. Several recents studies will be discussed shedding light on how to effectively manage patients with obesity specifically in the context of induction of labor. This review will help midwives use the correct combination of tools to help avoid unnecessary cesarean birth in this population. #intrapartum #inductionoflabor #obesity #cytotec #oxytocin #foleyballoon #CRB #physiology 2024-01-0140 minThe EngagED MidwifeThe EngagED MidwifeReproductive Rights in Post-Roe EraSend us a textIn this episode, Cara and Missi introduce a topic that is important to gynecoloogy, sexual, and reproductive health--abortion. While abortion is known to be a hot topic that can spark strong opinions, the girls discuss the midwife scope of practice; highlight how midwives care for patients in options counseling, abortion care, and post-abortion care; and introduce how midwives can gain more knowledge and training in the provision of this important type of care. As an added bonus, Missi is joined for a portion of this episode by a physician colleague with specialized training...2023-12-1752 minThe EngagED MidwifeThe EngagED MidwifeCara and Missi's Favorite ThingsSend us a textIn this episode, Cara and Missi discuss some of their favorite gifts for the midwife in your life—from the new graduate, to student, preceptor, partner, or bestie! They share ideas for making the call room comfy, for sporting your favorite advocacy, and for supporting their favorite makers and creators. This might just be one of their favorite episodes! #midwifelife #ourfavoritethings #gifts #happyholidays #holidaycheer #ourfavoritetimeoftheyear #midwifeera #vulva #stanleyasaweapon2023-12-0740 minThe EngagED MidwifeThe EngagED MidwifeCara and Missi's Favorite ThingsIn this episode, Cara and Missi discuss some of their favorite gifts for the midwife in your life—from the new graduate, to student, preceptor, partner, or bestie! They share ideas for making the call room comfy, for sporting your favorite advocacy, and for supporting their favorite makers and creators. This might just be one of their favorite episodes! #midwifelife #ourfavoritethings #gifts #happyholidays #holidaycheer #ourfavoritetimeoftheyear #midwifeera #vulva #stanleyasaweapon2023-12-0339 minThe EngagED MidwifeThe EngagED MidwifePick a ProgestinSend us a textIn the episode, Cara and Missi review the uses of progestins in both contraception and hormone replacement. Progesterone is an essential hormone in the menstrual cycle and synthetic progestin has a multitude of benefits as well as side effects. This conversation will help midwives make a decision on how to chose the right progestin for the right situation. #gynecology #progesterone #progestin #hormonereplacement #contraception #androgenic #progestational #intendedeffect2023-11-1951 minThe EngagED MidwifeThe EngagED MidwifeThe TERMPROM RebootSend us a textIn this episode, Cara and Missi push rewind on the TERMPROM study. This study, originally published in 1996, has recently bee re-examined in a an interesting secondary analysis. This episode will highlight the new insights into the data to help midwives provide evidence based care for prelabor rupture of membranes in all settings.  #PROM #PPROM #prelabor #intrapartum #management2023-11-0535 minThe EngagED MidwifeThe EngagED MidwifeNot Always EasySend us a textIn this episode, Cara and Missi shed light and love on how to give difficult news. It's never easy to deliver news of a diagnosis, a problem, or a complications to a patient and this conversation will help provide useful tools to students and practicing midwives. This episode explores several techniques for scripting these encounters, as well as giving guidance on what information to give, how to know if patients can receive, and how to navigate difficult encounters. #difficultconversations #badnews #anticipatoryguidance #scripts #therapeuticpresence 2023-10-1550 minThe EngagED MidwifeThe EngagED MidwifeSomebodies Watching MeSend us a textIn this episode, Cara and Missi dissect the ACOG practice guideline on antepartum fetal surveillance.  