Episode 9.7 OB Triage Essentials (plus The Pitt)

Thinking About Ob/Gyn

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1M ago 1:01:45

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This episode features our favorite podcast ninja, Dr. Maddie White. She and Howard discuss how medical dramatizations misrepresent obstetric emergencies (yes, we are watching The Pitt). Then, we dissect evidence-based approaches to common triage scenarios including labor evaluation, rupture of membranes, and preterm labor assessment.
• Television shows like "The Pitt" and "ER" portray shoulder dystocia and postpartum hemorrhage inaccurately, lacking proper urgency and technique
• Hospital-based labor triage often costs approximately 10 times more than office-based evaluation, often without clinical benefit
• Understanding pretest probability fundamentally changes how test results should be interpreted for suspected rupture of membranes
• Most expensive tests like Amnisure (>$500) provide minimal additional value over traditional approaches when interpreted properly
• Evidence doesn't support routine use of fetal fibronectin testing in preterm labor evaluation
• We discuss universal cervical length screening for prevention of preterm labor in the midtrimester and later in pregnancy for evaluation of threatened preterm labor

00:00:53 Critiquing Obstetric Emergencies in TV Shows

00:10:13 Proper Management of Shoulder Dystocia

00:14:52 Postpartum Hemorrhage Management Approaches

00:19:59 Evaluating Term Labor Complaints

00:25:35 Rupture of Membranes Testing Strategies

00:34:12 Understanding Test Probability and Performance

00:42:26 Cervical Length Screening Evidence

00:51:23 Preterm Labor Triage Tools

01:00:23 Concluding Thoughts on Evidence-Based Practice

Chapters

1. Episode 9.7 OB Triage Essentials (plus The Pitt) (00:00:00)

2. Critiquing Obstetric Emergencies in TV Shows (00:00:53)

3. Proper Management of Shoulder Dystocia (00:10:13)

4. Postpartum Hemorrhage Management Approaches (00:14:52)

5. Evaluating Term Labor Complaints (00:19:59)

6. Rupture of Membranes Testing Strategies (00:25:35)

7. Understanding Test Probability and Performance (00:34:12)

8. Cervical Length Screening Evidence (00:42:26)

9. Preterm Labor Triage Tools (00:51:23)

10. Concluding Thoughts on Evidence-Based Practice (01:00:23)

113 episodes

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