The water breaks at 30 weeks. The baby's head is in the fundus at 37. The ultrasound shows one placenta and two babies. None of these is an emergency yet, but each one changes the delivery plan, and one number decides it every time: 34 weeks for ruptured membranes, 37 weeks for breech, and how many … [Read more...] about 173 PROM, Breech and Twins for the PANCE
Podcasts
172 Intrapartum Emergencies for the PANCE
The water breaks and the heart rate drops. The head delivers and pulls back. A scarred uterus loses station. Three of today's four emergencies announce themselves the same way, with the fetal heart rate falling, and what separates them is what happened right before. This episode is the tracing going … [Read more...] about 172 Intrapartum Emergencies for the PANCE
171 Induction and Delivery: Bishop Score, Epidurals and Newborn Care
A Bishop score of 8 or higher means skip the ripening and go straight to oxytocin. Misoprostol and a prior uterine scar don't mix. And the APGAR never decides when resuscitation starts. This episode finishes labor the way it actually gets tested: how to start it when it won't start, how to restart … [Read more...] about 171 Induction and Delivery: Bishop Score, Epidurals and Newborn Care
170 Normal Labor: The Four Stages, Fetal Heart Rate and Tracings
Cervical change is the whole test for true labor. Active labor starts at 6 cm, not 4. Late decelerations mean uteroplacental insufficiency. This episode walks through normal labor and how to assess the laboring patient the way it actually gets tested: the four stages, the cardinal movements, … [Read more...] about 170 Normal Labor: The Four Stages, Fetal Heart Rate and Tracings
169 GDM & Hypertensive Disorders of Pregnancy: Screening, Severe Features & Magnesium Traps for the PANCE
Gestational diabetes and the hypertensive disorders of pregnancy read like a pile of numbers to memorize: screening windows, glucose cutoffs, blood pressure thresholds, severe features. This episode turns them into two clean sequences and one definitions ladder, so you can separate chronic … [Read more...] about 169 GDM & Hypertensive Disorders of Pregnancy: Screening, Severe Features & Magnesium Traps for the PANCE