Knowing when to test, what tests to use, how often to test are all important factors in competent, holistic care of the pregnant person.  This episode will break down the kinds of test like NST and BPP as well as what conditions require testing and how midwives should approach the care of at risk patients. 2023-10-0150 minThe EngagED MidwifeThe EngagED MidwifeIntrapartum Interventions: Questions AnsweredSend us a textIn this episode, Cara and Missi respond to a listener query about rupture of membranes.  This question got the girls thinking about all of the interventions that are done in the intrapartum and how those correlate with the pearls of midwifery.   Tune in and listen to this robust conversation on everything from well timed amniotomy to position changes while interweaving information from the literature and clinical practice.  2023-09-1750 minThe EngagED MidwifeThe EngagED MidwifeDon't Make Me LaughSend us a textIn this episode, Cara and Missi take a deep dive into all things urinary track. Moving beyond just thinking about UTI, this conversation explores incontinence, pelvic floor therapy, and how to better manage your patients with urinary complaints. 2023-09-0348 minThe EngagED MidwifeThe EngagED MidwifeClinical Update: All Things Breast and MastitisSend us a textIn this episode, Cara and Missi are joined by Jenna Erickson, CNM, IBCLC for an important clinical update on the 2022 mastitis guidelines from the Institute for Breastfeeding Medicine.  This episode is a must listen to learn to stop the ice, treat the inflammation, feed naturally, and get down to the real causes of mastitis.  Jenna give us her IBCLC take on things to do, not to do, how to care for the breast, and products that we should be recommending to our patients.  https://physicianguidetobreastfeeding.org/ https://www.bfmed.org/assets/ABM%20Prot...2023-08-2053 minThe EngagED MidwifeThe EngagED MidwifeWhat to Say and How to Say ItSend us a textIn this episode, Cara and Missi break down some common conversations between providers and patients. Have you ever wondered how other providers talk to patients? Did you ever want to hear someone else's spiel? This episode will give the practicing midwife some tips and tricks on communicating with patients and things we should always be saying.2023-08-0652 minThe EngagED MidwifeThe EngagED MidwifeTake My Breath AwaySend us a textIn this episode, Cara and Missi take a look at asthma in primary care and in pregnancy. More than 22 million people in the US are diagnosed with asthma and it accounts for 14.2 million office visits annually.  Asthma management including pharmacologic treatments will be reviewed as well as treatment modalities in pregnancy.2023-07-2346 minThe EngagED MidwifeThe EngagED Midwife6 is the new 4Send us a textIn this episode, Cara and Missi help to explain the new (read 2011) criteria for defining labor progress based on the Zhang research. Moving past the 1954 research from Friedman, the new labor curve suggests that we maintain more flexible parameters for defining labor progress than can help to decrease c-section rate. This episode also discusses the new literature on pitocin in latent and active phase, as well as pit breaks and adjunct therapies that may be effective.2023-07-0952 minThe EngagED MidwifeThe EngagED MidwifeOuch! My Belly Hurts, Part 2.Send us a textIn this episode, Cara and Missi discuss identification and management of obstetrical causes the acute abdomen.   This conversation specifically focuses on the emergent obstetrical causes of abdominal pain.  Although midwives are not surgeons, good assessment and diagnostic skills are crucial to the timely identification and management of abdominal emergencies.  #abdominalpain #obstetriccauses #ectopic #PUL #torsion #uterinerupture #abdominalpregnancy2023-06-2541 minThe EngagED MidwifeThe EngagED MidwifeMy Courses are MissingSend us a textIn this episode, Cara and Missi aren't talking about academic courses. Listen up to hear everything you need to know about amenorrhea. Confused about the HPA axis? Hormones giving you the run around? Tune in to hear the girls talk about why periods haven't 'come down' and how to diagnose and treat. #amenorrhea #secondaryamenorrhea #whereismyperiod #hormones #prolactin #fsh #tsh #thyroid #fertiilty #infertility2023-06-1130 minThe EngagED MidwifeThe EngagED MidwifePassing the TORCHSend us a textIn this episode, Cara and Missi outline the TORCH infections and considerations for the antepartum period and the newborn. TORCH can have serious implications during the neonatal period. Passing the TORCH will remind you about IgG and IgM, symptoms to look for, and risk factors that may contribute to infections. #TORCHinfections #cytomegalovirus #rubella #herpes #toxoplasmosis #parvovirus #COVID #zika #syphillis #neonataloutcomes #MFM2023-05-2129 minThe EngagED MidwifeThe EngagED MidwifeCatch Me If You CanSend us a textIn this episode, Cara and Missi chat on fetal monitoring and implications for the intrapartum period. Catch Me reviews fetal monitoring categories, the difference between non-stress and contraction stress, as well as the guidelines for intermittent and continuous fetal monitoring. This episode is for anyone out there that dares to catch those Babis...if they can. #intermittentauscultation #continousmonitoring #EFM #lowrisk #IFKYK 2023-05-0743 minThe EngagED MidwifeThe EngagED MidwifeDon't Worry...About a ThingSend us a textIn this episode, Cara and Missi offer amazing insight on the most stressful topic of all for students- EXAM PREP!  Don't worry focuses on tips and tricks for students and offers revelations that the girls have had from teaching exam prep for 10+ years together.  Students won't want to miss this hour long conversation about get ready, feeling confident, and passing that test. #examprep #deliverEDexamprep #studyhall #resources #podcast #differentiatedlearning #talknerdytome #learningstyles #theEngagEDmidwife #testanxiety #USPSTF #asccp #cdc #boardvitals #statpearls2023-04-2346 minThe EngagED MidwifeThe EngagED MidwifeTriage and the Postpartum PatientSend us a textIn this episode, Cara and Missi get way out the midwifery comfort zone with a conversation postpartum patients that present with complications.  Triage and the Postpartum Patient covers topics such as infection, postpartum pre-eclampsia, and bleeding just to name a few.  Join in to ease your "uncomfortableness" with this complex topic. #postpartum #complications #endometritis #sepsis #urosepsis #preeclampsia #infection #symptoms #triage #thinkfast #depression 2023-04-0932 minThe EngagED MidwifeThe EngagED MidwifeGood, Giving, and GameSend us a textIn this episode, Cara and Missi get intimate with a girl to girl conversation about all things sex.  From understanding your body to the anatomy of the clitoris, you won't want to miss this real talk about how to get the most from your sexual experiences.  Have a great sex life- amazing- join us to hear how to talk to your patients about how to improve what happens when they want to get down.  #forfun #vibrators #goodvibrations #toys #findyourjoy #good #giving #game #rosetoy #wecandohardthings #comeasyouare #bedsidetable #donotdisturb #selfcare2023-03-2642 minThe EngagED MidwifeThe EngagED MidwifeNot to Sugar Coat ItSend us a textIn this episode, Cara and Missi get serious about gestational diabetes.   In this short review, the girls talk about screening and diagnosis and well as who needs early screening.  Not to Sugar Coat it offers listeners a reminder tour while briefly discussing treatment and follow up. #diabetes #gestationaldiabetes #glucosechallenge #nutrition #medicalmanagement #insulin2023-03-1226 minThe EngagED MidwifeThe EngagED MidwifeGetting Ready for ACNM Annual MeetingSend us a textIn this BONUS episode, Cara and Missi talk about what it's like for students at the ACNM annual meeting.  This year's meeting will be in Orlando, FL May 5-8.  Tune in to get all of the insider information about how to get ready to explore this valuable conference. #annualmeeting #workshops #exhbithall #businessmeeting #kittywinners #fellows #mentoring #PACRally 2023-03-1214 minThe EngagED MidwifeThe EngagED MidwifeIt's a Growing, Hormonal, Emotional Kid- No It's PubertySend us a textIn this episode, Cara and Missi get serious about puberty.  