"To help you further understand why we did not get the vaccine, what follows is my assessment of the C19 situation so far. Like I said, there is no doubt that many people were getting very sick over the first half of 2020. What is most challenging for me is the narrative that ensued thereafter, which seems at best misleading and at worst nefarious."  www.ObgynoWino.com

"To help you further understand why we did not get the vaccine, what follows is my assessment of the C19 situation so far. Like I said, there is no doubt that many people were getting very sick over the first half of 2020. What is most challenging for me is the narrative that ensued thereafter, which seems at best misleading and at worst nefarious." <a href="https://www.obgynowino.com/" rel="ugc noopener noreferrer nofollow" target="_blank">www.ObgynoWino.com</a>

Microdose J - The One About the C19 Injection

"If I could live for another twenty years loving, laughing and touching in the ways that I could before this pandemic, would I choose this over fifty years of living in a place of fear, where I'm forced to question the safety even of hugging my own mother?"  www.ObgynoWino.com

"If I could live for another twenty years loving, laughing and touching in the ways that I could before this pandemic, would I choose this over fifty years of living in a place of fear, where I'm forced to question the safety even of hugging my own mother?" <a href="https://www.obgynowino.com/" rel="ugc noopener noreferrer nofollow" target="_blank">www.ObgynoWino.com</a>

Microdose G - This is Not an Article about Coronavirus: Birth, Death, and our Grapple with Safety

I have left the conventional medical model for good in search of brighter pastures! With the amount of painting, dancing, and kissing my baby and wife that I've been doing over the past several days, I encourage you all to try living a life free of the medical industrial complex! I have been liberated, and now I've got the bandwith the shake things up and create the life of my dreams.  The new iteration of my podcast will be titled The Holistic OBGYN  Find me at: www.BelovedHolistics.com

I have left the conventional medical model for good in search of brighter pastures! With the amount of painting, dancing, and kissing my baby and wife that I've been doing over the past several days, I encourage you all to try living a life free of the medical industrial complex! I have been liberated, and now I've got the bandwith the shake things up and create the life of my dreams.  The new iteration of my podcast will be titled The Holistic OBGYN Find me at: <a href="//www.belovedholistics.com" rel="nofollow" target="_blank">www.BelovedHolistics.com</a>

Goodbye! Here's to new beginnings...

LEAD

Important PSA for healthcare professionals...  Theme music by Evan Handyside

Important PSA for healthcare professionals... Theme music by <a href="https://www.intellimusica.com/" rel="ugc noopener noreferrer nofollow" target="_blank">Evan Handyside</a>

Microdose K - Lead With Love and Compassion

Practice Bulletin #136 - Published July 2013 (Reaffirmed 2017)  1. Know your reproductive endocrinology like the back of your hand! 2. AUB-O is classically associated with cycles that differ in length by `10 days or more. Patient with AUB-O also generally don't experience the classical cyclical breast tenderness, mucoid cervical discharge, premenstrual cramping, or bloating seen in ovulatory bleeding. 3. Anovulation is the most common etiology of AUB in 13-18-year olds. Transfusion or hospitalization is rare in this age group, but, when it happens, you should investigate coagulopathy. 4. AUB-O in patients &gt;18 years of age should prompt investigation for hyperplasia/malignancy. 5. Hysterectomy or hormonal contraceptives are the mainstays for treating AUB-O, but neither address the underlying endocrine abnormality. 6 .SIS + EMB is a sweet combo: if both are negative, the likelihood of pathology is extremely low and conservative measures are be offered without you losing sleep  Show Notes  Theme music by Evan Handyside

Practice Bulletin #136 - Published July 2013 (Reaffirmed 2017) 1. Know your reproductive endocrinology like the back of your hand! 2. AUB-O is classically associated with cycles that differ in length by `10 days or more. Patient with AUB-O also generally don't experience the classical cyclical breast tenderness, mucoid cervical discharge, premenstrual cramping, or bloating seen in ovulatory bleeding. 3. Anovulation is the most common etiology of AUB in 13-18-year olds. Transfusion or hospitalization is rare in this age group, but, when it happens, you should investigate coagulopathy. 4. AUB-O in patients &gt;18 years of age should prompt investigation for hyperplasia/malignancy. 5. Hysterectomy or hormonal contraceptives are the mainstays for treating AUB-O, but neither address the underlying endocrine abnormality. 6 .SIS + EMB is a sweet combo: if both are negative, the likelihood of pathology is extremely low and conservative measures are be offered without you losing sleep <a href="https://www.belovedholisticsradio.com/blog/categories/podcast" rel="ugc noopener noreferrer nofollow" target="_blank">Show Notes</a> Theme music by <a href="https://www.intellimusica.com/" rel="ugc noopener noreferrer nofollow" target="_blank">Evan Handyside</a>

Ep 82: Management of AUB Associated W/ Ovulatory Dysfunction

Practice Bulletin #135, Published June 2013 (Reaffirmed 2017)  1. It's none of your damn business why a woman desires a 2nd trimester abortion. There are also a lot of scenarios in which 2nd trimester abortion skills are necessary but that have nothing to what many perceive to be a seemingly easy decision to terminate a pregnancy.  2. If you don't feel confident in your skills as a provider to perform 2nd trimester abortions, do your patients the service of developing a referral relationship with another provider who does.  3. Inducing fetal demise prior to 2nd-trimester abortion does not improve safety or decrease procedure time in case of D&amp;E, but he it does shorten induction time for medical abortion.  4. Misoprostol + mifepristone = the most effective protocol of medical options  5. All methods of contraception are effective on the day of 2nd-trimester abortion apart from cervical cap, diaphragm, or hysteroscopic sterilization (including IUD)  Show Notes  Theme music by Evan Handyside

Practice Bulletin #135, Published June 2013 (Reaffirmed 2017) 1. It's none of your damn business why a woman desires a 2nd trimester abortion. There are also a lot of scenarios in which 2nd trimester abortion skills are necessary but that have nothing to what many perceive to be a seemingly easy decision to terminate a pregnancy. 2. If you don't feel confident in your skills as a provider to perform 2nd trimester abortions, do your patients the service of developing a referral relationship with another provider who does. 3. Inducing fetal demise prior to 2nd-trimester abortion does not improve safety or decrease procedure time in case of D&amp;E, but he it does shorten induction time for medical abortion. 4. Misoprostol + mifepristone = the most effective protocol of medical options 5. All methods of contraception are effective on the day of 2nd-trimester abortion apart from cervical cap, diaphragm, or hysteroscopic sterilization (including IUD) <a href="https://www.belovedholisticsradio.com/blog/categories/podcast" rel="ugc noopener noreferrer nofollow" target="_blank">Show Notes</a> Theme music by <a href="https://www.intellimusica.com/" rel="ugc noopener noreferrer nofollow" target="_blank">Evan Handyside</a>

