PODCAST · health
Procedure Ready: Ob/Gyn
by Jennifer Doorey, MD, MS
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 [email protected] 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. The information in this podcast is for educational purposes only and is intended for medical professionals in training. It does not constitute medical advice or establish a doctor-patient relationship.
Episodes
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Operative Vaginal Deliveries
Operative vaginal delivery with forceps or vacuum is uncommon but high-stakes. This episode covers the current incidence, indications, consent considerations, preparation checklist, and contraindications – including what to say about forceps vs. vacuum success rates and laceration risk. Show...
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Induction of Labor
Induction of labor is one of the most common procedures on L&D. This episode covers the indications (including the landmark ARRIVE trial for 39-week elective induction), the Bishop score for determining readiness, cervical ripening options, pitocin protocols, and the criteria for failed…
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Shoulder dystocia
Shoulder dystocia is an unpredictable obstetric emergency where seconds matter. This episode covers the definition, risk factors, prevention counseling, exactly what you'll see in the delivery room, and how you as a student can be most useful – including timekeeping and supporting the family.…
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Cancer Screening and Vaccinations (HCM)
Cancer Screening Cervical: Age 21-65 Cytology q3yrs, co-test q5 if normal. ASCCP guidelines (there is an app! Or PDF: http://www.asccp.org/Assets/51b17a58-7af9-4667-879a-3ff48472d6dc/635912165077730000/asccp-management-guidelines-august-2014-pdf ) Breast: ACOG: 40-75 annual mammogram Colon:...
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STIs
Swab/Urine Chlamydia: usually asymptomatic. Screen routinely. Can cause infertility/PID and Fitz-hugh-curtis. Treat with Azithro x1 Gonorrhea: often asymptomatic. Screen routinely. Can cause infertility/PID. Treat with Ceftriaxone and Azithromycin Trich: frothy/watery discharge. “Strawberry…
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Cancer Screening and Vaccinations (HCM)
Cancer screening and vaccinations are essential components of health care maintenance in Ob/Gyn. This episode provides a quick-reference summary of current screening guidelines for cervical, breast, colon, and lung cancer, plus the key vaccination schedules every student should know. Show…
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Before Your First: Colposcopy and LEEP
Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, the higher N:C ratio...
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Before Your First: Colposcopy and LEEP
Abnormal Pap? This episode covers the colposcopy and LEEP procedures from start to finish – why we do them (ASCCP guidelines), the histology and staining principles behind acetic acid and Lugol's iodine, what cervical dysplasia looks like through the colposcope, and how LEEP and cold-knife cone...
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Return OB Visits
Every visit: Doptones, fundal height, vitals Four question: Vaginal bleeding, contractions, leaking fluid, fetal movement By Weeks: 20wks – get and review anatomy US 24wks – order glucola, cbc (check for anemia), discuss normal growing pains 28wks – Tdap and Rhogam if needed, discuss kick counts...
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Return OB Visits
What happens at every prenatal visit – and what changes as the pregnancy progresses? This episode covers the routine assessments performed at every appointment, plus the key milestones and screenings organized by gestational age from 20 weeks through delivery. Show Outline: Every Visit –…
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First Prenatal Visit
Planned/Desired Options counseling if needed Exam/pelvic/pap Ultrasound for dating Screening options: QUAD, Sequential, NIPS, invasive testing Pregnancy guidelines Weight: BMI under 18.5 should gain 28–40 pounds. Normal-weight women (BMI, 18.5–24.9) should aim for 25–35 Overweight women (BMI,...
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First Prenatal Visit
The first prenatal visit sets the tone for the entire pregnancy. This episode walks through everything you'll need to cover – from confirming the pregnancy and dating ultrasound, to screening options, weight gain targets by BMI, food and medication safety, and exercise recommendations. Show...
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Before your first: Hysteroscopy
Hysteroscopy = looking inside the uterus with a scope Steps: Dilate the cervix Distend the uterus with fluid Look around, identify pathology, identify tubal ostia, remove pathology if using an operative scope or Myosure or another resectoscope. Feared complication: Hyponatremia from excessive...
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Before Your First: Hysteroscopy
Hysteroscopy lets you look directly inside the uterus to diagnose and treat intrauterine pathology. This episode covers the three basic steps of the procedure, the difference between diagnostic and operative hysteroscopy, and the most feared complication – hyponatremia from fluid overload. Show...
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Peripartum Fevers
Intrapartum Differential diagnosis for Temp >38.0C Epidural fever (transient), DVT/PE (if prolonged IOL or limited mobility), UTI, Intraamniotic infection (with or without ROM), etc Chorioamnionitis aka IAI aka Triple-I (intrapartum intraamniotic Infection) One temp >39.0C One temp 38.0C-39.0C…
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Peripartum Fevers
A fever during or after delivery triggers a critical differential. This episode covers the intrapartum workup – from epidural fevers to chorioamnionitis (Triple-I) – along with antibiotic regimens by PCN allergy status, and the postpartum fever mnemonic (the W's) to systematically identify the...
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Postpartum Hemorrhage
Causes (Four T’s): Tone: Atony Pitocin Misoprostol: CI-allergy, SI-transient hyperthermia Methergine: CI-HTN, SE-HTN Hemabate: CI-asthma. SE-diarrhea Tamponade: bakri/utah balloons Trauma: Lacerations Tissue: Retained POC (placenta or membranes) Thrombin: Coagulopathy Other: Involution
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Who's that collar?
Hello from Addison and Lundy.
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Preterm Labor and PPROM
ACOG Practice bulletin: # 171 PTL or TPTL: Preterm <37wks, cervical change Evaluation: SSE first: Collect GC/CT cultures, FFN (no gel, blood or semen), GBS, eval for rupture if needed SVE: Cervical change–can dilation or effacement changes FFN: Fetal fibronectin If tPTL: Magnesium for...