Join this important conversation about helping adolescent patients and their parents navigate changing bodies, volatile moods, contraception, and body issues.  2023-02-2625 minThe EngagED MidwifeThe EngagED MidwifeI Was Just Born- Now What?Send us a textIn this episode, Cara and Missi dive into care of the newborn in the immediate post-natal period.  Every wonder what to say when describing screening tests, blood draws, and procedures?  Listen in for some great tips on understanding those first 48 hours post-birth.2023-02-1232 minThe EngagED MidwifeThe EngagED MidwifeThe Ins and Outs of the Endocrine SystemSend us a textIn this episode, Cara and Missi explore the endocrine system and those primary care topics that can be hard to grasp.  They review the top two issues that are seen in the care of women- diabetes and thyroid dysfunction.  Join in for this conversation on diagnosis, management, and referral for these important disorders.2023-01-2930 minThe EngagED MidwifeThe EngagED MidwifeFeeling Hot Hot Hot: Menopause and All The ThingsSend us a textIn this episode, Cara and Missi dive deep into menopause and all it has to offer.  From hot flashes, to menstrual abnormalities, and all thing in between, join the girls for this conversation about understanding physiology and symptomatology while gain insight on providing supportive pharmacologic and non pharmacologic treatments for midlife. 2023-01-1545 minThe EngagED MidwifeThe EngagED MidwifeSo Many Opinions, So Little TimeSend us a textIn this episode,  Cara and Missi break down the many opinions of breast cancer screening including the big three- ACS, USPSTF, and ACOG.  Join in to listen to this comprehensive conversation about screening, diagnosis, and consultation of breast complaints across the life span.  In loving memory of Chelsea Rust.2022-12-1828 minThe EngagED MidwifeThe EngagED MidwifeTalk the TalkSend us a textIn this episode, Cara and Missi get serious about how we communicate in our professional lives.  Do you feel emotional ?  Powerless?  Do you hate difficult conversations?  Tune in here the girls give all of their successful strategies for communicating effectively in all situations.  2022-12-0432 minThe EngagED MidwifeThe EngagED MidwifeAll Things HeadacheSend us a textIn this episode, Cara and Missi review diagnosis and management of headaches.  Wether  you work in primary care or pregnancy, join this conversation and learn about types of headache, pharmacologic, and non-pharmacologic strategies for treatment.  2022-11-2051 minThe EngagED MidwifeThe EngagED MidwifeThe Precepting DynamicSend us a textIn this episode, Cara and Missi discuss the dynamic of precepting from the student and preceptor perspective.  Precepting is one of the most important aspects of midwifery education and should be a value to both student and midwife.  Listen in for tips and tricks to make the most of this important relationship.2022-11-0645 minThe EngagED MidwifeThe EngagED MidwifeWhen It's Time To Meet the PlacentaSend us a textIn this episode, Cara and Missi compare and contrast active versus physiologic management of the third stage of labor.  Using the evidence as a guide, this conversation will help nurses and providers alike find their own way to manage third stage and understand the risk factors that may prompt active management.2022-10-2342 minThe EngagED MidwifeThe EngagED MidwifeDoes it Itch?Send us a textIn this episode, Cara and Missi discuss the ins and outs of vaginitis.  Most midwives can easily treat normal presentation of vaginitis using the CDC recommendations.  In this overview, abnormal presentations and treatment for recurrent infections are reviewed and tips and tricks for clinical practice are discussed.2022-10-0235 minThe EngagED MidwifeThe EngagED MidwifeJaundice 101Send us a textIn this episode, Cara and Missi provide an overview of the physiology, diagnosis, and treatment of jaundice.  As care providers for babies up to 28 days, it is imperative the midwives understand how to identify jaundice and provide anticipatory guidance to parents of newborns with hyperbilirubinemia.  