Episode 11.12 The Malpractice Crisis Is Real And Blaming Evidence-Based Care Makes It Worse

We push back on the idea that obstetrics “deserves” a malpractice crisis and explain how bad incentives and junk science can turn normal evidence-based care into courtroom blame. We also break down a few widely shared clinical myths and new research so we can practice with clearer eyes and less narrative noise.• placental grading on ultrasound as low-value data with poor predictive power and high reader variability • how malpractice commentary can seed plaintiff-friendly arguments against evidence-based off-label use • why blaming misoprostol or “high-dose” oxytocin oversimplifies multifactorial outcomes • quality improvement bundles as useful tools but weak proof without controls or causal clarity • how massive verdicts and paid expert testimony can clash with modern science on cerebral palsy and HIE • the FAA’s five hazardous attitudes and practical antidotes for high-stakes clinical work • new data on LEEP versus cold knife cone for CIN, recurrence, HPV clearance, and access tradeoffs • genetics and BMI as major drivers of gut microbiome patterns, not influencer narratives • what a 1993 Doppler trial can and cannot prove, plus why replication changes conclusions Be sure to check out thinkingaboutobgyn.com for more information and be sure to follow us on Instagram.0:00 Welcome And Season Update1:15 Placental Grading Myth On Ultrasound6:44 Calling Out A Malpractice Influencer14:06 The 2011 Policy Bundle Examined23:20 What Drives The OB Malpractice Crisis30:00 How Mega Verdicts Get Made36:59 Five Hazardous Attitudes From Aviation44:31 LEEP Versus Cone For CIN48:04 Genetics And The Gut Microbiome52:17 Does Doppler Ultrasound Harm Babies?1:00:37 Recommendations And ClosingFollow us on Instagram @thinkingaboutobgyn.