In this episode, we discuss the evidence behind one layer and two layer Cesarean closures with an emphasis on inclusion of the endometrium and the risk of cesarean scar ectopics and placenta accreta spectrum disorders. Plus, we define minimally invasive surgery and trace the origin of the term and it's introduce a new concept: less invasive vs minimally invasive surgery.

00:00:02 Hysterotomy Closure Techniques in Cesarean Deliveries

00:14:46 Debunking Claims About Cesarean Techniques

00:27:20 Uterine Closure Techniques in Cesarean Deliveries

00:36:44 Defining Minimally Invasive Surgery

00:48:18 Advanced Techniques in Minimally Invasive Surgery

Follow us on Instagram @thinkingaboutobgyn.

In this episode, we discuss four tips for placing and using catheters for induction of labor. Then we revisit the issue of small for gestational age versus fetal growth restriction. We also discuss the most common mistake made in calculating due dates and how this can have a negative impact on pregnancies. Finally, we discuss the history of postpartum depression and the literature and stories of Kate Chopin and Sylvia Plath.

00:00:35 Four Tips for Cervical Catheter Placement

00:23:00 SGA vs FGR

00:28:55 Correcting Due Dates Prevents Mistakes

00:46:10 History of Postpartum Depression, Chopin and Plath

Follow us on Instagram @thinkingaboutobgyn.

In this episode, we discuss the frequency of Pap smears for twin pregnancies as well as the need for using twin-based growth data for the diagnosis of fetal growth restriction in twins. We will poke the fire of controversy of the use of the terms "fetal growth restriction" and "small for gestational age" and discover how the terms might harm pregnancies.

Next, we discuss the new AAP guidelines for diagnosis of tongue ties. Finally, we answer a listener question about pushy doctors, paying for unnecessary tests, and the disconnect many gynecologists have with guideline and evidence based care.

00:00:02 Ultrasound Use in Twin Pregnancies
00:14:06 Twin Growth and Fetal Growth Restriction
00:20:00 Fetal Growth Assessment in Twin Pregnancies
00:29:10 Overdiagnosis of Tongue Tie in Infants
00:38:05Breastfeeding and Tongue Tie Recommendations
00:45:43 Controversy Surrounding Pelvic Exams
00:58:21 Unnecessary Physical Exams and IUD Preferences

Follow us on Instagram @thinkingaboutobgyn.