Ep 81: Second Trimester Abortion

Practice Bulletin #1114, Published July 2010 (Reaffirmed 2018)  1. Pelvic pain and infertility are characteristic. Severe dyspareunia and dyschezia are indicative of deeply infiltrative disease. 2. The etiology is unknown, but currently thought to be due to the implantation of endometrial glands and stromal cells outside the uterus within the peritoneal cavity due to retrograde menstruation 3. Histologic evaluation of a surgical specimen is the gold standard for diagnosis. Visualization of endometriotic lesions has a high false positive rate. The finding of an endometriomas on imaging studies can alone be highly predictive, though. 4. Excision of endometriosis can improve fertility rates, particularly with the excision of an endometrioma. 5. NSAIDs, COCs, GnRH analogues, and progestins are all great alternatives to surgery for managing endometriosis-related pain  Show Notes  Theme music by Evan Handyside

Practice Bulletin #1114, Published July 2010 (Reaffirmed 2018) 1. Pelvic pain and infertility are characteristic. Severe dyspareunia and dyschezia are indicative of deeply infiltrative disease. 2. The etiology is unknown, but currently thought to be due to the implantation of endometrial glands and stromal cells outside the uterus within the peritoneal cavity due to retrograde menstruation 3. Histologic evaluation of a surgical specimen is the gold standard for diagnosis. Visualization of endometriotic lesions has a high false positive rate. The finding of an endometriomas on imaging studies can alone be highly predictive, though. 4. Excision of endometriosis can improve fertility rates, particularly with the excision of an endometrioma. 5. NSAIDs, COCs, GnRH analogues, and progestins are all great alternatives to surgery for managing endometriosis-related pain <a href="https://www.belovedholisticsradio.com/blog/categories/podcast" rel="ugc noopener noreferrer nofollow" target="_blank">Show Notes</a> Theme music by <a href="https://www.intellimusica.com/" rel="ugc noopener noreferrer nofollow" target="_blank">Evan Handyside</a>

Ep 80: Management of Endometriosis

July 2021 Journal Club  I'm joined by Emmie Sturgess, DO, an OBGYN, MFM, and friend of the show to review relevant articles from the major OBGYN journals. I promise it's not as boring as it sounds...  Show Notes  Theme music by Evan Handyside

July 2021 Journal Club I'm joined by Emmie Sturgess, DO, an OBGYN, MFM, and friend of the show to review relevant articles from the major OBGYN journals. I promise it's not as boring as it sounds... <a href="//www.belovedholisticsradio.com" rel="nofollow" target="_blank">Show Notes</a> Theme music by <a href="https://www.intellimusica.com/" rel="ugc noopener noreferrer nofollow" target="_blank">Evan Handyside</a>

Ep 79: Journal Club, July 2021

Welcome to Beloved Holistics Radio, a podcast for the holistic OBGYN! Expect summaries of ACOG's practice bulletins, important voices with birth keepers and birth warriors, and discussions around the most up-to-date research and publications.   www.BelovedHolisticsRadio.com

Welcome to Beloved Holistics Radio, a podcast for the holistic OBGYN! Expect summaries of ACOG's practice bulletins, important voices with birth keepers and birth warriors, and discussions around the most up-to-date research and publications. <a href="https://www.belovedholisticsradio.com/" rel="nofollow" target="_blank">www.BelovedHolisticsRadio.com</a>

Intro to Beloved Holistics Radio

Practice Bulletin #183, Published October 2017 w/ co-host Sara Rosser, CPM (@sararosser)  1. PPH is defined as 1000 mL for either vaginal or cesarean birth. 2. Go with your gut in diagnosing PPH, and do it fast! You can't rely on vital signs or lab work to make the call to action in the acute setting. 3. Uterine atony is the most common cause of PPH. Manage through uterine massage, uterotonics, tamponade, and UAE. Opening up her abdomen to place compression sutures, ligate the uterine vessels, or perform hysterectomy are last resort! 4. Remember the triad of the amniotic fluid embolism: respiratory decompensation, hemodynamic instability, and DIC. 5. As soon as you feel that she's lost too much blood activate your institution's transfusion protocol. Remember that you can never get pre-screened blood fast enough when you actually need it.  Show Notes  **Visit our friends at The Labor of Love Co. to send a pregnant person in your life a curated maternity or postpartum care package!**  Theme music by Evan Handyside

Practice Bulletin #183, Published October 2017 w/ co-host Sara Rosser, CPM (<a href="https://www.instagram.com/sararosser/?hl=en" rel="ugc noopener noreferrer nofollow" target="_blank">@sararosser</a>) 1. PPH is defined as 1000 mL for either vaginal or cesarean birth. 2. Go with your gut in diagnosing PPH, and do it fast! You can't rely on vital signs or lab work to make the call to action in the acute setting. 3. Uterine atony is the most common cause of PPH. Manage through uterine massage, uterotonics, tamponade, and UAE. Opening up her abdomen to place compression sutures, ligate the uterine vessels, or perform hysterectomy are last resort! 4. Remember the triad of the amniotic fluid embolism: respiratory decompensation, hemodynamic instability, and DIC. 5. As soon as you feel that she's lost too much blood activate your institution's transfusion protocol. Remember that you can never get pre-screened blood fast enough when you actually need it. <a href="https://www.belovedholisticsradio.com/blog/categories/podcast" rel="nofollow" target="_blank">Show Notes</a> **Visit our friends at <a href="https://thelaborofloveco.com/" rel="ugc noopener noreferrer nofollow" target="_blank">The Labor of Love Co.</a> to send a pregnant person in your life a curated maternity or postpartum care package!** Theme music by <a href="https://www.intellimusica.com/" rel="ugc noopener noreferrer nofollow" target="_blank">Evan Handyside</a>

Ep 78: Postpartum Hemorrhage 

How does women's health look through the lens of a holistic OBGYN? My podcast promotes holistic lifestyle measures and shared decision making as priorities over the standard of poor communication around birth control pills and surgery. Body, soul, and spirit...#DoNoHarmTakeNoShit

I really enjoy your podcast! You don’t waste a lot of time and are very to the point.

