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Birthing Instincts

#362 Studies Are Just Pieces Of Evidence with Dr. Emiliano Chavira

Birthing Instincts

Dr. Stuart Fischbein + Midwife Blyss Young

Parenting, Kids & Family, Alternative Health, Health & Fitness

4.5631 Ratings

🗓️ 22 May 2024

⏱️ 111 minutes

🧾️ Download transcript

Summary

Interpreting the value of a study can be difficult. With Blyss taking some healing time, Dr. Stu interviews Dr. Emiliano Chavira, MD, MPH, FACOG and MFM sub-specialist who shares his expertise on this subject. From randomized trials to meta-analyses we learn that a study is never definitive. Working within the "high risk" system, Dr. C has insight and wisdom that we want our fellow travelers to hear. What's the definition of IUGR, what are the problems with moving the bar and why so much color Doppler?

About Dr. Emiliano Chavira:

Dr. Chavira is board certified in Obstetrics & Gynecology with a subspecialty certification in Maternal-Fetal Medicine. He completed both his Ob/Gyn residency training as well as his fellowship in Maternal-Fetal Medicine (high risk pregnancy) at LAC+USC in Los Angeles, California. In his years as a specialist working in tertiary referral centers, he has cared for some of the most complicated and high-risk pregnancies, dealing with both maternal medical issues as well as complex fetal problems. His passion is to provide objective and caring guidance to his patients with the aim of instilling knowledge, understanding, empowerment, and hope in difficult circumstances. In addition to caring for complicated pregnancies, he also has an interest in ethical dilemmas in modern obstetric care, particularly as related to vaginal breech birth, multiple gestations, and VBAC (vaginal birth after cesarean).

Key highlights:

  • Flaws in Term Breech Trial
  • Debate on 39-Week Induction Safety
  • C-Section Rates in Labor Induction
  • Opinions on ARRIVE Trial and C-Section
  • Defining Intrauterine Growth Restriction
  • Impact of Fear in Pregnancy Monitoring

Episode resources:

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Connect with Dr. Stu & Blyss:


Transcript

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0:00.0

Welcome to the Burling Instincts Podcast.

0:05.0

I'm Dr. Stewart Fishbein, community-based practicing obstetrician and longtime advocate for birth choices.

0:10.0

And I'm Bliss Young, a licensed midwife.

0:13.0

Join us in our conversational style podcast where we talk about everything birth.

0:17.0

Sometimes we laugh, sometimes we cry, but we're happy that you're here. So here we go.

0:25.6

Good morning, fellow travelers.

0:28.3

It's Dr. Stu and good afternoon, good evening, and good middle of the night to everybody.

0:32.6

It's just me today.

0:34.1

I do have a guest, which I'll be talking about in a second.

0:39.5

Bliss is in physical therapy and dealing with some of her issues of recovery, so she won't be with us today,

0:45.3

but she'll be back next week. And so it's just me. And our guest today is going to be Dr.

0:51.2

Emiliano Chavira. You might have heard me mention him many times.

1:00.2

And we're going to talk about a lot of stuff, but I'm really bringing him on to talk about how to interpret data, how to look at studies. He's a maternal fetal medicine expert. We'll

1:07.3

get into his bio in a second when he comes on. But I also want to ask him

1:13.0

about some of the things that are going on in the maternal fetal medicine world, since he is one of

1:16.7

those. He's rather unique, though, and maybe he has some insight into some of the things that we think

1:23.7

are being overused and overdone in that world.

1:27.9

So we'll see what he has to say.

1:30.8

Prior to that, though, just clearing my plate of some stuff, one of the funny things I think

1:36.6

about when you get injured, you think about things that you don't, you would normally take

1:42.1

for granted.

1:43.7

And as you know, about a week ago or so, I had a bike accident and I wiped out and hit some sand.

...

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