Do patients in labor need continuous bladder drainage? We will review the literature comparing intermittent to continuous drainage.

Next, we venture into the art and science of manual rotation for persistent posterior fetal presentations, a skillful maneuver that might just hold the key to lowering cesarean rates. Drawing from comprehensive reviews and trials, including the TURN-OUT trial and studies from UCSF, we debate the efficacy and applicability of manual rotation in various clinical settings. From ultrasound-guided techniques to hands-on learning, gain a nuanced understanding of how this practice might enhance delivery outcomes and reduce interventions.

Finally, we learn about Cesarean Scar Disorder, a relatively new diagnosis with important clinical ramifications.

00:00:10 Urinary Catheterization in Labor Management

00:16:10 Manual Rotation of the OP Fetus

00:49:32 Effectiveness of Labor Positioning Techniques

00:58:03 Cesarean Scar Disorder

Follow us on Instagram @thinkingaboutobgyn.

In this episode, we discuss four tips for effective birth control counseling. By dissecting communication techniques, we highlight how striking a balance between relational and task-oriented approaches can maximize patient interactions and ensure comprehensive, evidence-based care regarding birth control choices.

Then we delve into several studies from the recent ABOG MOC cycle that we found interesting or curious and point out several informative nuggets.

Finally, we discuss the book "Feminine Forever" and its impact on estrogen replacement therapy perceptions.

00:00:02 Communication Strategies for Birth Control Counseling

00:11:56 Effective Communication of Birth Control Risks

00:21:08 PAS After Myomectomy

00:23:03 Risk-Reducing Surgery Adherence Discussion

00:30:33 Issues With Modern Labor Curves

00:38:49 Stopping ASA Early

00:42:17 Prophylactic Slings

00:46:01 Clinical Updates on UTIs

00:51:34 Mental Health Guidelines and Other Articles

00:55:51 Feminine Forever

Follow us on Instagram @thinkingaboutobgyn.

Can IV fentanyl use during labor actually be safe for mothers and newborns beyond six centimeters of dilation? Join us as we unpack a pivotal 1989 study and question the stereotypes surrounding fentanyl use in labor.

Our second segment tackles sensational claims about IUDs and breast cancer, as we dissect a Danish study recently published in JAMA. Listen as we unpack the methodological nuances and confounders that mainstream publications have overlooked, and explore the media's role in shaping public perception with incomplete or skewed interpretations of data.

This episode closes with an in-depth look at the biases that pervade pharmaceutical research, particularly when funding sources have a vested interest in outcomes. By examining the "sponsorship effect" and its implications on research validity, we highlight the need for rigorous, unbiased scientific inquiry. We examine the evidence for the new Pretrm Test for preterm labor risk. Learn about the challenges of implementing biomarker testing for predicting preterm births and why high-quality evidence must remain the cornerstone of clinical practice. As we celebrate our 100th episode, we discuss the need for truth and transparency in scientific research—creating a future where clinical practices are driven by reliable, evidence-based insights.

00:00:02 Navigating IV Fentanyl Use in Labor

00:07:56 Debunking Misconceptions About IUDs and Breast Cancer

00:22:17 Evaluating Biomarker Testing for Preterm Birth: The PreTRM test

00:38:50 Conflicts of Interest in Medical Research

00:45:15 Biased Influence in Medical Research

Follow us on Instagram @thinkingaboutobgyn.