Join in and build your foundational knowledge of management of jaundice with the girls.2022-09-0444 minThe EngagED MidwifeThe EngagED MidwifeOrganize Your LifeSend us a textIn this episode, Cara and Missi step away from clinical conversations to talk about what it looks like to prioritize your life and get organized.  The girls discuss how to micro-schedule, make effective lists, and establish priorities to help you live a more well rounded life.2022-08-2139 minThe EngagED MidwifeThe EngagED MidwifeWhat's Drugs Got To Do With ItSend us a textIn this episode,  Cara and Missi are joined by Dr. Teresa Ash  for a conversation around interprofessional collaboration between APRNs and Pharmacists.  Dr. Ash is a PharmD who is the Chief Operation Officer at Mercy Anderson in Cincinnati, OH.   Her wealth of experience provides insight on how to utilize pharmacy in the care of patients.  She offers up valuable advice on resources, chronic disease management, and clinical pearls for midwifery and women's health practice.2022-08-0744 minThe EngagED MidwifeThe EngagED Midwife2022 DeliverED UpdatesSend us a textIn this quick update, Cara and Missi give all of the updates about what's coming from DeliverED Exam Prep.  The girls are so excited to announce our their new products and updates to the existing programs to help ensure student success.2022-07-3112 minThe EngagED MidwifeThe EngagED MidwifeEviction Notice IssuedSend us a textIn this episode, Cara and Missi discuss induction of labor.  Everything from bishop score to pharmacology to mechanical ripening, the girls are here for all of it.   We recognize that induction of labor is certainly facility dependent, but tune in to listen as the girls give the scoop on getting babies out.2022-07-1747 minThe EngagED MidwifeThe EngagED MidwifeMama's BestSend us a textIn this episode, Cara and Missi are joined by Elizabeth Holbein, RN, IBCLC, for a discussion on breast feeding you won't want to miss.  Elizabeth gives us awesome tips on how to help our patients be successful and how to manage those not so easy complications.Resources:Elizabeth's go to haakkaa https://a.co/d/cHuXMFg Breastfeeding network https://www.appalachianbreastfeedingnetwork.org/lactation-resource-database.html Breast feeding helphttps://ohiobreastfeedingalliance.org/breastfeeding-help2022-07-0339 minThe EngagED MidwifeThe EngagED MidwifeOuch! My Belly Hurts.Send us a textIn this episode, Cara and Missi discuss identification and management of the acute abdomen in pregnancy.  This conversation specifically focuses on non-obstetrical causes of abdominal pain.  Although midwives are not surgeons, good assessment and diagnostic skills are crucial to the timely identification and management of abdominal emergencies.  2022-06-1941 minThe EngagED MidwifeThe EngagED MidwifeDefining ScopeSend us a textIn this episode, Cara and Missi explore the concept of scope of practice for midwives in the US.  Several factors affect scope including national standards, state boards, and individual facilities.  As many states fight for full practice authority, understanding scope is of the utmost importance.  Listen in for tips on advocacy, knowing the role, and fighting for practice at the highest level of our training.  2022-06-0528 minThe EngagED MidwifeThe EngagED MidwifeWelcome to Study HallSend us a textIn this episode, Cara and Missi give their advice for getting down to studying.  Everything from how to read, and how to take notes, to how to use your questions banks more efficiently is covered here.  Don't know what kind of learner you are?  Listen carefully as the girls tell you how to unlock your own studying potential.  We know you can do hard things.  Even studying.2022-05-2234 minThe EngagED MidwifeThe EngagED MidwifeTo Treat or Not to TreatSend us a textIn this episode, Cara and Missi discuss the GBS treatment guidelines.  Dealing with GBS can be tricky, especially when a patient presents with an unknown status.  Tune in to hear a review of all of the algorithms for managing this common diagnosis in labor.  2022-05-0839 minThe EngagED MidwifeThe EngagED MidwifeGettin' Tricky With ItSend us a textIn this episode, Cara and Missi give you all of the tricks that you might not read about in all of those textbooks.  