The Green Room: A Podcast from Obstetrics & Gynecology

Discover groundbreaking research on the benefits of breastfeeding for women with gestational diabetes and effective asthma management during pregnancy. Learn about the latest clinical guidelines on cervical ripening and the profound impact doula support has on reducing cesarean delivery rates. Insightful discussions reveal how doulas can transform the birthing experience and navigate challenges in access to care. Explore the vital role they play in enhancing maternal health outcomes and their collaboration with healthcare teams.

Discover innovative research on cervical cancer detection using red blood cells, which may revolutionize early diagnostics. Learn about alarming global statistics and breakthroughs in blood tests to identify HPV DNA, especially in low-resource settings. The potential for cost-effective screening with simple PCR technology is a game-changer for patient care. Deep dive into the importance of collaboration for validating new liquid biopsy methods and advocating equitable access to these advancements in gynecological health.

Join Clarel Antoine, a seasoned obstetrician-gynecologist with a focus on cesarean safety, Yalda Afshar, a physician scientist at UCLA studying the cardiac placental axis, and Lisa Zuckerwise, guest editor on placenta accreta spectrum, for a dive into innovative surgical techniques. They discuss the importance of uterine environment in placentation, explore impactful closure techniques to minimize surgical complications, and emphasize the need for updated guidelines and collaborative research to improve patient outcomes.

In this episode, guest Lisa Zuckerweiss, an Associate Professor of Obstetrics and Gynecology and Director of Maternal-Fetal Medicine at the University of Virginia, discusses the complexities of Placenta Accreta Spectrum (PAS). She emphasizes the increasing incidence linked to cesarean deliveries and the urgent need for better screening and management strategies. The conversation includes insights from a NICHD workshop aimed at enhancing collaboration among experts, sharing patient experiences, and advocating for a patient-centered approach in treatment.

Joining the discussion is Dr. Lynn L. Simpson, a leading expert in maternal-fetal medicine and chief at Columbia University. She dives into the intricacies of monochorionic twin pregnancies, emphasizing ultrasound's crucial role in early diagnosis. The conversation highlights the challenges of conditions like twin-twin transfusion syndrome and the significance of accurate cervical length assessments. Dr. Simpson also sheds light on the latest practices to manage risks and optimize outcomes, making complex topics accessible and engaging.

Victoria Wang, a gynecology oncology fellow at Brigham and Women's Hospital, tackles pivotal issues in women's health. She emphasizes the importance of early diagnosis and equitable healthcare access, particularly in preventing cervical cancer. The conversation dives into challenges with adhering to surveillance guidelines for high-grade cervical dysplasia, highlighting disparities influenced by social determinants. Wang also discusses gaps in follow-up care for high-risk patients, advocating for improved management strategies to enhance patient outcomes.

In this engaging discussion, Dr. Taylor L. Pitt, a maternal-fetal medicine specialist and author of "Prenatal Cannabis Use and Depressive Symptoms," explores the complexities of cannabis use during pregnancy. They delve into research linking cannabis to maternal mental health issues and the importance of informed decision-making. Dr. Pitt emphasizes the need for ongoing research and counseling for expectant mothers, as societal attitudes towards cannabis continue to evolve. Her insights shed light on critical aspects of prenatal care and future research opportunities.

Dive into the latest research on postpartum contraception and cervical cancer care. Hear experts discuss striking findings on how long-term hormone therapy impacts cardiovascular health in menopausal women. Discover the effects of different hormone formulations and their genetic implications for patient care. The conversation also highlights the need for deeper studies on hormonal therapy across diverse backgrounds, paving the way for personalized approaches in women’s health. Listen for insights that could reshape clinical practices!

Dr. Anne Bruno, an Assistant Professor in Maternal Fetal Medicine at the University of Utah, dives deep into the risks of venous thromboembolism (VTE) for pregnant and postpartum patients. She discusses the urgent need for effective prevention measures to reduce maternal mortality. Insights from her research highlight the mixed results of pharmacologic prophylaxis following delivery, stressing its minimal impact and potential risks. Bruno emphasizes the importance of tailored approaches and calls for comprehensive future studies in thromboprophylaxis.

In this engaging discussion, Dr. Jill Brown, an Associate Professor and Vice Chair for Gynecologic Surgery at the Uniformed Services University, sheds light on pivotal gynecological health issues. She explores the unique menopause challenges faced by military service members and the implications of a recent Executive Order aimed at improving women's health research. The podcast also highlights advances in women's health research, the historical barriers in military leadership regarding menopause, and the urgent need for better care and education in this area.