Thank you!

Best....line....ever in a podcast. “Grab a smoothie knifey.”

Grab a smoothie knifey

Beloved Holistics Radio

Practice Bulletin #202 (Part 1 of 2), Gestational Hypertension and Preeclampsia,  Published January 2019 We'll cover: - epidemiology - risk factors - prevention - diagnosis - maternal and fetal consequences - inpatient versus outpatient monitoring - expectant management versus delivery - pathophysiology - associated conditions (e.g. HELLP, PRES, eclampsia, etc.) ...and much more!  SHOW NOTES  This episode pairs nicely with the 2015 Lagrein Riserva from Glassier.  Theme music by my main amigo, Evan Handyside

Practice Bulletin #202 (Part 1 of 2), Gestational Hypertension and Preeclampsia,  Published January 2019 We'll cover: - epidemiology - risk factors - prevention - diagnosis - maternal and fetal consequences - inpatient versus outpatient monitoring - expectant management versus delivery - pathophysiology - associated conditions (e.g. HELLP, PRES, eclampsia, etc.) ...and much more! <a href="https://www.nathanrileymd.com/post/episode-5-gestational-hypertension-part-i" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2015 Lagrein Riserva from Glassier. Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 5: (Part 1/2) Gestational Hypertension and Preeclampsia

SPECIAL EPISODE - Interview w/ Maryn Green, CPM (Instagram and Twitter)  Five pearls: 1. The desire from home birth often stems from a desire to follow our physiology as mammals and is particularly focused on mom and baby connection. 2.  Listening to women and supporting them, no matter what they desire, is the work. 3.  “Radical informed choice” is the way many midwives support women in making choices. They assess their own benefits and risks along with research, intuition and more. 4.  Transparency is key in serving women. 5.  The world is not black and white (e.g. home vs. hospital) in achieving the best birth outcome. Shout-outs: - Indie Birth Association - Maryn's home birth website - Milo Chavira, MD - Dr. Stu's Podcast (w/ Blyss Young, CPM) - Felicia Sokol, doula (Instagram) - Juli Anderson, CPM (Instagram) - Nick Capetanakis, DO (low intervention OB/GYN in Encinitas) - Madeline Murray, CPM of Believe in Midwifery - Rebecca Dekker, PhD (her book and blog, Evidence Based Birth) - Augustine Colebrook, CPM (Art of Birthing) - Nicole Morales, CPM (Facebook)  SHOW NOTES  This episode should be paired with the 2018 Macon-Villages Chardonnay from Louis Jadot. Main theme music by my main amigo, Evan Handyside

SPECIAL EPISODE - Interview w/ Maryn Green, CPM (<a href="https://www.instagram.com/indiebirth/" rel="nofollow" target="_blank">Instagram</a> and <a href="https://twitter.com/indiebirth" rel="nofollow" target="_blank">Twitter</a>) Five pearls: 1. The desire from home birth often stems from a desire to follow our physiology as mammals and is particularly focused on mom and baby connection. 2.  Listening to women and supporting them, no matter what they desire, is the work. 3.  “Radical informed choice” is the way many midwives support women in making choices. They assess their own benefits and risks along with research, intuition and more. 4.  Transparency is key in serving women. 5.  The world is not black and white (e.g. home vs. hospital) in achieving the best birth outcome. Shout-outs: - <a href="https://indiebirth.org/" rel="nofollow" target="_blank">Indie Birth Associatio</a>n - Maryn's home birth <a href="http://sedonamidwife.org/" rel="nofollow" target="_blank">website</a> - Milo Chavira, MD - <a href="http://www.drstuspodcast.com/" rel="nofollow" target="_blank">Dr. Stu's Podcast</a> (w/ <a href="https://duckduckgo.com/?q=blyssyoung+instagram&amp;atb=v176-1&amp;ia=web" rel="nofollow" target="_blank">Blyss Young</a>, CPM) - Felicia Sokol, doula (<a href="https://www.instagram.com/feliciasokol/" rel="nofollow" target="_blank">Instagram</a>) - Juli Anderson, CPM (<a href="https://www.instagram.com/onelovebirth/" rel="nofollow" target="_blank">Instagram</a>) - <a href="http://capwellnesscenter.com/" rel="nofollow" target="_blank">Nick Capetanakis, DO</a> (low intervention OB/GYN in Encinitas) - Madeline Murray, CPM of <a href="https://www.believeinmidwifery.com/about" rel="nofollow" target="_blank">Believe in Midwifery</a> - Rebecca Dekker, PhD (her <a href="https://www.amazon.com/Babies-Are-Not-Pizzas-Delivered/dp/173254963X?SubscriptionId=AKIAILSHYYTFIVPWUY6Q&amp;tag=duckduckgo-d-20&amp;linkCode=xm2&amp;camp=2025&amp;creative=165953&amp;creativeASIN=173254963X" rel="nofollow" target="_blank">book</a> and blog, <a href="https://evidencebasedbirth.com/" rel="nofollow" target="_blank">Evidence Based Birth</a>) - Augustine Colebrook, CPM (<a href="https://www.instagram.com/artofbirthing/" rel="nofollow" target="_blank">Art of Birthing</a>) - Nicole Morales, CPM (<a href="https://www.facebook.com/artofopening/" rel="nofollow" target="_blank">Facebook</a>) <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-38-birth-beyond-the-hospital-interview-w--maryn-green-cpm" rel="nofollow" target="_blank">SHOW NOTES</a> This episode should be paired with the <a href="http://lovejadot.com/chardonnay/" rel="nofollow" target="_blank">2018 Macon-Villages Chardonnay from Louis Jadot</a>. Main theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="ugc nofollow" target="_blank">Evan Handyside</a>

Ep 38: Birth Beyond the Hospital

Practice Bulletin #214 - Published November 2019  Special guest: Ryan Stewart, DO (a real life expert in Female Pelvic Medicine and Reconstructive Surgery)  We'll cover: - risk factors for POP - diagnosis and classification of POP - conservative management options - pessaries - evaluation for occult stress urinary incontinence before surgical management - the variety of surgeries - the mesh controversy - Nathan and Ryan spend far too long moaning about docusate sodium -...and more!  Shout-outs: - Ryan Stewart, DO on Twitter - H Clark Distillery (Tennessee Bourbon) - Things We Do For No Reason: colace blog post - Daring Greatly, by Brene Brown - Brene Brown's Netflix special - Julie Wiebe, pelvic PT  SHOW NOTES  This episode pairs nicely with the 2017 Russian River Valley from Siduri Winery. Main theme music by my main amigo, Evan Handyside

