Episode 8.5 Ultrasounds of Twins, Tongue Ties, and Pap-sploitation

Thinking About Ob/Gyn

In this episode, we discuss the frequency of Pap smears for twin pregnancies as well as the need for using twin-based growth data for the diagnosis of fetal growth restriction in twins. We will poke the fire of controversy of the use of the terms "fetal growth restriction" and "small for gestational age" and discover how the terms might harm pregnancies.
Next, we discuss the new AAP guidelines for diagnosis of tongue ties. Finally, we answer a listener question about pushy doctors, paying for unnecessary tests, and the disconnect many gynecologists have with guideline and evidence based care.
00:00:02 Ultrasound Use in Twin Pregnancies
00:14:06 Twin Growth and Fetal Growth Restriction
00:20:00 Fetal Growth Assessment in Twin Pregnancies
00:29:10 Overdiagnosis of Tongue Tie in Infants
00:38:05Breastfeeding and Tongue Tie Recommendations
00:45:43 Controversy Surrounding Pelvic Exams
00:58:21 Unnecessary Physical Exams and IUD Preferences

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Chapters

1. Episode 8.5 Ultrasounds of Twins, Tongue Ties, and Pap-sploitation (00:00:00)

2. Ultrasound Use in Twin Pregnancies (00:00:02)

3. Twin Growth and Fetal Growth Restriction (00:14:06)

4. Fetal Growth Assessment in Twin Pregnancies (00:20:00)

5. Overdiagnosis of Tongue Tie in Infants (00:29:10)

6. Breastfeeding and Tongue Tie Recommendations (00:38:05)

7. Controversy Surrounding Pelvic Exams (00:45:43)

8. Unnecessary Physical Exams and IUD Preferences (00:58:21)