Archive for July, 2011

Academic OB/GYN Podcast Episode 34 – Journals for June-Aug 2011

Drs Browne and Fogelson discuss Cesarean Delivery Rates, VBAC Guidelines, Placenta Accreta, and the critical role of Flash the Cat in the Academic OB/GYN Podcast.

Academic OB/GYN Podcast 34 – Journals for June through August 2011

Notes from a Reasonable Direct Entry Midwife

Today I had the pleasure of talking shop with my brother’s mother in law, Joni Dawning, a very experienced direct entry midwife in Eugene, OR.  Joni has been attending births for over twenty years, and she has been a great resource to me over the years I have known her.  I hold her in great respect, as she is the kind of midwife that I think is a great resource to her community.  She provides a service to her clients that is greatly desired, but at the same time sees herself as a part of a larger system of birth service provision that includes hospitals and obstetricians.  Unlike some direct entry midwives (or CPMs in some communities), she respects the limits of what she can offer, and does not see a hospital transfer as a failure in any way.

Recently in Oregon there have been some deaths during attempted breech deliveries at home, all attended by various home midwives of varying skill.  Following this there was a discussion in the legislature about whether or not licensed midwives should be completely banned from intentionally attending breech births at home.  Joanie wrote a passionate letter about the topic.  She shared this letter with me, and to my surprise the letter was not in support of breech birth at home, but rather a plea that the legislature ban breech homebirth.  She felt that too may midwives believed that they understood how to deliver breeches, not because they had experience, but because they were just ignorant of the potential risks and the techniques required to succeed.  I some cases they just “believed in birth” and felt that the baby would deliver if one would just stand by and watch. Read more…

Categories: Obstetrics

The Great Twitter Schizm

Academic OB/GYN, and I, Nicholas Fogelson, are honored to have so many great twitter followers.  Over time it has come to pass that there are two populations of followers – 1) people that are interested in the Academic OB/GYN blog, podcast, and related educational materials and 2) people that are interested in the unrelated musings of myself.  At present, @academicobgyn is a combination of those two things.


So things are getting separated:


If you want to hear about things related to the blog, the podcast, and other things of medical interest, continue to follow @academicobgyn.

If you want to hear from me on a more personal level, follow @nickfogelson.

Or follow both.



Categories: Uncategorized

Academic OB/GYN in Atlanta

Academic OB/GYN has now found its third home in Atlanta, GA.  The blog got its grew up in Honolulu, HI, spent its teen years in Columbia, SC, and now has moved on and is ready for its first real date in Atlanta, GA.

In all this moving, there hasn’t been a lot of time to write blog posts or do podcasts, but I’ll be coming back soon with lots of good stuff.  Atlanta is perhaps the best city I have ever lived in.  I’ve been here a week and love it already.  If any fans or friends live in ATL please let me know so we can meet up!

My move to Atlanta comes as a sabbatical from attendinghood, returning to the learning side of it all in an Advanced Pelvic Surgery Fellowship in the department of Gynecologic Oncology at Emory University.  I hope to get some great material for surgical videos, though Emory’s policies for posting may be a bit restrictive – more research is warranted.

One of the great things about Atlanta is the incredible music scene.  Every big act plays here.  I just saw Idina Menzel tonight – just awesome.  She played Chastain Amphitheater and there was daylight for the first 2/3 of the show.  She kept saying it was making her nervous seeing all the audience watching her.  Even virtuosos get nervous.

Categories: Fun Stuff
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