Practice Bulletin #214 - Published November 2019 Special guest: Ryan Stewart, DO (a real life expert in Female Pelvic Medicine and Reconstructive Surgery) We'll cover: - risk factors for POP - diagnosis and classification of POP - conservative management options - pessaries - evaluation for occult stress urinary incontinence before surgical management - the variety of surgeries - the mesh controversy - Nathan and Ryan spend far too long moaning about docusate sodium -...and more! Shout-outs: - Ryan Stewart, DO on <a href="http://www.twitter.com/stuboo" rel="nofollow" target="_blank">Twitter</a> - <a href="https://hclarkdistillery.com/home/" rel="nofollow" target="_blank">H Clark Distillery</a> (Tennessee Bourbon) - Things We Do For No Reason: <a href="https://www.journalofhospitalmedicine.com/jhospmed/article/193136/hospital-medicine/things-we-do-no-reason-prescribing-docusate-constipation" rel="nofollow" target="_blank">colace blog post</a> - <a href="https://www.amazon.com/Daring-Greatly-Courage-Vulnerable-Transforms/dp/1592408419?SubscriptionId=AKIAILSHYYTFIVPWUY6Q&amp;tag=duckduckgo-d-20&amp;linkCode=xm2&amp;camp=2025&amp;creative=165953&amp;creativeASIN=1592408419" rel="nofollow" target="_blank">Daring Greatly</a>, by Brene Brown - Brene Brown's <a href="https://www.netflix.com/title/81010166" rel="nofollow" target="_blank">Netflix special</a> - <a href="https://www.juliewiebept.com/" rel="nofollow" target="_blank">Julie Wiebe, pelvic PT</a> <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-33-pelvic-organ-prolapse" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="https://www.siduri.com/" rel="nofollow" target="_blank">2017 Russian River Valley from Siduri Winery</a>. Main theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="ugc nofollow" target="_blank">Evan Handyside</a>

Ep 33: Pelvic Organ Prolapse

SPECIAL EPISODE - Interview w/ Julie Wiebe, PT (website, Instagram, and Twitter)  Six pearls:  Low back pain, incontinence, and painful sex aren’t inevitable after pregnancy, we have new tools to help. Kegels are not the beginning and end of what we can offer patients. Our new tools include a growing understanding that the pelvic floor doesn’t act alone to maintain continence. The pelvic floor is part of the team of muscles that provide “core” stability”, that same system of muscles helps maintain continence. Intra-abdominal pressure management strategies are critical for preventing pelvic health considerations, and need to be addressed in pregnancy recovery and return to fitness programs. Returning to activity and fitness postpartum women need more parameters than “listen to your body”, they need to know what to listen for (pain or leaking are both signals that they need to modify a movement or allow for more recovery). A place to partner between doctors/midwives and rehab/fitness is to help us get baselines in order to help women have more realistic expectations of what recovery looks like (ex: get a diastasis measurement early in pregnancy or pre-pregnancy).   Shout-outs: - Chante Perryman, doula and birth educator - Cassie Cunningham, doula, birth educator, and birth photographer - Rebecca Dekker, PhD, and her website EvidenceBasedBirth.com (and buy her book!) - Gail Tully and her program Spinning Babies - Nicole Morales, midwife in San Diego and The Art of Opening  SHOW NOTES  This episode pairs nicely with the 2017 Serie A Malbec from Zaccardi Wines. Main theme music by my main amigo, Evan Handyside

SPECIAL EPISODE - Interview w/ Julie Wiebe, PT (<a href="https://www.juliewiebept.com/" rel="nofollow" target="_blank">website</a>, <a href="https://www.instagram.com/juliewiebept/" rel="nofollow" target="_blank">Instagram</a>, and <a href="https://twitter.com/juliewiebept" rel="nofollow" target="_blank">Twitter</a>) Six pearls: <ol> <li>Low back pain, incontinence, and painful sex aren’t inevitable after pregnancy, we have new tools to help.</li> <li>Kegels are not the beginning and end of what we can offer patients. Our new tools include a growing understanding that the pelvic floor doesn’t act alone to maintain continence.</li> <li>The pelvic floor is part of the team of muscles that provide “core” stability”, that same system of muscles helps maintain continence.</li> <li>Intra-abdominal pressure management strategies are critical for preventing pelvic health considerations, and need to be addressed in pregnancy recovery and return to fitness programs.</li> <li>Returning to activity and fitness postpartum women need more parameters than “listen to your body”, they need to know what to listen for (pain or leaking are both signals that they need to modify a movement or allow for more recovery).</li> <li>A place to partner between doctors/midwives and rehab/fitness is to help us get baselines in order to help women have more realistic expectations of what recovery looks like (ex: get a diastasis measurement early in pregnancy or pre-pregnancy).</li> </ol> Shout-outs: - <a href="https://www.babydreamsmc.com/" rel="nofollow" target="_blank">Chante Perryman</a>, doula and birth educator - <a href="https://www.cedarbabybirth.com/" rel="nofollow" target="_blank">Cassie Cunningham</a>, doula, birth educator, and birth photographer - Rebecca Dekker, PhD, and her website <a href="http:/www.evidencebasedbirth.com" rel="nofollow" target="_blank">EvidenceBasedBirth.com</a> (and buy her <a href="https://www.amazon.com/Babies-Are-Not-Pizzas-Delivered/dp/173254963X?SubscriptionId=AKIAILSHYYTFIVPWUY6Q&amp;tag=duckduckgo-d-20&amp;linkCode=xm2&amp;camp=2025&amp;creative=165953&amp;creativeASIN=173254963X" rel="nofollow" target="_blank">book</a>!) - Gail Tully and her program <a href="https://spinningbabies.com/" rel="nofollow" target="_blank">Spinning Babies</a> - Nicole Morales, midwife in San Diego and <a href="http://www.artofopening.com/" rel="nofollow" target="_blank">The Art of Opening</a> <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-35-there-s-hope-for-the-pelvic-floor-interview-w--julie-wiebe-pt" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="http://www.familiazuccardi.com/" rel="nofollow" target="_blank">2017 Serie A Malbec from Zaccardi Wines</a>. Main theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="ugc nofollow" target="_blank">Evan Handyside</a>

