Episode 23: Placenta Praevia Part 1
In this thrilling episode of The Uterine Sound podcast, hosts Anne, Mel, and Carla dive into the world of placenta praevia, unraveling its historical diagnostic methods and unveiling the modern approach through transvaginal ultrasound. Join them as they explore the rising incidence, risk factors, and surprising statistics. The hosts shed light on the complications, from bleeding patterns to the intricate details of ultrasound examinations, leaving no stone unturned. Don't miss this concise, yet comprehensive guide to understanding and managing placenta praevia – a must-listen for anyone in the realm of obstetrics and gynaecology! Tune in and stay informed with The Uterine Sound Podcast.
Episode 22: Vasa Praevia
Embark on a fascinating journey into the world of Obstetrics and Gynaecology with The Uterine Sound podcast! In Episode 22, hosts Anne, Mel, and Carla unravel the mysteries of Vasa Praevia. What is it, and why does it matter?
They explore the definitions, types, and complications of Vasa Praevia, shedding light on the risks associated with this condition. From velamentous cord insertions to succenturiate lobes, the hosts delve into the intricate details.
Discover the crucial role of ultrasound in diagnosing Vasa Praevia and the potential impact on perinatal outcomes. Join the hosts as they discuss management strategies, the importance of antenatal diagnosis, and the latest developments in the field.
Don't miss this riveting episode on a topic that's both educational and compelling!
Listen now on Podbean & Spotify!
Episode 21: Prolonged Pregnancy
Welcome to The Uterine Sound podcast! Join hosts Anne, Mel, and Carla as they delve into the world of Obstetrics and Gynaecology, bringing you the latest updates and insights.
In this episode, the trio explores the intriguing topic of prolonged pregnancy. They break down the four categories of term pregnancy, discuss the complications for both mother and baby associated with going beyond 42 weeks, and explore the risks of stillbirth.
The hosts share fascinating insights into the history of calculating due dates, emphasising the importance of accurate gestational age determination.
With engaging discussions on induction versus expectant management and the latest recommendations from various health organisations, this episode is a must-listen for anyone interested in women's health.
Tune in to The Uterine Sound for a journey through the complexities and nuances of O&G!
Episode 20: Red Cell Antibodies
Embark on another captivating episode of The Uterine Sound podcast with hosts Anne, Mel, and Carla as they unravel the extraordinary tales of Haemolytic Disease of the Fetus and Newborn (HDFN). In this groundbreaking podcast, discover the compassionate endeavours of a dedicated paediatrician, exploring innovations such as phototherapy devices and anti-D guidelines for pregnancy.
Follow the hosts through the intricate landscape of preventing HDFN, from IVF strategies to surrogate carriers, making the complex world of antibodies more accessible with memorable mnemonics. Explore the nuanced strategies for monitoring and managing red cell isoimmunisation, including the crucial role of MCA PSV scans in predicting fetal anaemia.
Dive into the details of fetal blood sampling and intrauterine transfusions, and get a glimpse into the promising interventions of IVIG and monoclonal antibodies. The hosts also shed light on delivery timing and postnatal care for infants affected by HDFN, emphasizing the ongoing quest for improving long-term outcomes.
Join Anne, Mel, and Carla on The Uterine Sound as they navigate the intricate landscape of HDFN, where every narrative unfolds as a testament to the power of innovation and dedication in the realm of medicine.
Episode 19: Anti-D
In this episode of The Uterine Sound podcast, explore the world of Anti-D. Join the hosts as they unravel the intricacies of blood types, Rh factors, and the critical role of Anti-D in preventing isoimmunization during pregnancy. Follow the fascinating journey from its discovery to current antenatal care practices, exploring its effectiveness and safety. Learn about sensitizing events, optimal dosages, and the evolving landscape of fetal blood group testing. Don't miss this informative episode on a crucial aspect of obstetric care.
