Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn. It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more.
Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
Email podcasts@procedureready.com with comments, questions, and episode ideas.
##Legal Disclaimer## The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates.
All content for Procedure Ready: Ob/Gyn is the property of Jennifer Doorey, MD, MS 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.
Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn. It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more.
Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
Email podcasts@procedureready.com with comments, questions, and episode ideas.
##Legal Disclaimer## The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates.
Indications:
Post-dates (42+wks)
Late Term (41+ wks)
Elective 39+wks
Diabetes
Hypertension
Many more - check out ACOG Medically indicated delivery
39week induction
ARRIVE Trial - Multicenter RCT showing benefit to 39wk IOL over expectant management to ~41wks
Included
Primips
No medical indications for IOL prior to 40+5
Results
IOL group had LOWER c-section rate than expectant group
Neonatal composite outcome had a trend (not statistically significant) toward lower neonatal compilations in IOL group
Conclusion
IOL at 39wks is as safe as expectant management without increased risks
Many pregnant people are now offered a 39wk IOL rather than waiting for spontaneous labor
The IOL Process:
Evaluate and Prep:
Full H&P
Ultrasound for position - Vertex
VE for cervical exam: dilation/effacement/Station, also position and consistency
Calculate Bishops Score → help determine mode of IOL
Options for IOL: if biship score <8 for prime or <6 for multip, ripen first!
Mechanical cervical ripening (balloon)
Chemical cervical ripening (misoprostol or cervidil)
Best yet--both!
Contractions (pitocin)
Prime: Pitocin alone if Biship 8 or higher
Mulitp: Pitocin alone if bishop 6 or higher
Augmentation: AROM
Failed IOL
Failure to reach active labor after 18+hrs ruptured on pitocin (definition varies 12-24hrs ruptured on pitocin)
If reaches active labor (6+cm), no longer failed IOL, now arrest of dil...
Procedure Ready: Ob/Gyn
Procedure Ready: Ob/Gyn (formerly called Pimped Ob/Gyn) is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn. It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies, and more.
Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
Email podcasts@procedureready.com with comments, questions, and episode ideas.
##Legal Disclaimer## The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates.