Fun antidotes from nurses, tips from preceptors, and intuition gained from years of practice are all highlighted in this not-so-evidence-based episode.2022-04-2432 minThe EngagED MidwifeThe EngagED MidwifeWhat's Blood Got to Do With ItSend us a textIn this episode, Cara and Missi take a deep dive into anemia.  Join the girls for a conversation around diagnosis, treatment, and education geared toward patients with anemia.  2022-04-1039 minThe EngagED MidwifeThe EngagED MidwifeFinding the Right Fit: Prenatal Genetic TestingSend us a textIn this episode, Cara and Missi discuss preconception and prenatal genetic testing.  Find out the differences between screening and diagnosis and the appropriate tests for each trimester in this information packed session.2022-03-2744 minThe EngagED MidwifeThe EngagED MidwifeWhen Grief Becomes PurposeSend us a textIn this episode, Cara and Missi dive into the topic of perinatal loss and support.  They are  joined by Stacey Gripshover who is a board certified Pysch- Mental Health Nurse Practitioner.  Through perinatal loss, Stacey, along with her husband Leo, honor their baby Blue by relentlessly pursuing other grieving families in hopes of helping them navigate their grief journey.    You won't want to miss the story of her journey to the goal of providing maternal mental health to women in need.  2022-03-0641 minThe EngagED MidwifeThe EngagED MidwifeThere's No Place Like HomeSend us a textIn this episode, Cara and Missi are joined by Belinda Lashea, CNM, MSN and Erin Meyers in an exploration of community birth.  Belinda and Erin explain why out of hospital birth is so empowering and how midwives are seen in the community.  You won't want to miss this discussion on midwives in the community and the impact they make.2022-02-1355 minThe EngagED MidwifeThe EngagED MidwifePsychological Adaptation to PregnancySend us a textIn this episode, Cara and Missi explore the important psychologic tasks of pregnancy.  Midwives can provide the best support both physiologically and psychologically during pregnancy.  This episodes works through t the major tasks in each trimesters and how midwives can provide support to their patients.  2022-01-3047 minThe EngagED MidwifeThe EngagED MidwifeWhy Am I So Sad?Send us a textIn this episode, Cara and Missi review the screening, diagnosis, and treatment for depression in women across the lifespan.  Here you will find a review of recommendations, screening tools, and pharmacology that can help you be a light to the people that need you most.2022-01-1654 minThe EngagED MidwifeThe EngagED MidwifePhone a FriendSend us a textIn this episode, Cara and Missi talk about mentoring and what it has meant in their careers.  The girls give shout outs to important people that have shaped their professional lives and explain formal versus informal mentoring.  You don't want to miss this episode on when to phone a friend.2022-01-0332 minThe EngagED MidwifeThe EngagED MidwifeThe Skinny on Obesity in PregnancySend us a textIn this episode, Cara and Missi review the AGOG practice bulletin and recommendations for overweight and obese patients in the antepartum period.  We understand that this is a sensitive topic to consider with patients and this episode is meant to serve as a way to start this  conversation.  2021-12-2041 minThe EngagED MidwifeThe EngagED MidwifeThe Most Wonderful Time of the YearSend us a textIn this episode, Cara and Missi give you all of the details of their holiday wish list including gifts for students, preceptors, midwives, and all those birth workers we love so much.  You won't want to miss this one.  2021-11-2835 minThe EngagED MidwifeThe EngagED MidwifeUpdate on STI and STD TreatmentSend us a textIn this episode, Cara and Missi are again joined by Amy for a conversation around the new CDC guidelines for the treatment of sexually transmitted diseases and infections.  This quick chat focuses on the main treatment changes that were highlighted in the July 2021 update.  