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
Reproduction
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
168 Painless vs Painful: Pregnancy Bleeding Patterns, Cervical Insufficiency & Rh Traps for the PANCE
Third-trimester bleeding on the PANCE comes down to one contrast: painless and soft points to placenta previa, painful and rigid points to abruption. This episode works through both, then adds the two structural outliers, cervical insufficiency and Rh incompatibility, and boils each down to the … [Read more...] about 168 Painless vs Painful: Pregnancy Bleeding Patterns, Cervical Insufficiency & Rh Traps for the PANCE