Episode 18: Evidence with Anne - Antenatal Corticosteroids
Embark on a journey through obstetrics and gynaecology with the Uterine Sound podcast! In this captivating episode of "Evidence with Anne," the hosts explore the landmark trials on antenatal corticosteroids – ACTORDS, ASTEC, and ALPS, along with the 2020 Cochrane review. Join Carla, Mel, and Anne as they unravel the fascinating history of steroids for fetal lung maturation, originating from a serendipitous discovery in New Zealand. Discover how these steroids became a game-changer for preterm babies' health.
The hosts dissect the ACTORDS trial, revealing the impact of repeat doses of betamethasone on neonatal morbidity. Delve into the ASTEC trial, where elective caesarean births at term face scrutiny regarding respiratory distress. Uncover the ALPS trial, exploring the use of betamethasone in late preterm deliveries and its effects on neonatal outcomes.
But wait, there's more! The episode wraps up with insights from the 2020 Cochrane review, providing a comprehensive summary of the benefits and potential downsides of antenatal corticosteroids. Get ready for an engaging discussion, complete with surprising findings, intriguing historical anecdotes, and essential insights into the world of O&G. Tune in to the Uterine Sound podcast for a journey through the evidence behind steroids in pregnancy – because the quest for knowledge never sounded so compelling!
Episode 17: Vaginal Breech Birth
Hosted by Anne, Mel, and Carla, this episode explores the fascinating realm of vaginal breech births. Learn about the historical shift from routine breech deliveries to the increasing preference for caesarean sections, propelled by landmark studies like the Term Breech Trial. Delve into the controversies, evolving guidelines, and the resurgence of interest in vaginal breech births. Discover the essential criteria for selecting ideal candidates, the role of skilled birth attendants, and the infrastructure necessary for a safe and successful experience. Join the hosts in dissecting the intricacies of labour management, from delivery considerations to the possible manoeuvres required for the delivery of breech babies. With a dash of humour, a touch of history, and a wealth of knowledge, The Uterine Sound podcast promises an engaging journey through the challenges and triumphs of vaginal breech births.
Episode 16: Breech Presentation & External Cephalic Version (ECV
Join Anne, Mel, and Carla, your hosts of The Uterine Sound podcast, for an exciting journey into the world of obstetrics and gynaecology. In this episode, they delve into the intriguing topic of breech presentation, those cheeky babies that just won't turn head down. Discover the statistics, risk factors, and options for managing breech babies, from an external cephalic version (ECV) to alternatives like postural manoeuvres & moxibustion. Get ready for an informative and engaging exploration of this crucial aspect of childbirth!
Listen now on Spotify & Podbean!
Episode 15: Vaginal Birth After Caesarean
Get ready for an in-depth exploration of VBAC (Vaginal Birth After Caesarean Section) on The Uterine Sound Podcast! Join hosts Anne, Mel, and Carla as they dissect the intricacies of this pivotal decision. Uncover the risks and rewards, contraindications, and variables affecting success. Delve into early labour strategies, induction factors, and even water immersion. Whether you're a healthcare expert or policy maker, this episode offers a thorough roadmap for the VBAC experience. Don't pass up this enlightening and empowering discussion!
Listen now on Podbean & Spotify!
Episode 14: Evidence with Anne - Magnesium Sulphate
Join the Uterine Sound podcast hosts, Carla, Anne, and Mel, as they delve into the thrilling world of O&G research in their latest "Evidence with Anne" episode. In this episode, they explore the groundbreaking use of Magnesium Sulfate in the prevention of eclampsia and fetal neuroprotection, featuring the monumental MAGPIE trial and a Cochrane review. With insightful details, they unravel the history, inclusion criteria, and remarkable outcomes. Discover how Magnesium Sulfate halves the risk of eclampsia and reduces the rate of cerebral palsy in preterm infants . Don't miss the latest addition to their discussion, the Magenta trial, which reveals whether the benefits extend to infants born between 30 and 34 weeks. Tune in to The Uterine Sound for the most up-to-date insights in the world of O&G research!
