Archive for August, 2007

Did you send an email?

August 28, 2007 3 comments

Email for has been down in the last few days due to some domain redirection issues.  We’re now hosted at WordPress but email was supposed to bounce back to the original domain registrar, and well, it wasn’t.  It is being fixed now and should work in 24-48 hours (I had DNS percolation delay).  In the mean time, just make a comment!

 Nick Fogelson

Academic OB/GYN Podcast Episode 3 – Preeclampsia

Academic OB/GYN Episode 3 – Preeclampsia

In this episode we talk to Christopher Robinson, MD of The Medical University of South Carolina about his research in anti-angiogenic preeclampsia, proteonomics, genetics, and the meaning of an UpToDate authorship.

Nicholas Fogelson, MD

Feed damaged – and repaired

August 14, 2007 2 comments

Thanks to alert reader Joseph Peterson who noticed that the podcast feed was broken. Apparently I screwed it up over the weekend trying to make the formatting look better in Itunes. Its fixed now. Stay tuned for more content soon.

Categories: Site Administration

Academic OB/GYN Podcast Episode 2 – Cesarean Infection Prophylaxis

August 8, 2007 2 comments

In this episode we talk to Dr Scott Sullivan of the Medical University of South Carolina on his recent paper comparing preoperative cefazolin to cefazolin after cord clamping to prevent post-cesarean infections. Dr Sullivan discusses his study design, involving residents in large studies, and the move from private practice to MFM fellowship. Send your comments to  Audio remastered 10-11-2009.

Academic OB/GYN Episode 2 – Cesarean Infection Prophylaxis

Academic OB/GYN Podcast Episode 1 – Antenatal Corticosteroids

In this episode we talk to Dr Ronald Wapner of Columbia University, about his recent paper on repeat antenatal corticosteroids. We discuss results, study design, and the difficulties of running a huge multicenter trial.  Remastered 10-11-2009 for better audio quality!

Academic OB/GYN Episode 1 – Antenatal Corticosteroids

IUPCs and baseline uterine pressure

August 8, 2007 6 comments

Ok folks – I gotta a braintwister for us all.

 I was on call this morning and the nurse was letting me know that a patient with an IUPC had a baseline pressure of 40 mm Hg, and anything above 30 mm Hg was considered abnormal.  I didn’t know what to say to that, because the whole idea of baseline pressure never made sense to me.

 First, the IUPC is zeroed theroetically to the air, so the baseline pressure should be relative to air.  But, we have no idea what intraabdominal pressure is!  When we do urodynamics we need to subtract intraabdominal pressure from the bladder pressure to really understand how hard the detrusor is contracting.  It seems to me that we would need the same information to say anything meaningful about the intrauterine pressure in an absolute sense. Otherwise,  the baseline pressure could be influenced by things like patient position and position of the baby (making a different amount of direct pressure on the IUPC.)  The whole concept seems sort of flawed to me.

Certainly if baseline uterine tone were really increasing, that might have some meaning.  But are we really measuring what we think we are measuring?

 So what did I tell the nurse?  I said “don’t worry about it. the whole concept makes no sense.”

What would you have told her?

Categories: General OB/GYN Topics

Welcome to Academic OB/GYN!

August 7, 2007 2 comments

Hello World!

Today launches the start of a new blog, Academic OB/GYN. This blog exists to provide a place for academic OB/GYN physicians to discuss current articles, management strategies, research ideas, or anything else that comes to mind. These sorts of discussions are often limited to major meetings that only occur a few times a year. With the internet, these discussions can happen anytime and anywhere, and hopefully this blog can facilitate that.

Over the coming weeks and months, I will be posting articles about current articles in the literature, interesting ideas from my clinical practice, fun stories that come up in the life of an academic physician, or whatever else comes to mind. Please comment on whatever peaks your interest and start the dialog! If you want to be a contributor to this blog (write original posts), send a message to and I’ll set it up.

Some of you have been driven to this site because you heard about it on the Academic OB/GYN podcast. If so welcome! If not, look into the podcast and subscribe. The podcast is an audio version of my occasionally insightful ramblings, and usually includes discussion with giants (or at least ogres) of our field on current topics and articles. If you are a giant (or giant wanna-be) in our field and want to talk about your research on the podcast, email me at and you can be on the podcast.

Again welcome – I hope you enjoy the blog.

Nicholas Fogelson, MD

Assistant Professor of Obstetrics and Gynecology
University of Hawai’i

Disclaimer – the Department of Ob/GYN at the University of Hawai’i does not specifically endorse this blog. But mentioning it gives me a little credibility, right?

Categories: Site Administration
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