Don't forget to bookmark the webpage and delete that app!2021-11-1428 minThe EngagED MidwifeThe EngagED MidwifeTo Bleed or Not to BleedSend us a textIn  this episode, Cara and Missi breakdown the physiology behind abnormal uterine bleeding.  Beginning with a brief overview of the menstrual cycle, the team will talk about correct language, assessment, and how to correctly diagnose bleeding disorders.2021-10-3142 minThe EngagED MidwifeThe EngagED MidwifeSo You Had A BabySend us a textIn this Episode, Cara and Missi get real about the postpartum period.  Everything from breastfeeding, bleeding, and contraception, tune in to hear their advice for patient teaching, anticipatory guidance and what to expect in the postpartum period.2021-10-1736 minThe EngagED MidwifeThe EngagED MidwifeGet a JobSend us a textIn this episode, Cara and Missi are joined by Amy Palmer to talk all of the details on getting that first job.  Everything from malpractice, to salary, to asking the right questions, students and new midwives won't want to miss this midwives tell all episode.2021-10-0356 minThe EngagED MidwifeThe EngagED MidwifeAll Things ContraceptionSend us a textIn this, the last episode of season 2,  Cara and Missi start with an overview of the hypothalmic-pituitary-adrenal axis as a basis for a comprehensive conversation around contraception.  Progesterone only, LARCS, combined methods, and everything in between. Come one, come all.  If you need a refresher on contraception, then this is your episode.  2021-09-1251 minThe EngagED MidwifeThe EngagED Midwife#MidwifeLifeSend us a textIn this episode, Cara and Missi get real about the ins and outs of being a midwife.  They discuss schedules, balance, and mental health in a candid and open way to help others process their own professional lives.  Grab a cup of coffee and join as the girls talk about the #midwifelife.2021-08-2935 minThe EngagED MidwifeThe EngagED MidwifeStop the BleedSend us a textIn this episode, Cara and Missi review the new guidelines for postpartum hemorrhage identification, prevention, and management.  Citing the ACOG practice bulletin, the World Health Organization, and the Alliance for Innovation on Maternal Health, this discussion will bring students and midwives up to date on what is new for clinical practice.  2021-08-1537 minThe EngagED MidwifeThe EngagED MidwifeWhat to Expect When You are ExpectingSend us a textIn this episode, Cara and Missi run through a list of common discomforts of pregnancy with a mind toward midwifery management.  Curious about what to take for heartburn or how to help patients deal with hemorrhoids?  This episode is for you.2021-08-0136 minThe EngagED MidwifeThe EngagED MidwifeComing Soon From DeliverEDSend us a textWe have updates on all things Exam Prep.  Cara and Missi will talk about new products and opportunities, as well as, some exciting opportunities for Spring 2022.2021-07-2514 minThe EngagED MidwifeThe EngagED MidwifeMy Mom is a MidwifeSend us a textMeet the Busenhart and Stec children.  Cara and Missi's kids dish about what it's like for their mom to be a midwife.  Join us for this fun, sweet, and insightful conversation with Rory, Brooks, Max, and Julia as they talk about life with their moms.2021-07-1826 minThe EngagED MidwifeThe EngagED MidwifeOnce a C Section Not Always a C SectionSend us a textIn this episode, Cara and Missi breakdown all thing TOLAC and VBAC.  Discussing indications, calculators, and protocols, you won't want to miss this conversation about how midwives can be instrumental in helping women have successful vaginal deliveries.2021-07-0450 minThe EngagED MidwifeThe EngagED MidwifeMarried to a MidwifeSend us a textIn this episode, Cara and Missi host Missy and Sarah Furlette-Koski and invite their own partners to join in on a conversation about what it's like to be married to a midwife.  You won't want to miss this candid talk about partnering with a midwife and how to make it work.2021-06-0643 minThe EngagED MidwifeThe EngagED MidwifeMaking Friends with the GutSend us a textIn this episode, Cara and Missi are joined by certified nurse-midwife Amanda Treon to discuss the link between the gut and inflammation.  