Episode 13: The Difficult Caesarean
Get ready for an adrenaline-pumping episode of The Uterine Sound podcast! Join Anne, Carla, and Mel as they tackle complex caesarean sections, revealing strategies for the most challenging deliveries. From deeply impacted fetal heads to floating fetal heads, extremely low birth weight infants to macrosomic babies, breech presentations to transverse lie cases, and even classical caesarean sections, this episode is a treasure trove of expert insights and practical tips. Tune in to master the art of handling high-stakes obstetric scenarios with confidence. Don't miss out on this thrilling episode for all O&G enthusiasts!
Episode 12: The Evidence Based Caesarean Section
Explore the thrilling world of the evidence-based caesarean section on The Uterine Sound podcast! Join hosts Anne, Mel, and Carla as they uncover the fascinating evolution of caesarean sections.
From historical oddities like the "Porro Technique" to modern-day surgical techniques, this podcast explores it all. Learn about the pre-operative preparations, intra-operative methods, and post-operative considerations while staying up-to-date with the latest evidence.
Whether you're a medical professional or just curious, this podcast offers an engaging journey through the world of the caesarean section. Tune in now for a captivating exploration!
Episode 11: Caesarean Section (Part 1)
Join hosts Mel, Carla, and Anne on The Uterine Sound podcast as they explore the fascinating history of caesarean sections and learn about the dramatic evolution of CS procedures from ancient times to the present day.
As the hosts delve into the present, they unveil the staggering rise in CS rates globally, discussing the WHO's recommended ideal rate and the complex factors driving this surge. Discover the critical balance between saving lives and exposing mothers and babies to unnecessary risks due to excessive CS procedures.
In a thought-provoking exploration of maternal request CS, the hosts engage in discussions about a woman's right to choose her mode of delivery, delve into the risks and benefits, and highlight the importance of shared decision-making. They also unravel the contentious debate surrounding antenatal corticosteroid use before CS and the ongoing quest for more evidence on the subject.
Join us for an eye-opening journey through the world of caesarean sections, where history, statistics, and medical ethics converge, only on The Uterine Sound podcast!
Listen now on Spotify & Podbean!
Episode 10: Evidence with Anne - Progesterone
Welcome to another electrifying episode of Evidence with Anne on The Uterine Sound. Unveiling RANZCOG's landmark trials on progesterone's role in preventing preterm birth, the hosts dissect two groundbreaking studies. In a whirlwind of enthusiasm, the trio sets the stage, opting to spotlight these landmark trials amid the sea of progesterone research. The episode zooms in on the 2003 trial "Prophylactic administration of progesterone by vaginal suppository to reduce the incidence of spontaneous preterm birth in women at increased risk: A randomised placebo-controlled double-blind study" then energy escalates as the focus shifts to the second landmark trial "Progesterone and the risk of preterm birth among women with a short cervix".
The hosts deftly convey the study's incredible discovery: vaginal progesterone's profound impact on reducing preterm births.
Episode 9: RANZCOG Exam Study Tips
Join The Uterine Sound podcast hosts Mel, Anne, and Carla as they share expert insights on preparing for the RANZCOG written exam in Obstetrics and Gynaecology. They discuss exam timing, study plans, utilizing study groups, recommended resources, effective SAQ answering strategies, MCQ practice, and managing landmark trials. The hosts also offer valuable tips for taking leave around the exam and emphasise the importance of post-exam recovery time. Tune in to get a clear roadmap for successful exam preparation!
Listen on Podbean and Spotify!
Episode 8: Assisted Vaginal Birth
Join us on The Uterine Sound podcast, where hosts Anne, Mel, and Carla delve into the captivating world of obstetrics and gynaecology. In Episode 8, we explore Assisted Vaginal Delivery—a topic that unveils the history, techniques, and complexities behind the use of forceps and vacuum devices during childbirth. Discover the evolution of these instruments, their indications and contraindications, as well as the meticulous preparations required for a safe and successful procedure. We break down the classifications, the risks, and even touch upon an innovative alternative on the horizon. Tune in for a fascinating journey through the world of assisted vaginal deliveries!