Ep 35: Hope for the Pelvic Floor

Practice Bulletin #216 - Published January 2020  Five pearls: 1. Large babies come with a relatively higher risk to mom and baby, but absolute risks remain low. 2. Shoulder dystocia is generally difficult to. predict, but in diabetic patients with large fetuses, the risk is significantly higher, especially if vacuum or forceps is attempted. 3. Ultrasound is. notoriously inaccurate at predicting fetal weight (+/- 15%), and it's no better than using your hands or asking your patient to guess based on a previous pregnancy. 4. Diet, insulin and exercise are helpful in preventing macrosomia. 5. Inducing labor if fetus found to be macrosomic is not indicated. C-section reasonable if fetus measuring &gt;4500 g in a diabetic patient or &gt;5000 g in a non-diabetic patient  Shout-outs: - Maryn Green, CPM (her podcast, on Twitter, Instagram) - Sunita Puri, MD (buy her book on Amazon)  SHOW NOTES  This episode pairs nicely with the 2014 Restitution Red Wine Blend from Magistrate Wines. Main theme music by my main amigo, Evan Handyside

Practice Bulletin #216 - Published January 2020 Five pearls: 1. Large babies come with a relatively higher risk to mom and baby, but absolute risks remain low. 2. Shoulder dystocia is generally difficult to. predict, but in diabetic patients with large fetuses, the risk is significantly higher, especially if vacuum or forceps is attempted. 3. Ultrasound is. notoriously inaccurate at predicting fetal weight (+/- 15%), and it's no better than using your hands or asking your patient to guess based on a previous pregnancy. 4. Diet, insulin and exercise are helpful in preventing macrosomia. 5. Inducing labor if fetus found to be macrosomic is not indicated. C-section reasonable if fetus measuring &gt;4500 g in a diabetic patient or &gt;5000 g in a non-diabetic patient Shout-outs: - Maryn Green, CPM (her <a href="https://indiebirth.org/podcastarchive/" rel="ugc nofollow" target="_blank">podcast</a>, on <a href="https://twitter.com/indiebirth" rel="ugc nofollow" target="_blank">Twitter</a>, <a href="https://www.instagram.com/indiebirth/" rel="ugc nofollow" target="_blank">Instagram</a>) - Sunita Puri, MD (buy her book on <a href="https://www.amazon.com/That-Good-Night-Medicine-Eleventh/dp/0735223319" rel="nofollow" target="_blank">Amazon</a>) <a href="www.obgynowino.com" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="https://www.magistratewine.com/" rel="nofollow" target="_blank">2014 Restitution Red Wine Blend from Magistrate Wines</a>. Main theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="ugc nofollow" target="_blank">Evan Handyside</a>

Ep 39: Macrosomia

Practice Bulletin #251, Published in January 2020  We'll cover: - understanding normal vaginal pH and flora - role of estrogen in maintaining vaginal health - infectious and non-infectious causes of vaginitis - diagnosis and treatment of candidiasis, bacterial vaginosis, and trichomoniasis ...and much more!  SHOW NOTES  This episode pairs nicely with the 2016 Pinot Noir from Carmel Road Winery  Theme music by my main amigo, Evan Handyside

Practice Bulletin #251, Published in January 2020 We'll cover: - understanding normal vaginal pH and flora - role of estrogen in maintaining vaginal health - infectious and non-infectious causes of vaginitis - diagnosis and treatment of candidiasis, bacterial vaginosis, and trichomoniasis ...and much more! <a href="https://www.nathanrileymd.com/post/episode-22-vaginitis" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2016 Pinot Noir from Carmel Road Winery Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 22: Vaginitis in Nonpregnant Patients

Practice Bulletin #71 - Published October 2016  Five pearls: 1. Preterm labor carries significant risks to the newborn: the more premature, the worse the outcomes. 2. Given high risk for long-term morbidity in extremely premature infants, focusing on comfort as opposed to aggressive resuscitation at time of delivery is reasonable through a shared medical decision-making process. 3. Corticosteroids can improve outcomes for newborns at risk of preterm birth at &lt;34 wga (and some as late as 36w5d) if delivery anticipated within the next 7 days 4. Latency antibiotics can improve outcomes for newborns in the setting of PPROM at &lt;34 wga 5. Magnesium sulfate can improve outcomes for newborns at risk of preterm birth at &lt;32 wga  Shout-outs: - Felicia Sokol, doula, on Instagram - Maryn Green, of Indie Birth - Sara Rosser, CPM - Deborah Flowers, RN, CPM - The Farm - Julie Wiebe, pelvic PT  SHOW NOTES  This episode pairs nicely with the 2017 Red Blend from Saved Wines. Main theme music by my main amigo, Evan Handyside

Practice Bulletin #71 - Published October 2016 Five pearls: 1. Preterm labor carries significant risks to the newborn: the more premature, the worse the outcomes. 2. Given high risk for long-term morbidity in extremely premature infants, focusing on comfort as opposed to aggressive resuscitation at time of delivery is reasonable through a shared medical decision-making process. 3. Corticosteroids can improve outcomes for newborns at risk of preterm birth at &lt;34 wga (and some as late as 36w5d) if delivery anticipated within the next 7 days 4. Latency antibiotics can improve outcomes for newborns in the setting of PPROM at &lt;34 wga 5. Magnesium sulfate can improve outcomes for newborns at risk of preterm birth at &lt;32 wga Shout-outs: - Felicia Sokol, doula, <a href="https://www.instagram.com/feliciasokol/" rel="nofollow" target="_blank">on Instagram</a> - Maryn Green, of <a href="https://www.instagram.com/indiebirth/" rel="nofollow" target="_blank">Indie Birth</a> - <a href="https://www.sararosser.com/" rel="nofollow" target="_blank">Sara Rosser, CPM</a> - <a href="https://www.instagram.com/debrncpm/" rel="nofollow" target="_blank">Deborah Flowers, RN, CPM</a> - <a href="http://thefarmmidwives.org/" rel="nofollow" target="_blank">The Farm</a> - <a href="https://www.juliewiebept.com/" rel="ugc nofollow" target="_blank">Julie Wiebe, pelvic PT</a> <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-34-management-of-preterm-labor" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="https://www.savedwines.com/index.php" rel="nofollow" target="_blank">2017 Red Blend from Saved Wines</a>. Main theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="ugc nofollow" target="_blank">Evan Handyside</a>

