Show Notes
Your first vaginal delivery will probably happen when you’re pulled into a room mid-shift, with little time for chart review and a patient who is already pushing well. In this episode, Dr. Mahima Krishnamoorthi and Dr. Sonia Hamilton walk through what you need to know before delivery, how to communicate with your patient, how to deliver the baby and placenta safely, and how to identify and repair your first perineal laceration. Topics to Review Over Time:
Shoulder dystocia: recognition and maneuvers Third- and fourth-degree laceration repair Postpartum hemorrhage and uterotonic selection Cervical laceration repair Operative vaginal delivery
About the Speakers: Host: Lucy Brown, MD, MPH – Resident physician at Johns Hopkins GYN/OB. Dr. Brown is passionate about medical and resident education and will be pursuing a Fellowship in Complex Family Planning after residency. Guest Speaker: Sonia Hamilton, MD – Second-year resident in Gynecology and Obstetrics at Johns Hopkins. Originally from Madrid, Spain, she earned her bachelor’s degree in Neuroscience, with a minor in Human Rights, at The Ohio State University and her medical degree at Johns Hopkins University School of Medicine. Guest Speaker: Mahima Krishnamoorthi, MD – Gyn/Ob resident at Johns Hopkins Hospital. She attended Stanford University for undergrad and graduated from the Johns Hopkins School of Medicine. Intern Ready: Ob/Gyn is a podcast aimed at interns and off-service residents beginning their post-graduate training in Obstetrics and Gynecology. The views expressed are the speakers’ own and do not constitute medical advice.
More from Intern Ready: Ob/Gyn
Induction of labor now accounts for roughly 1 in 3 deliveries in the U.S., so as an intern you'll be part of inductions almost every shift, whether scheduled or a same-day plan from triage. In this episode, Dr. Veena Bhagavathi walks through who gets induced and why, how to use the Bishop score, the cervical ripening options, what to do once the cervix is favorable, and how long to wait before calling an induction "failed." Indications & Contraindications
Placing an IUD is one of the most common procedures you'll be asked to help with as an intern — and one of the easiest to feel unprepared for if you haven't reviewed the device differences ahead of time. In this episode, Dr. Lillian Chen breaks down the five IUDs you'll encounter, how their insertion mechanics differ, what changes in the postpartum and postabortion setting, and the high-yield points you're likely to be tested on. IUD Types at a Glance
Preeclampsia complicates roughly 10% of pregnancies and accounts for up to 9% of pregnancy-related deaths in the U.S. — which makes it one of the highest-stakes diagnoses you'll manage as an intern. In this episode, Dr. Anna Jarvis walks through the hypertensive spectrum, how to get the diagnosis right, when to worry about severe features or HELLP syndrome, how to rule out the mimics, and how fast you need to move when things get acute. Resources:
Gynecologic oncology clinic can feel intimidating for a new intern — the patients are complex and the terminology is dense. In this episode, Dr. Liang breaks down the three visit types you'll encounter (new patient, chemo clearance, and surveillance), what to prechart, and what your role is as the resident in each one. Visit Type 1: New Patient Visits BEFORE CLINIC — PRECHARTING
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