Episode 11.2 Rethinking VBAC Risk and a Lot More!
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概要
We unpack new studies that reshape how we counsel on VBAC after short intervals, update what we tell BRCA carriers about estrogen therapy, and explore how self-collected HPV tests can reduce screening gaps. We also question surgical marketing, workforce trends, and the shaky evidence behind aspirin dosing for preeclampsia.
• Short interpregnancy interval as a VBAC risk factor, not a contraindication
• Absolute uterine rupture rates in spontaneous vs induced labor
• Estrogen therapy in BRCA carriers and treated gyn cancers
• Cervical screening overuse and underscreening in insured populations
• Self-collected HPV testing intervals and access benefits
• OB-GYN workforce shortages and rural distribution gaps
• Endometriosis surgery indications versus fertility claims
• Robotics versus laparoscopy outcomes and training priorities
• Aspirin dose trials, lack of placebo arms, and abruption signals
• Reading statistics correctly and demanding better editorial standards
0:00 Setting The Agenda: New Studies
0:40 Short Interval Pregnancy And VBAC Risk
3:10 Quantifying Uterine Rupture By Spacing
8:10 Induction, Augmentation, And Rupture Math
9:40 HRT In BRCA Carriers: New Evidence
13:05 Estrogen After Gyn Cancers: Practice Gaps
17:40 Cervical Screening: Overuse And Underscreening
22:30 Self-Collected HPV Testing Guidance
27:00 OB-GYN Shortages And Distribution
33:20 Endometriosis Surgery And Fertility Claims
41:20 Robotics Vs Laparoscopy: Outcomes And Training
47:20 Aspirin Dosing For Preeclampsia: No Signal
55:30 Interpreting Stats And Editorial Standards
59:20 Closing Notes And Next Steps
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