Ep 34: Management of Preterm Labor

Committee Opinion #766,  Approaches to Limit Intervention During Labor and Birth, published February 2019  We'll cover: - when to admit to the hospital - pain management (pharmacologic and non) - breathing techniques in 2nd stage - the utility (or lack thereof) of fetal heart rate monitoring - value provided by doulas - to break the water or not to break the water - the myth of laboring down ...and much more!  SHOW NOTES  This episode pairs nicely with the 2015 Gentleman’s Collection Red Blend from Lindeman’s Winery  Theme music by my main amigo, Evan Handyside

Committee Opinion #766,  Approaches to Limit Intervention During Labor and Birth, published February 2019 We'll cover: - when to admit to the hospital - pain management (pharmacologic and non) - breathing techniques in 2nd stage - the utility (or lack thereof) of fetal heart rate monitoring - value provided by doulas - to break the water or not to break the water - the myth of laboring down ...and much more! <a href="https://www.nathanrileymd.com/post/episode-10-approaches-to-limit-intervention-during-labor-and-birth" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2015 Gentleman’s Collection Red Blend from Lindeman’s Winery Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 10: Approaches to Limit Intervention During Labor and Birth

Practice Bulletin #211 - Critical Care in Pregnancy, Published April 2019  We'll cover: - indications for ICU consult - why asking for help doesn't make you a sissy - physiologic changes in pregnancy - ICU mortality data for pregnant women - ARDS and sepsis - coding a pregnant woman - mechanical ventilation considerations ...and much more!  SHOW NOTES  This episode pairs nicely with the E-6 Spanish Blend from Locations Wine  Theme music by my main amigo, Evan Handyside

Practice Bulletin #211 - Critical Care in Pregnancy, Published April 2019 We'll cover: - indications for ICU consult - why asking for help doesn't make you a sissy - physiologic changes in pregnancy - ICU mortality data for pregnant women - ARDS and sepsis - coding a pregnant woman - mechanical ventilation considerations ...and much more! <a href="https://www.nathanrileymd.com/post/episode-18-critical-care-in-pregnancy" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the E-6 Spanish Blend from Locations Wine Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 18: Critical Care in Pregnancy

SPECIAL EPISODE!!  No practice bulletin or committee opinion this time. Instead, I interviewed Rixa Freeze, PhD, founder of Breech Without Borders, and David Hayes, MD, during a lunch break at a breech workshop that they hosted near Pittsburgh in September, 2019.  I'M REALLY EXCITED ABOUT THIS ONE!  We'll cover:- the Term Breech Trial's flawed methodologies, and the worldwide consequences of its publication- literature review of MANY other studies in countries where vaginal breech birth remains the norm- contemporary data on the risks/benefits of vaginal breech birth (it's far more reassuring)- counseling patients who desire breech or who present with breech presentation unknowningly- the difference maker in the safety of breech: experience of the birth worker in delivering breech- (and thus) why we need to re-teach breech birth skills- Nathan gets starstruck...and much more!  Shout-outs:- Rixa's personal website (Stand and Deliver)- Breech Without Borders- Find a breech workshop near you- Dr. Stu's podcast (w/ Stu Fischbein, MD, and Blyss Young, LM, CPM)- Indie Birth PodcastSHOW NOTESTheme music by my main amigo, Evan Handyside

SPECIAL EPISODE!!  No practice bulletin or committee opinion this time. Instead, I interviewed Rixa Freeze, PhD, founder of Breech Without Borders, and David Hayes, MD, during a lunch break at a breech workshop that they hosted near Pittsburgh in September, 2019.  I'M REALLY EXCITED ABOUT THIS ONE!   We'll cover: - the Term Breech Trial's flawed methodologies, and the worldwide consequences of its publication - literature review of MANY other studies in countries where vaginal breech birth remains the norm - contemporary data on the risks/benefits of vaginal breech birth (it's far more reassuring) - counseling patients who desire breech or who present with breech presentation unknowningly - the difference maker in the safety of breech: experience of the birth worker in delivering breech - (and thus) why we need to re-teach breech birth skills - Nathan gets starstruck ...and much more!   Shout-outs: - Rixa's personal website (Stand and Deliver) - Breech Without Borders - Find a breech workshop near you - Dr. Stu's podcast (w/ Stu Fischbein, MD, and Blyss Young, LM, CPM) - Indie Birth Podcast SHOW NOTES Theme music by my main amigo, Evan Handyside

Ep 27: Vaginal Breech Birth

Practice Bulletin #202 (Part 2 of 2) - Gestational Hypertension and Preeclampsia,  Published January 2019  We'll cover: - intrapartum management of severe preeclampsia - magnesium toxicity - management of acute hypertension - management of eclamptic seizures - postpartum considerations - special consideration in HELLP syndrome - long-term consequences ...and much more!  SHOW NOTES  Part 2 pairs nicely with the 2017 Unoaked Tempranillo from El Jefe. Yes...I had to consume two bottles of wine for this recording...aren't you nosy.  Theme music by my main amigo, Evan Handyside

Practice Bulletin #202 (Part 2 of 2) - Gestational Hypertension and Preeclampsia,  Published January 2019 We'll cover: - intrapartum management of severe preeclampsia - magnesium toxicity - management of acute hypertension - management of eclamptic seizures - postpartum considerations - special consideration in HELLP syndrome - long-term consequences ...and much more! <a href="https://www.nathanrileymd.com/post/episode-6-gestational-hypertension-part-ii" rel="nofollow" target="_blank">SHOW NOTES</a> Part 2 pairs nicely with the 2017 Unoaked Tempranillo from El Jefe. Yes...I had to consume two bottles of wine for this recording...aren't you nosy. Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 6: (Part 2/2) Gestational Hypertension and Preeclampsia

Practice Bulletin #213 - Published July 2019  We'll cover: - classification and diagnosis of female sexual dysfunction - pregnancy-related and menopause-related sexual dysfunction - estrogen and other medications that may be helpful - psychologic and other non-pharmacologic interventions - Nathan gets back up on his soapbox ...and much more!  SHOW NOTES  This episode pairs nicely with the 2017 Chardonnay from Chloe Wine. Theme music by my main amigo, Evan Handyside

