In this show, Dr. Venitha Jain, Maternal Fetal Medicine specialist and Dr. Kelly Ruhstaller, OB-GYN 3rd year resident, discuss the clinical problem solving article from the New England Journal of Medicine in the September, 2011 issue, entitled A Problem in Gestation by Chamarthi et. al. (N Engl J Med 2011; 365:843-8), discussing a case of pancreatitis in pregnancy caused by hyperparathyroidism.While hyperparathyroidism is rare, the testing and diagnostics of variations in calcium levels and the issues and roles of calcium during pregnancy and its role in fetal skeletal mineralization are discussed. Click here to download and listen to A Problem in Gestation- Pancreatitis and Hyperparathyroidism in pregnancy

OB-GYN To Go

OB GYn To Go #14- A Problem in Gestation

OB - GYN To Go- Show #13: Magnesium Sulfate and the Possible Protective Effects for Cerebral PalsyDr. Philip Schlossman and Dr. Jennifer Merriman discuss recent New Englad Journal of Medicine articles regarding the use of Magnesium Sulfate antenatally to provide possible protection for some cases of cerebral palsy.Articles Discussed: A Randomized Controlled Trial of Magnesium Sulfate for the Prevention of Cerebral Palsy, New England Journal of Medicine, 2008; ASSK 2009 Comment Magnesium Sulfate for the Prevention of Cerebral PalsyCerebral Palsy (CP) is a non-progressive deficit in motor functioning and posture, typically diagnosed in childhood, with an unknown precise etiology. While its severity can vary, it can be quite debilitating for the child and family, adding significant additional medical costs to caring for CP affected individuals as well as negatively impacting their quality of life. About of a third of all cases of Cerebral Palsy are associated with pre-term birth. While general causes of pre-term birth and its prevention would certainly reduce over all the number of cases of CP, it has been thought that provision of magnesium sulfate antentally may provide some neuroprotection and help reduce the number of cases of CP seen in pre-term infants. Dr. Schlossman and Dr. Merriman discuss the studies, their design, strengths and weaknesses, and how this impacts treatment decisions in clinical practice.Click here to listen to Magnemisum Sulfate and Cerebral Palsy, Show #13

Magnesium Sulfate and Cerebral Palsy

In this show, Dr. Adrian Queseda and Dr. Matthew K. Hoffman discuss the Quantification of the Familial Contribution to Mullerian Anomolies, ( A. Hammoud et. al., Obstet Gynecol 2008, 111:378-384). This paper was published in Obstetrics and Gynecology in February, 2008 and reveals level II evidence of an increased risk of inheritance of mullerian anomilies, based on data from the Utah Population Database.Click here to listen or download Mullerian Anomolies

Familial Inheritance of Mullerian Anomolies

Obesity is growing more and more common in the US and has many associated health risks. But what happens to women who have greater than normal Body Mass Index (BMI) during pregnancy, a time where additional weight gain is expected? Are there additional health risks posed?In this show, Dr. Adrian Queseda and Dr. Matthew K. Hoffman discuss the association between obesity during pregnancy and the increased use of health care, based on the article of the same name, published in April, 2008 in the New England Journal of Medicine (S. Chu et al, N Engl J Med 358;14, www.NEJM.org). Click here to listen or download Obesity in Pregnancy

Effect of Obesity in Pregnancy

In this program, Dr. Adrian Queseda, MD and Dr. Matthew K. Hoffman, MD, MPH, FACOG discuss the treatment of Asthma in during pregnancy. There is an increasing number of people in the United States who suffer from asthma, and it can be exacerbated during pregnancy. We discuss the latest American College of Obtetrics and Gynecology (ACOG's) practice bulletin outlining the management of asthma during pregnancy and the challenges it poses, and how sometimes "normal" results are not "normal" for the pregnant patient.Click here to listen or download Asthma In Pregnancy- ACOG Bulletin

Asthma in Pregnancy

In today's schow we discuss the new guidelines for cervical cancer screening and colposcopy recommendations, that came out in October, 2007. The changes reflect more conservative treatment, aimed at reducing the impact procedures such as colposcopy may have on fertility and pre-term birth, while maintaining effective screening for disease that will not self-clear. The age of the patient and their screening history impact the decisions made in treatment, and even veteran practioners will need to review the new guidelines in making recommendations for treatment of abnormal pap smears.Click here to listen to Cervical cancer screening Guidelines

Cervical cancer screenings

Preterm delivery causes substantial morbidity and mortality in newborns, and may be theleading cause of disability amoung adults. The economic and societal costs are huge, making the prevention of preterm delivery one of the most important issues confronting OB-GYN's. Dr. Schlossman and Dr. Hoffman discuss the latest studies involving the use of progesterone to prevent premature delivery, and the ongoing studies to look at dosage amounts and the mechanism of action.Click here to download the podcast- OB GYN to go- progesterone and preterm delivery

Progesterone and PreTerm Delivery

 Ob-GYN To Go- Vaginal AgenesisDr. Matthew Hoffman discusses Vaginal Agenesis and its treatment based on the ACOG Committee Opinion #35 from December, 2006. Vaginal Agenesis occurs in approximately 1 in 4,000 to 1 in 10,000 women, and can be treated in several different ways, including surgical and non-surgical approaches. Click here to download or listen to Vaginal Agenesis

Vaginal Agenesis

In this episode, residents discuss the challenges to leanring to manage labor and delivery as a first year resident and provide pointers to make this easier for incoming residents.Click here to listen to Show # 3- OB GYN 101- Labor & Delivery

OB GYN To Go- OB GYN 101- Labor and Delivery

This show discusses Post partum hemorrhage for OB Gyn residentsClick here to download Show #2

OB GYN To Go Show # 2 Postpartum Hemorrhage

Alloimmunization during pregnancyClick here to download OBGYN to Go Show #1

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OB-GYN To Go

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