Preeclampsia Management: Past, Present & Future

Join Dr. M and internationally renowned obstetric hematologist Dr. Beverly Hunt for a deep dive into fibrinolysis and its role in obstetric hemorrhage. We explore D-dimer, tissue plasminogen activator (tPA), urokinase plasminogen activator (uPA), tranexamic acid (TXA), and the role of TEG and ROTEM in assessing coagulation and fibrinolysis. We also discuss acute obstetric coagulopathy and amniotic fluid embolism (AFE), unpacking the underlying physiology and what clinicians need to understand when managing life-threatening maternal bleeding.Come to OB Shock, Feb-26-27, 2027 in Newport Beach, for two days of in-depth, case-based discussion of obstetric hemorrhage and OB shock states! https://safepartum.com/ob-shock-2027/

What do you do when your blood pressure cuff doesn't match the art line? Do you know what a 3 vs 5 vs 12 "lead" EKG is really telling you? Have you ever blamed a poor SpO2 reading on a bad waveform?Join us for a non-judgmental review of the basic hemodynamic monitoring systems by applying them to obstetric cases, and let's fill in our knowledge gaps together! Images referred to in this episode are available here: https://safepartum.com/hemodynamic-monitoring-podcast/SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum.com/Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, join Dr. M and Dr. Rishi Kumar, Cardiac Anesthesiologist and Intensivist at the University of Texas, Houston, for a discussion around congenital cardiac disease in pregnancy. This episode addresses the surveillance and peripartum management concerns in a challenging case of a pregnant patient with a history of repaired congenital heart disease. Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, MFM Fellow Luke Burns, MD gives listeners a nuanced perspective on preeclampsia. From pathophysiology to diagnosis and management of this enigmatic disease, Dr. Burns and Dr. M cover it all. Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material visit https://safepartum-academy.teachable.com. In this episode, birth injury attorney Marlie Willer gives listeners the inside perspective on how medical malpractice suits proceed in obstetric cases. Founder of Liro Willer Law and host of “Birthing Better Laws: Are you Informed Podcast Series”, Marlie is a birth injury law expert. Listen as she provides valuable information for L&D practitioners on what to do if you are involved in a perinatal lawsuit! Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

SafePartum provides high yield educational resources on topics related to pregnancy, labor & delivery, and postpartum. For more educational material, visit: https://safepartum-academy.teachable.com In this episode, Anya recounts the frightening experience of having a total spinal during the delivery of her daughter in 2022, and the consequences of that event on her postpartum recovery. Tune in to hear Anya and Dr. M talk about high and total spinals, missed opportunities, and ways to improve safety and communication on L&D!A high or total spinal blockade is one of the most feared anesthetic complications for providers on L&D. High or total spinal epidural blockade occurs when local anesthetic spreads too high within the neuraxial space and causes a variety of symptoms such as difficulty breathing, arm and upper body weakness, respiratory depression and even hemodynamic collapse. Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com!The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials.Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Anyone who works on L&D or postpartum knows how debilitating a post dural puncture headache can be. But did you know PDPH is not the only cause of postpartum headache?   In this episode, Dr. M and Dr. Bhat systematically discuss the assessment, diagnostic criteria, and evidence to support treatment options for PDPH. Treatment options discussed are: - Conservative Management (IVF, caffeine, analgesics) - Abdominal Binders - Cosyntropin - Neostigmine/Atropine - Sphenopalatine & Greater Occipital Nerve Blocks - Intrathecal  Morphine - Intrathecal Catheters - Epidural Blood Patch Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

A wet tap or inadvertent dural puncture is one of the most disheartening and challenging complications for an anesthesiologist to manage. Do you try again? Thread an intrathecal catheter? Is a subsequent CSE or DPE safe? How do you tell the the patient? Listen to OB Anesthesiologists Dr. Amy Lee and Dr. M share their wet tap experiences and discuss the management options immediately following this common complication.  Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Epidural failure is a common but frustrating challenge in obstetric anesthesia. In this episode, Dr. M & Vishal discuss management of a patient who is experiencing an inadequate epidural during labor. Learn how to assess patients with questionable epidural function, get quick answers, and fix the problem. Topics Covered: Risk factors for epidural failure  Rapid diagnosis of poorly functioning epidurals Management options in a failing epidural The relationship between stage of labor & pain distribution Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)

Cesarean deliveries are commonly performed under neuraxial anesthesia, allowing the patient to remain awake and experience the birth of their child. This practice, when done well, is one of the great successes of modern medicine. Less commonly discussed are the long term psychological consequences when a patient experiences pain during a c section, especially when she isn't believed. Dr. M and former SOAP President Dr. Ruthi Landau discuss the role of the OB Anesthesiologist in cases of inadequate neuraxial blockade in patients undergoing cesarean delivery. Topics covered: Birth trauma & psychological effects of pain during cesarean delivery  Pain vs Pressure  Ways to optimize your neuraxial block  Knowing when to convert to general anesthesia Following up with patients after a difficult cesarean delivery Follow us on IG or Twitter @SafePartum and learn more at SafePartum.com! The content in this podcast and its affiliated materials reflects our opinions and should not be considered medical advice for the treatment of any medical condition in yourself or others. Consult your own physician for any medical issues you may be having. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast and affiliated materials. This entire disclaimer also applies to any guests or contributors to the podcast and affiliated materials. The content in this podcast and its affiliated materials should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. Under no circumstances shall Dr. M, SafePartum LLC, any guests or contributors to the podcast or its affiliated materials, or any employees, associates, or affiliates of SafePartum LLC be responsible for damages arising from use of the podcast or its affiliated materials. Music provided by 2TECH-AUDIO (https://www.free-stock-music.com/artist.2tech-audio.html)