Practice Bulletin #213 - Published July 2019 We'll cover: - classification and diagnosis of female sexual dysfunction - pregnancy-related and menopause-related sexual dysfunction - estrogen and other medications that may be helpful - psychologic and other non-pharmacologic interventions - Nathan gets back up on his soapbox ...and much more! <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-24-female-sexual-dysfunction" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="https://www.chloewinecollection.com/wines/chardonnay/" rel="nofollow" target="_blank">2017 Chardonnay from Chloe Wine</a>. Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 24: Female Sexual Dysfunction

Practice Bulletin #201, Pre-gestational Diabetes Mellitus, Published December 2018   This episode is packed. We'll cover:  - epidemiology - diagnosis - patient follow-up and home glucose monitoring - serum glucose goals prenatally and intrapartum - how to prescribe insulin or oral antihyperglycemics - management of nocturnal hypoglycemia - risk of poor glucose control to mom, fetus, and newborn - timing and mode of delivery - postpartum considerations ...and much more! SHOW NOTES  This episode pairs nicely with the 2015 Old Vine Zinfandel from Brazin Cellars  Theme music by my main amigo, Evan Handyside

Practice Bulletin #201, Pre-gestational Diabetes Mellitus, Published December 2018 This episode is packed. We'll cover: - epidemiology - diagnosis - patient follow-up and home glucose monitoring - serum glucose goals prenatally and intrapartum - how to prescribe insulin or oral antihyperglycemics - management of nocturnal hypoglycemia - risk of poor glucose control to mom, fetus, and newborn - timing and mode of delivery - postpartum considerations ...and much more! <a href="https://www.nathanrileymd.com/post/episode-3-pregestational-diabetes-mellitus" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2015 Old Vine Zinfandel from Brazin Cellars Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 3: Pre-gestational Diabetes Mellitus

Committee Opinion #577, Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women, Published April 2013 (Reaffirmed 2017)  We'll cover:  - defining and qualifying AUB - differentiating between heavy menstrual and intermenstrual bleeding - etiologies - physical exam approach - stabilization of patient in acute episode of heavy bleeding - medical and procedural management options ...and much more!  SHOW NOTES  This episode pairs nicely with the 2014 Pinot Noir from MacMurray Estate Vineyards. Theme music by my main amigo, Evan Handyside

Committee Opinion #577, Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women, Published April 2013 (Reaffirmed 2017) We'll cover: - defining and qualifying AUB - differentiating between heavy menstrual and intermenstrual bleeding - etiologies - physical exam approach - stabilization of patient in acute episode of heavy bleeding - medical and procedural management options ...and much more! <a href="https://www.nathanrileymd.com/post/episode-4-management-of-acute-abnormal-uterine-bleeding-in-nonpregnant-reproductive-aged-women" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2014 Pinot Noir from MacMurray Estate Vineyards. Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 4: Management of Acute Abnormal Uterine Bleeding in Nonpregnant Reproductive-Aged Women

Practice Bulletin #200 - Published November 2018  We'll cover: - diagnosis of early pregnancy loss - risks/benefits of expectant, medical and surgical management - Nathan gets tipsy ...and much more!  SHOW NOTES  This episode pairs nicely with the Anew Pinot Grigio (in a can!). Theme music by my main amigo, Evan Handyside

Practice Bulletin #200 - Published November 2018 We'll cover: - diagnosis of early pregnancy loss - risks/benefits of expectant, medical and surgical management - Nathan gets tipsy ...and much more! <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-25-early-pregnancy-loss" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the Anew Pinot Grigio (in a can!). Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 25: Early Pregnancy Loss

Practice Bulletin #130 - Published October 2012 (Reaffirmed 2018)  Five pearls: 1.  Spontaneous preterm birth rates are decreasing with time (woohoo!) 2.  Good thing, because PTD at &lt;34 wga carries higher mortality and morbidity risk to the newborn at time of delivery as well as long-term morbidity  3.  In pregnant patients with a history of PTD, 17-OH-P supplementation should be recommended at 16-24 wga and continued through 36 wga 4.  In patients w/ singleton pregnancy and history of PTD, cerclage should be offered if CL &lt;25 mm is detected on TVUS at &lt;24 wga  5.  In patients without a history of PTD, finding incidental CL of &lt;20 mm at &lt;24 wga may suggest benefit from vaginal progesterone supplementationShout-outs: - Felicia Sokol, doula (on Instagram) - Maryn Green, CPM (her podcast, on Twitter, Instagram) - Rebecca Dekker, PhD (her website, on Twitter, Instagram) - Esther Perel (her podcast, on Twitter, Instagram) - Michael Fratkin, MD (on Twitter) - End Well Project (website, on Twitter, Instagram)  SHOW NOTES  This episode pairs nicely with the 2018 Cabernet Sauvignon from 19Crimes. Main theme music by my main amigo, Evan Handyside

Practice Bulletin #130 - Published October 2012 (Reaffirmed 2018) Five pearls: 1.  Spontaneous preterm birth rates are decreasing with time (woohoo!) 2.  Good thing, because PTD at &lt;34 wga carries higher mortality and morbidity risk to the newborn at time of delivery as well as long-term morbidity 3.  In pregnant patients with a history of PTD, 17-OH-P supplementation should be recommended at 16-24 wga and continued through 36 wga 4.  In patients w/ singleton pregnancy and history of PTD, cerclage should be offered if CL &lt;25 mm is detected on TVUS at &lt;24 wga 5.  In patients without a history of PTD, finding incidental CL of &lt;20 mm at &lt;24 wga may suggest benefit from vaginal progesterone supplementation Shout-outs: - Felicia Sokol, doula (on <a href="https://www.instagram.com/feliciasokol/" rel="nofollow" target="_blank">Instagram</a>) - Maryn Green, CPM (her <a href="https://indiebirth.org/podcastarchive/" rel="nofollow" target="_blank">podcast</a>, on <a href="https://twitter.com/indiebirth" rel="nofollow" target="_blank">Twitter</a>, <a href="https://www.instagram.com/indiebirth/" rel="nofollow" target="_blank">Instagram</a>) - Rebecca Dekker, PhD (her <a href="https://evidencebasedbirth.com/" rel="nofollow" target="_blank">website</a>, on <a href="https://twitter.com/birthevidence" rel="nofollow" target="_blank">Twitter</a>, <a href="https://www.instagram.com/ebbirth/" rel="nofollow" target="_blank">Instagram</a>) - Esther Perel (her <a href="https://www.estherperel.com/podcast" rel="nofollow" target="_blank">podcast</a>, on <a href="https://twitter.com/EstherPerel" rel="nofollow" target="_blank">Twitter</a>, <a href="https://www.instagram.com/estherperelofficial/" rel="nofollow" target="_blank">Instagram</a>) - Michael Fratkin, MD (on <a href="https://twitter.com/MichaelDFratkin" rel="nofollow" target="_blank">Twitter</a>) - End Well Project (<a href="https://www.endwellproject.org/" rel="nofollow" target="_blank">website</a>, on <a href="https://twitter.com/endwellSF" rel="nofollow" target="_blank">Twitter</a>, <a href="https://www.instagram.com/endwellsf/" rel="nofollow" target="_blank">Instagram</a>) <a href="www.obgynowino.com" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="https://www.19crimes.com/" rel="nofollow" target="_blank">2018 Cabernet Sauvignon from 19Crimes</a>. Main theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="ugc nofollow" target="_blank">Evan Handyside</a>

