Episode 11.5 Gray Journal Cesarean Delivery Edition

We unpack the Gray Journal’s special edition on Cesarean Delivery, separating strong evidence from expert habit, and spotlight where technique, culture, and policy collide. From TXA and barbed sutures to better metrics and imaging, we share what to adopt now and what to question. Featuring Maddie White.• evidence versus expert opinion across the special issue• TXA at cesarean shows no meaningful outcome gains• barbed versus braided sutures and the cost of “speed”• why fundamentals beat gadgets for blood loss and time• critique of New Jersey NTSV study and outcome framing• imaging pearls for post‑cesarean complications• infection prevention steps supported by trials• history of cesarean steps and why we dropped some• rising cesarean rates driven by non‑clinical forces• better classification systems and dyadic metrics• balancing maternal and neonatal outcomes• tool use in obesity and cost‑conscious choicesBe sure to check out thinkingaboutobgyn.com for more information, and be sure to follow us on Instagram0:01 Why A Massive C‑Section Special Issue Matters3:15 Expert Opinion vs Evidence: Read With Caution5:44 Safety Basics: Wear Eye Protection7:46 Evidence‑Based Technique Still Stands10:55 TXA At Cesarean: Reanalyzing TRAAP218:19 Barbed Sutures And The Myth Of Speed27:30 Operative Time: Fundamentals Over Gadgets33:54 New Jersey QI Study: Claims And Confounders42:05 Outcomes Framing: “Cone Heads” And Bias49:15 Imaging After Cesarean: What To Look For54:35 Infection Prevention And SSI TakeawaysFollow us on Instagram @thinkingaboutobgyn.