Listen now on Spotify & Podbean!
Episode 7: OASIS
Join hosts Carla, Mel and Anne in another action-packed episode of the Uterine Sound Podcast as we cover the gripping topic of OASIS.
From risk factors and classification of perineal tears, to the complications that may occur if these tears are undetected, this episode has it all. Understand the importance of identifying and repairing sphincter injuries correctly, and learn about evidence based post-operative management.
With heart-pounding intensity, they dissect the latest evidence on perineal massage, pelvic floor exercises, and the use of episiotomies. Prepare for a gripping discussion on intrapartum prevention techniques, including warm compresses, birthing positions, and the controversial hands-on approach. And don't miss out on the riveting WHA Collaborative Care Bundle, designed to reduce OASIS rates by 20%. It's a rollercoaster ride of knowledge that will leave you eager for more.
Episode 6: Evidence with Anne - PPROM
Get ready for the debut episode of "Evidence with Anne" on the thrilling Uterine Sound podcast! Hosted by the dynamic trio, Carla, Mel, and Anne, this episode dives deep into the pulse-pounding world of Preterm Prelabour Rupture of Membranes (PPROM) and its landmark trials.
Hold your breath as they unravel the mysteries of the ORACLE I trial, where antibiotics take centre stage in the epic battle for neonatal outcomes. Discover the power of erythromycin, the hero reducing morbidity and mortality, while the sinister co-amoxiclav raises the spectre of NEC.
But the action doesn't stop there! The ORACLE II trial enters the fray, adding a twist to the tale with its unexpected findings. Brace yourself as the hosts navigate through functional impairments and cerebral palsy, shedding light on the long-term effects of these treatments.
In a heart-pounding showdown, the PPROMT trial takes the spotlight, where immediate delivery faces off against expectant management. Witness the fierce clash of neonatal sepsis rates, respiratory distress, and NICU battles, while APH and caesarean sections add to the adrenaline rush.
And just when you think the excitement is over, the PPROMEXIL trial steps into the ring with its 10-year follow-up! Can it provide the answers to the ultimate question: What are the long-term outcomes for these little warriors?
Episode 5: Preterm Birth (Part 3)
Welcome to part three of our exciting mini-series on Preterm Birth!
In this thrilling episode of the Uterine Sound podcast, hosts Carla, Mel, and Anne take their listeners on a captivating journey through the world of preterm birth prevention. Join them as they delve into the intricacies of this complex topic, exploring risk factors and evidence-based interventions that can help reduce the chances of preterm birth.
From modifiable risk factors like smoking and BMI to the fascinating realm of cervical length screening, the hosts share valuable insights and practical tips for predicting and preventing preterm birth. Discover how a simple ultrasound measurement can hold the key to identifying those at higher risk and how progesterone, the "superstar" hormone, can make a significant impact on reducing preterm birth rates.
But the excitement doesn't stop there! The hosts also unravel the mystery surrounding cerclage, the "stitch" that holds the cervix shut, and when it becomes a powerful tool in the fight against preterm birth.
Tune in to this captivating episode filled with evidence-based knowledge, engaging anecdotes, and intriguing revelations that every O&G enthusiast must hear. Don't miss out on the valuable pearls of wisdom that could make a life-changing difference in the world of preterm birth prevention.
Listen now on Spotify & Podbean!
Episode 4: Preterm Birth (Part 2)
In part two of our miniseries on Preterm Birth, Mel, Carla and Anne dive further into the critical topic of preterm birth and explore its diagnosis and management.
They cover the history, examination, and tests used in diagnosing preterm labour. The hosts then go through the evidence that has shaped current management, including corticosteroids, tocolysis and magnesium sulphate. This is all followed by a look at the up-and-coming research, as well!
Keep an eye out for some Instagram posts with stats on the different diagnostic tests...
Enjoy - let us know what you learnt and don't be shy if you've found