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Partum the Interruption
SafePartum
11 episodes
1 week ago
Partum the Interruption shares the tough and honest discussions that take place daily on labor and delivery between physicians, patients, and the entire multidisciplinary team. Podcast host Dr. M is a board-certified Obstetric Anesthesiologist, and passionate about maternal and neonatal wellness during pregnancy, labor, and delivery. Whether you’re interested in clinical topics and the latest evidence-based medicine on L&D, or want to hear about unique labor and delivery experiences, there is sure to be an episode for you!
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Medicine
Health & Fitness
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All content for Partum the Interruption is the property of SafePartum and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Partum the Interruption shares the tough and honest discussions that take place daily on labor and delivery between physicians, patients, and the entire multidisciplinary team. Podcast host Dr. M is a board-certified Obstetric Anesthesiologist, and passionate about maternal and neonatal wellness during pregnancy, labor, and delivery. Whether you’re interested in clinical topics and the latest evidence-based medicine on L&D, or want to hear about unique labor and delivery experiences, there is sure to be an episode for you!
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Medicine
Health & Fitness
Episodes (11/11)
Partum the Interruption
The Heart of the Matter: Simplifying Congenital Heart Disease in Pregnancy

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com.


In this episode, join Dr. M and Dr. Rishi Kumar, Cardiac Anesthesiologist and Intensivist at the University of Texas, Houston, for a discussion around congenital cardiac disease in pregnancy. This episode addresses the surveillance and peripartum management concerns in a challenging case of a pregnant patient with a history of repaired congenital heart disease.


Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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5 months ago
1 hour 24 seconds

Partum the Interruption
Preeclampsia Management: Past, Present & Future

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, MFM Fellow Luke Burns, MD gives listeners a nuanced perspective on preeclampsia. From pathophysiology to diagnosis and management of this enigmatic disease, Dr. Burns and Dr. M cover it all. Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!


The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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8 months ago
1 hour 13 minutes 51 seconds

Partum the Interruption
What To Do if You Are Sued

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, birth injury attorney Marlie Willer gives listeners the inside perspective on how medical malpractice suits proceed in obstetric cases. Founder of Liro Willer Law and host of “Birthing Better Laws: Are you Informed Podcast Series”, Marlie is a birth injury law expert. Listen as she provides valuable information for L&D practitioners on what to do if you are involved in a perinatal lawsuit! Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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1 year ago
1 hour 5 minutes 1 second

Partum the Interruption
"I can't breathe": Anya's Story

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material, visit: https://safepartum-academy.teachable.com


In this episode, Anya recounts the frightening experience of having a total spinal during the delivery of her daughter in 2022, and the consequences of that event on her postpartum recovery. Tune in to hear Anya and Dr. M talk about high and total spinals, missed opportunities, and ways to improve safety and communication on L&D!
A high or total spinal blockade is one of the most feared anesthetic complications for providers on L&D. High or total spinal epidural blockade occurs when local anesthetic spreads too high within the neuraxial space and causes a variety of symptoms such as difficulty breathing, arm and upper body weakness, respiratory depression and even hemodynamic collapse.
Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!
The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.
Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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1 year ago
37 minutes 29 seconds

Partum the Interruption
You Break It, You Buy It: Post Dural Puncture Headaches
Anyone who works on L&D or postpartum knows how debilitating a post dural puncture headache can be. But did you know PDPH is not the only cause of postpartum headache?   In this episode, Dr. M and Dr. Bhat systematically discuss the assessment, diagnostic criteria, and evidence to support treatment options for PDPH. Treatment options discussed are: - Conservative Management (IVF, caffeine, analgesics) - Abdominal Binders - Cosyntropin - Neostigmine/Atropine - Sphenopalatine & Greater Occipital Nerve Blocks - Intrathecal  Morphine - Intrathecal Catheters - Epidural Blood Patch Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)
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2 years ago
49 minutes 17 seconds

Partum the Interruption
What To Do When You Get a Wet Tap

A wet tap or inadvertent dural puncture is one of the most disheartening and challenging complications for an anesthesiologist to manage. Do you try again? Thread an intrathecal catheter? Is a subsequent CSE or DPE safe? How do you tell the the patient?

Listen to OB Anesthesiologists Dr. Amy Lee and Dr. M share their wet tap experiences and discuss the management options immediately following this common complication. 

Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!

The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.

Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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2 years ago
22 minutes 19 seconds

Partum the Interruption
When the block's not hot: Troubleshooting a failing epidural

Epidural failure is a common but frustrating challenge in obstetric anesthesia. In this episode, Dr. M & Vishal discuss management of a patient who is experiencing an inadequate epidural during labor. Learn how to assess patients with questionable epidural function, get quick answers, and fix the problem.

Topics Covered:

  • Risk factors for epidural failure 
  • Rapid diagnosis of poorly functioning epidurals
  • Management options in a failing epidural
  • The relationship between stage of labor & pain distribution

Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!

The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.

Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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2 years ago
32 minutes 22 seconds

Partum the Interruption
When it really might be Anesthesia's fault: Pain During Cesarean Delivery

Cesarean deliveries are commonly performed under neuraxial anesthesia, allowing the patient to remain awake and experience the birth of their child. This practice, when done well, is one of the great successes of modern medicine. Less commonly discussed are the long term psychological consequences when a patient experiences pain during a c section, especially when she isn't believed.

Dr. M and former SOAP President Dr. Ruthi Landau discuss the role of the OB Anesthesiologist in cases of inadequate neuraxial blockade in patients undergoing cesarean delivery.

Topics covered:

  • Birth trauma & psychological effects of pain during cesarean delivery 
  • Pain vs Pressure 
  • Ways to optimize your neuraxial block 
  • Knowing when to convert to general anesthesia
  • Following up with patients after a difficult cesarean delivery

Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!

The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.

Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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2 years ago
44 minutes 17 seconds

Partum the Interruption
To CSE or Not To CSE?

Learn how OB Anesthesiologists Dr. M & Dr. Delgado leverage different neuraxial techniques to achieve a reliable, fast and durable block, every time.

Listen along as they discuss how to optimize epidural function in a patient undergoing a trial of labor following previous cesarean delivery, who has a history of obesity and difficult spinal placement.

Topics Covered:

  • Combined spinal-epidural 
  • Dural puncture epidural 
  • Straight epidural 
  • Analgesia for TOLAC
  • Optimizing epidural function on the first try

Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!

The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.

Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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3 years ago
26 minutes 55 seconds

Partum the Interruption
Would you rather: Postpartum Hemorrhage or Gunshot Wound?

Postpartum Hemorrhage remains the leading cause of maternal mortality globally, and despite being well understood, its management can be chaotic and stressful.

Learn a systematic approach to recognition and management of severe postpartum hemorrhage as Dr. M & Vishal discuss a case of unanticipated PPH in a patient presenting for cesarean delivery.

Topics Covered:

  • Risk factors for PPH 
  • Uterotonics & medical management of PPH 
  • Transfusion considerations specific to obstetric hemorrhage 
  • Blood products & blood product alternatives 
  • Complications of massive transfusion 

⚠️ *Trigger warning*⚠️ 

This episode contains discussions around life threatening conditions in pregnancy.


Follow us @SafePartum and learn more at SafePartum.com!



The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.

Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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3 years ago
31 minutes 52 seconds

Partum the Interruption
Labor Analgesia: Let's Talk Options!

Have you heard of the gate control theory of pain? Did you know that epidurals are only one of many options for pain relief during labor? While epidurals provide the most complete and reliable form of pain relief, patients and providers should know which alternatives are safe and effective.

In a Q&A style, Dr. M and experienced labor & delivery nurse Cher Buckley, RN, explore the benefits and drawbacks of the five most common forms of labor analgesia.

Topics covered:

  • Intravenous opiates 
  • Inhaled nitrous oxide 
  • Walking epidurals 
  • Regular epidurals 
  • Non pharmacologic options: TENS, sterile water injections, massage & the gate control theory of pain!


Follow us @SafePartum and learn more at SafePartum.com!



The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.

Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

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3 years ago
43 minutes 4 seconds

Partum the Interruption
Partum the Interruption shares the tough and honest discussions that take place daily on labor and delivery between physicians, patients, and the entire multidisciplinary team. Podcast host Dr. M is a board-certified Obstetric Anesthesiologist, and passionate about maternal and neonatal wellness during pregnancy, labor, and delivery. Whether you’re interested in clinical topics and the latest evidence-based medicine on L&D, or want to hear about unique labor and delivery experiences, there is sure to be an episode for you!