Amanda will build on the current research and science to give us tangible ways to help clients struggling with overall wellness. 2021-05-2328 minThe EngagED MidwifeThe EngagED MidwifeH-I-J-K-L-M-N-O PCOSSend us a textIn this episode, Cara and Missi will discuss PCOS- everything from presentation to diagnosis to treatment.  Join us to brush up on your knowledge of how to best help our patients manage this multi-factorial diagnosis.  2021-05-1621 minThe EngagED MidwifeThe EngagED MidwifeThat's Not Your StorySend us a textIn this episode, Cara and Missi are joined by their midwife colleague, Mandy, to discuss substance abuse in pregnancy.  This thoughtful and insightful conversation will provide listeners with practical tips on the care of women with abuse disorders.  2021-05-0929 minThe EngagED MidwifeThe EngagED MidwifeWhen to Screen and When to NotSend us a textIn this episode, Cara and Missi will review helpful tools for screening assessments and tests in primary care.  Utilizing the United State Preventative Service Taskforce (USPSTF) guidelines, they will walk the student and practicing midwife through the recommendations of when to screen and when to not.2021-05-0216 minThe EngagED MidwifeThe EngagED MidwifeWhen Making a Baby Feels Like WorkSend us a textIn this episode, Cara and Missi get real about infertility.  Describing the history, workup and basic management, they will help provide a foundation of how to care for families experiencing difficulty achieving pregnancy.  Additionally, Missi will share her insights regarding her personal journey with infertility and importance of her care team.2021-04-1827 minThe EngagED MidwifeThe EngagED MidwifeThe Doctor is IN!Send us a textIn this episode, Cara and Missi will give their thoughts on terminal degrees in nursing.  The discussion will focus on the DNP and the PhD and why those degrees are a good fit for clinicians.  A lighthearted conversation that you won't want to miss about why a doctoral degree can be relevant in advanced practice.2021-04-0420 minThe EngagED MidwifeThe EngagED MidwifeTachypnea, Tachycardia and Fever....OH MY!Send us a textIn this episode, Cara and Missi breakdown common symptom clusters that can be prevalent in the care of the newborn.  These deviations from normal should be understood by midwives in order to effectively stabilize newborns and employ consultation, collaboration and referral.2021-03-2118 minThe EngagED MidwifeThe EngagED MidwifeThere's An App For ThatSend us a textIn this episode, Cara and Missi give you all the tips and tricks for apps in clinical practice.  The Mobile Application Rating Scale (MARS) is broken down for clinicians and students while sharing all their favorite apps.2021-03-0732 minThe EngagED MidwifeThe EngagED MidwifeThe Problem with HypertensionSend us a textIn this episode, Cara and Missi discuss the hallmarks of hypertension in pregnancy including important diagnostic features, testing and midwifery management.2021-02-2123 minThe EngagED MidwifeThe EngagED MidwifeShine Your Light with Dr. Heather HinesSend us a textIn this episode, Cara and Missi are joined by their friend and colleague, Dr. Heather Hines for a frank discussion on mindfulness, feeding your midwifery spirit and maintaining mental wellbeing.   2021-02-0722 minThe EngagED MidwifeThe EngagED MidwifeEvery 28 Days, Just Like a PeriodSend us a textIn this episode, Cara and Missi get down to basics and review the menstrual cycle from the HPOA axis all the way to menstrual disorders.  Join in this  refreshing review of the role the female body plays in reproduction.2021-01-2418 minThe EngagED MidwifeThe EngagED MidwifeTest Taking StrategiesSend us a textIn this episode, Cara and Missi will dish about all things test taking.  From what to expect to how to prepare, this episode will help student to focus on what is important when taking their certification exam. 2021-01-1029 minThe EngagED MidwifeThe EngagED MidwifeAn introductionSend us a textIn this episode, Missi and Cara will talk about how they conceptualized their company, DeliverED, and how the company has come to be a great solution for certification exam preparation.2021-01-0806 min