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Ridgeview and the Ridgeview Continuing Medical Education Program are proud to present the Ridgeview Podcast: CME Series; a quality, portable and on-demand continuing medical education, that features a variety of exceptional physicians, providers and other staff from Ridgeview and it's affiliates. Hosts of the program are Fred DeMeuse, PA-C, Jason Hicks, PA-C, and Leah Radde, RN. Thanks for tuning-in, downloading and listening! 

 

DISCLOSURE ANNOUNCEMENT 

The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview & Ridgeview Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws. 

It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.

Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.

Apr 22, 2022

In this podcast, Dr. Andraya Huldeen, an obstetrician and gynecologist with  Western OB/GYN, a division on Ridgeview Clinics will discuss several obstetrical myths; including medication safety profiles for pregnant women, epidurals, COVID vaccinations and induction of labor. Also joining in this podcast is Dr. Nate Beerling, an anesthesologist with Ridgeview, who will add to the discussion of epidurals. Enjoy the podcast!

Objectives:
  Upon completion of this podcast, participants should be able to:

  • Assess timing for induction of labor.
  • Recognize there is lack of evidence of COVID vaccines causing infertility.
  • Describe the different medication classes in pregnancy and how to balce risk/benefit in prescribing some medications.
  • Summarize the role epidurals play in labor.

CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org.

To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation.

CME Evaluation

(**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) 

DISCLOSURE ANNOUNCEMENT 

The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws. 

It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented.

Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event.

Thank-you for listening to the podcast.

SHOW NOTES: 
*See the attachment for additional show information.
  
Medications in Pregnancy:
- Current, but not standard system
    - Risks vs outweighing benefits
- Old system: ABCD & X
    - A: studied extensively, no risk
    - B: used extensively & very few problems
    - C: "waste baskeet garbage world"
    - D: can cause increase risk of birth defects but benefit outweighs the risk
    - X: Never use, serious side effects or defects

MYTH: All medications cause birth defects if taken during pregnancy
- Cold medicines
- NSAIDs
- Acetaminophen
- Narcotics
- Ondansetron

MYTH: Cervical exam has to be less than 4 to get epidural
MYTH: Epidurals slow down labor and cause c-sections
- History of epidurals
- Epidural at what stage of labor
- Epidural placement
- Combined Spinal Epidural
- Intrathecal: Spinal block
- Contraindications for epidurals/spinal blocks
- Complications:
     - Epidural hematomoa
     - Postural puncture headache

MYTH: COVID vaccinations are not safe for pregnant women
MYTH: COVID vaccine cause infertility
- Concerns & live attenuated vaccines
- Pertussis vaccination
- COVID vaccination & infection & pregnancy outcomes
- IVF & Fertility Outcomes

MYTH: Induction of labor causes more c-sections
- Previously: induction at 41 weeks unless medical reason to be induced earlier
- With higher primary C-section & repeat C-sections - morbidity & mortaility
- Prevent 1st C-section
- 39th week is  lowest risk week to deliver
- "Arrival Trial"
- Induction of labor
     - Bishop scale
     - No specific order for starting induction - provider dependent

* For links and resources - see attached "Show Notes".

Thanks for listening.