Ep 37: Prediction and Prevention of Preterm Labor

Committee Opinion #782 - Published July 2019  We'll cover: - likelihood of GBS colonization and transmission to newborn - dangers of early-onset GBS disease of the newborn - screening guidelines for GBS in pregnancy - treatment protocols for GBs prophylaxis in labor - more useless stories about Nathan's personal life ...and much more!  SHOW NOTES  This episode pairs nicely with the 2016 Reserva Malbec from Bodega Norton  Theme music by my main amigo, Evan Handyside

Committee Opinion #782 - Published July 2019 We'll cover: - likelihood of GBS colonization and transmission to newborn - dangers of early-onset GBS disease of the newborn - screening guidelines for GBS in pregnancy - treatment protocols for GBs prophylaxis in labor - more useless stories about Nathan's personal life ...and much more! <a href="https://www.nathanrileymd.com/post/obgyno-wino-podcast-episode-23-prevention-of-group-b-streptococcal-early-onset-disease-in-newborns" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the <a href="http://www.norton.com.ar/" rel="nofollow" target="_blank">2016 Reserva Malbec from Bodega Norton</a> Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 23: Prevention of Group B Streptococcal Early-Onset Disease in Newborns

Practice Bulletin #205, Vaginal Birth After Cesarean Delivery,  Published January 2019  We'll cover: - epidemiology - risk and benefits counseling for patients - diagnosis and management of uterine rupture - risks to future pregnancies - management of TOLAC ...and much more!  SHOW NOTES  This episode pairs nicely with the 2016 Apothic Crush Smooth Red Blend  Theme music by my main amigo, Evan Handyside

Practice Bulletin #205, Vaginal Birth After Cesarean Delivery,  Published January 2019 We'll cover: - epidemiology - risk and benefits counseling for patients - diagnosis and management of uterine rupture - risks to future pregnancies - management of TOLAC ...and much more! <a href="https://www.nathanrileymd.com/post/episode-7-vaginal-birth-after-cesarean-delivery" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2016 Apothic Crush Smooth Red Blend Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 7: Vaginal Birth After Cesarean Delivery

Practice Bulletin #199 - Published September 2018  We'll cover: - evidence skin/vaginal prep before c-section - selecting the correct agent and dose - PPROM antibiotic regimens - are antibiotics necessary for preterm labor, cerclage, or manual extraction of placenta - Nathan bores you with Burning Man stories (...or does he?!) -...and more! Shout-outs: - Mountains Beyond Mountains, book by Tracy Kidder - Daniel Ginn, DO, on Twitter - Ryan Stewart, DO, on Twitter - Jeffrey Sperling, MD, on Twitter  SHOW NOTES  This episode pairs nicely with the 2018 Pinot Noir by Cono Sur. Theme music by my main amigo, Evan Handyside

Practice Bulletin #199 - Published September 2018 We'll cover: - evidence skin/vaginal prep before c-section - selecting the correct agent and dose - PPROM antibiotic regimens - are antibiotics necessary for preterm labor, cerclage, or manual extraction of placenta - Nathan bores you with Burning Man stories (...or does he?!) -...and more! Shout-outs: - <a href="https://www.amazon.com/Mountains-Beyond-Tracy-Kidder/dp/0812973011" rel="nofollow" target="_blank">Mountains Beyond Mountains</a>, book by Tracy Kidder - <a href="https://twitter.com/DrDanielGinn" rel="nofollow" target="_blank">Daniel Ginn, </a>DO, on Twitter - <a href="https://twitter.com/stuboo" rel="nofollow" target="_blank">Ryan Stewart</a>, DO, on Twitter - <a href="https://twitter.com/MFMSperling" rel="nofollow" target="_blank">Jeffrey Sperling</a>, MD, on Twitter <a href="https://www.nathanrileymd.com/blog/obgyno-wino-podcast-episode-26-use-of-prophylactic-antibiotics-in-labor-and-delivery" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2018 Pinot Noir by <a href="https://www.conosur.com/en/home/" rel="nofollow" target="_blank">Cono Sur</a>. Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 26: Use of Prophylactic Antibiotics in Labor and Delivery

Practice Bulletin #203 - Risks and Benefits of Sterilization, Published December 2018  We'll cover: - definitions and diagnosis - first prenatal visit - maternal and fetal risks - things to watch for throughout pregnancy - superimposed preeclampsia ...and much more!  SHOW NOTES  This episode pairs nicely with the 2016 Old Vine Zinfandel from Four Vines Winery  Theme music by my main amigo, Evan Handyside

Practice Bulletin #203 - Risks and Benefits of Sterilization, Published December 2018 We'll cover: - definitions and diagnosis - first prenatal visit - maternal and fetal risks - things to watch for throughout pregnancy - superimposed preeclampsia ...and much more! <a href="https://www.nathanrileymd.com/post/episode-16-chronic-hypertension-in-pregnancy-part-1" rel="nofollow" target="_blank">SHOW NOTES</a> This episode pairs nicely with the 2016 Old Vine Zinfandel from Four Vines Winery Theme music by my main amigo, <a href="https://www.intellimusica.com/" rel="nofollow" target="_blank">Evan Handyside</a>

Ep 16: (Part 1/2) Chronic Hypertension in Pregnancy

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