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!
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*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
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
- 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.