OB-GYN To Go

In this show, Dr. Adrian Queseda and Dr. Matthew K. Hoffman discuss the Quantification of the Familial Contribution to Mullerian Anomolies, ( A. Hammoud et. al., Obstet Gynecol 2008, 111:378-384). This paper was published in Obstetrics and Gynecology in February, 2008 and reveals level II evidence of an increased risk of inheritance of mullerian anomilies, based on data from the Utah Population Database.

Click here to listen or download Mullerian Anomolies

In this show, Dr. Venitha Jain, Maternal Fetal Medicine specialist and Dr. Kelly Ruhstaller, OB-GYN 3rd year resident, discuss the clinical problem solving article from the New England Journal of Medicine in the September, 2011 issue, entitled A Problem in Gestation by Chamarthi et. al. (N Engl J Med 2011; 365:843-8), discussing a case of pancreatitis in pregnancy caused by hyperparathyroidism.

While hyperparathyroidism is rare, the testing and diagnostics of variations in calcium levels and the issues and roles of calcium during pregnancy and its role in fetal skeletal mineralization are discussed.

Click here to download and listen to A Problem in Gestation- Pancreatitis and Hyperparathyroidism in pregnancy

OB - GYN To Go- Show #13: Magnesium Sulfate and the Possible Protective Effects for Cerebral Palsy

Dr. Philip Schlossman and Dr. Jennifer Merriman discuss recent New Englad Journal of Medicine articles regarding the use of Magnesium Sulfate antenatally to provide possible protection for some cases of cerebral palsy.

Articles Discussed: A Randomized Controlled Trial of Magnesium Sulfate for the Prevention of Cerebral Palsy, New England Journal of Medicine, 2008; ASSK 2009 Comment Magnesium Sulfate for the Prevention of Cerebral Palsy

Cerebral Palsy (CP) is a non-progressive deficit in motor functioning and posture, typically diagnosed in childhood, with an unknown precise etiology. While its severity can vary, it can be quite debilitating for the child and family, adding significant additional medical costs to caring for CP affected individuals as well as negatively impacting their quality of life. About of a third of all cases of Cerebral Palsy are associated with pre-term birth. While general causes of pre-term birth and its prevention would certainly reduce over all the number of cases of CP, it has been thought that provision of magnesium sulfate antentally may provide some neuroprotection and help reduce the number of cases of CP seen in pre-term infants. Dr. Schlossman and Dr. Merriman discuss the studies, their design, strengths and weaknesses, and how this impacts treatment decisions in clinical practice.

Click here to listen to Magnemisum Sulfate and Cerebral Palsy, Show #13

Obesity is growing more and more common in the US and has many associated health risks. But what happens to women who have greater than normal Body Mass Index (BMI) during pregnancy, a time where additional weight gain is expected? Are there additional health risks posed?

In this show, Dr. Adrian Queseda and Dr. Matthew K. Hoffman discuss the association between obesity during pregnancy and the increased use of health care, based on the article of the same name, published in April, 2008 in the New England Journal of Medicine (S. Chu et al, N Engl J Med 358;14, www.NEJM.org).

Click here to listen or download Obesity in Pregnancy