In this episode I discuss articles from the May journals. Topics include amniotic fluid embolism, writing an academic resume, the ever-present sFlt-1, and more! Thanks to Sage Software for sponsoring the ACOG get together!
In this month’s Green Journal, ACOG published Practice Bulletin #111 “Inherited Thrombophilias in Pregnancy”. This practice bulletin was an attempt to coalesce the available evidence on thrombophilias in pregnancy and to make some evidence based recommendations for how obstetricians should deal with the issue.
This is all well and good, but what happened next was not. A few weeks after publication ACOG retracted the Practice Bulletin. Though we don’t know for sure, this was likely due to an outcry the many MFMs who don’t agree with the published recommendations. As of now, it is no longer available online, and exists only in the pages of the printed journal. Per ACOG, a new version will be out this summer.
So why did this happen?
We discuss articles from the April 2010 Journals: Ovarian mass malignancy prediction, an new analysis of the labor curve, the ACOG Practice Bulletin on Thrombophilias and its sudden withdrawal, and a few other bits.
In this episode I discuss several articles from the January Issue of the Green an Grey journals, and a few articles from the Lancet to boot! We discuss the prospective outcomes in thrombophilia, Metformin and Glyburide in GDM, Miso vs Pit for PPH, interstitial pregnancy, and SFlt-1 and PLGF for detection of pre-eclampsia. Thanks for listening!
Academic OB/GYN Episode 15 – Green and Grey Journal January 2010
Host Nicholas Fogelson discusses articles from The Green Journal from November and December of 2009. Topics include Flu Vaccines and Antiretrovirals in Pregnancy, HPV Vaccine Safety in Pregnancy (yes), Moxibustion for Version (crazy), and Stupid Birth Control Comparisons (Pharma gone wild)
Academic OB/GYN Episode 13 – Green Journal November-December 2009
Host Nicholas Fogelson reviews the best and worst of the Green Journal from September 2009. Topics include: LEEP and Preterm Labor, Magnesium for Neuroprotection, Atypical Complex Hyperplasia and EMB reliability, and what makes a bad study title.
This episode is sponsored by Hooah! Software and their iPhone program Due Dater, a gestational wheel and calculator for obstetric professionals.
This month’s Green brings us not one but two articles on the effect of LEEP on subsequent risk of preterm birth. The first article, published by Fins and Swedes Jakobsson and Gissler et al, looks at a wide population of patients, while the Danes Noehr and Jensen et al fire back with a look at the effect of LEEP on preterm birth rates in twins.
It’s a Scandinavian throw down! Who did it better?
Bottom line: LEEP increases the risk of subsequent preterm birth, and the Danes do a better job at showing it.
Read more…