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Postpartum Hemorrhage
Postpartum hemorrhage is one of the most critical obstetric emergencies. This episode organizes the causes using the "Four T's" framework, walks through the uterotonic medication options – including their contraindications and side effects – and covers mechanical interventions like intrauterine...
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Preterm Labor and PPROM
Preterm labor and preterm premature rupture of membranes (PPROM) are critical diagnoses on L&D. This episode reviews the evaluation approach – from sterile speculum exam to fetal fibronectin – and the management protocols including magnesium for neuroprotection, betamethasone, tocolysis, and...
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Indications for a c-section during labor
Nonreassuring fetal heart tracing Category 2-remote from delivery Minimal/absent variability is most significant predictor of fetal acidemia Category 3 any time is emergent deliver Failed IOL Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor...
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Birth Control
Resources: https://www.bedsider.org/methods Table: http://www.womenscommunityclinic.org/wp-content/uploads/Bedsider-Birth-Control-Effectiveness-Poster.jpg Spanish: http://s3.amazonaws.com/providers/images/images/000/000/032/center/Spanish_tiers_of_effectiveness.png?1464661802
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Indications for a c-section during labor
When does a laboring patient need a cesarean delivery? This episode covers the six key indications – from nonreassuring fetal heart tracings to cord prolapse – including the specific time criteria for arrest disorders and what fetal heart rate findings are the most concerning. Show Outline:...
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Birth Control
Contraception counseling is one of the most common and impactful conversations in Ob/Gyn. This episode provides a comprehensive overview of birth control options – from LARCs to barrier methods – along with key resources and visual tools for patient-centered counseling, including in Spanish....
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Before Your First: Hysterectomy
What approach: Abdominal, laparoscopic, vaginal or combination Taking or leaving the tubes and ovaries? Tubes: What benefit do they provide? Risk? Ovaries: What benefit do ovaries provide? What about after menopause? Still have benefit for bones and cardiovascular health. 65yr old cut-off If it’s...
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Before Your First: Hysterectomy
Hysterectomy is one of the most common major surgeries in gynecology. This episode reviews the different surgical approaches, the decision to take or leave the tubes and ovaries, the critical surgical steps – including the four sites of ureteral injury – and key anatomy like the IP ligament,...
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Before Your First: Laparoscopy
Review anatomy– you’ll be able to see well! Pimped- Youtube Channel videos for laparoscopic anatomy What case are you doing and why? Review common indications, steps to procedure and potential risks/complications Saying hi to the patient first Being helpful setting up — yellowfins or stirrups for...
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Hypertension in Pregnancy
Hypertension in Pregnancy — One large spectrum Mild range: 140/90 Severe range 160/110 CHTN → SIPE gHTN → Pre-E BP meds: Methyldopa, labetalol, hydralazine, nifedipine Severe features: BPs Neurologic symptoms Lab findings: HELLP Hemolysis, Elevated Liver (enzymes), Low Platelets Eclampsia — Seizures
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Before Your First: Laparoscopy
Your first time in the OR for a laparoscopic case can feel high-stakes. This episode covers everything from how to be helpful during setup and patient positioning, to the anatomy you'll see on screen, entry techniques, port placement, common GYN procedures, and what to watch for in post-op...
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Hypertension in Pregnancy
Hypertensive disorders of pregnancy exist on a spectrum – from chronic hypertension to eclamptic seizures. This episode breaks down the classifications, blood pressure thresholds, antihypertensive options, severe features to watch for, and the HELLP syndrome. Show Outline: The Spectrum –...
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Before Your First: Cesarean Section
Why? Scheduled: Repeat cesarean, hx of uterine surgery, abnormal placentation (placenta previa, vasa previa, accrete, etc) malpresentation (not cephalic), multiple gestation In labor: arrest of dilation, arrest of descent, nonreassuring fetal heart tones, elective Anatomy: Layers of anterior...
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Before Your First: Cesarean Section
Whether it's scheduled or called urgently during labor, the cesarean section is one of the most common surgeries you'll see on Ob/Gyn. This episode covers the indications, abdominal wall anatomy layer by layer, the key surgical steps from hysterotomy to closure, and how you can be the most…
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Before Your First: Vaginal Delivery
Cardinal movements of labor: engagement, descent, flexion, internal rotation, extension, external rotation and expulsion Complete dilation, now station: Labor down vs push 2nd Stage of labor: Pushing Offer to help with maternal positioning—holding ankle/leg Delivery—downward traction on head,...
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Before Your First: Vaginal Delivery
Your first vaginal delivery can be exhilarating and nerve-wracking all at once. This episode walks you through the cardinal movements of labor, how to assist with pushing, delivering the baby and placenta, managing bleeding, and what to expect in the immediate postpartum period. Show Outline:...
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Labor and Delivery Triage
When a pregnant patient presents to triage, you need a systematic approach. In this episode, we cover the OB one-liner, the four essential triage questions, how to evaluate for labor and rupture of membranes, and when vaginal bleeding becomes a red flag. Show Outline: The OB One-Liner "This is a…
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Your Ob/Gyn Survival Guide: Tips and Tricks
Kicking off your Ob/Gyn clerkship and not sure where to start? In this episode, Dr. Doorey walks through the high-yield resources, essential apps, and practical study tips you'll need to hit the ground running on Labor & Delivery and in the OR. Show Outline: Recommended Resources Free Procedure...
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TOPICS IN THIS SHOW
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ABOUT THIS SHOW
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 [email protected] 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. The information in this podcast is for educational purposes only and is intended for medical professionals in training. It does not constitute medical advice or establish a doctor-patient relationship.
HOSTED BY
Jennifer Doorey, MD, MS
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