Things we do without evidence

Here’s our growing list of things we do for no reason in OB/GYN.

The ThingThe EpisodeThe Evidence
Closing 5mm laparoscopic port incisions with sutureEpisode 7.6 Maternal Mortality Declining? Plus skin closures and listener questionsHere
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Oxygen for decelerationsEpisode 7.4 Oxygen for Decels, Interpreting Studies Part 2, Frozen EggsHere
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Counseling for CD at 4k or high ACEpisode 7.2 Cesareans for Macrosomia, Yearly Pelvic Exams, Zuranolone, and more!Here
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Routine cervical exams at later visitsEpisode 6.13 Hormone Replacement Myths Part 2
Avoiding HRT in smokers, HTNEpisode 6.12 Hormone Replacement Therapy Myths Part 1Here
Peritoneal washingsEpisode 6.11 Vaginal Estrogen and More!Here
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Mag to prevent CPEpisode 6.10 Magnesium Sulfate for Neuroprotection for Preterm InfantsHere

With more on page
Labs for FGREpisode 6.9 Male Circumcision: A Global, Historical, and Ethical DebateHere
GBS swab in anoEpisode 6.8 The (Near) Future of ObstetricsHere
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Repeat Rh Ab testing at 28 weeksEpisode 6.7 Early GDM screening, repeat antibody testing, mayo and moreHere
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Misuse of docusateEpisode 6.6 Overconsulting and Surgical TrainingHere
Handing off babies after deliveryEpisode 6.5 How to Deliver A Baby (an evidence based approach)Here
Neonatal suctioningEpisode 6.4 Frequency of Prenatal Visits and Eat, Sleep, ConsoleHere
Overtreating BV in pregnancyEpisode 6.3 Rural vs Urban Obstetrics, Screening for BV, and Prophylactic SalpingectomyHere
Activity Restrictions after SurgeryEpisode 6.2 Surgical Restrictions, Probiotics for GBS, Stratafix and moreHere
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Avoiding Ancef in PCN allergyEpisode 6.1 Antidepressants in Pregnancy and Cephalosporins in Patients with Penicillin AllergyHere
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Postpartum pelvic restEpisode 5.13  Tori Bowie and Maternal MortalityHere
Hydration for preterm contractions and threatened laborEpisode 5.12 The ARRIVE Trial, Hydration, Partograms, and moreHere
Avoid SushiEpisode 5.11 Breech Delivery
Q trimester urine cx for sickle cellEpisode 5.10 Ten Things We Wish ER Docs Knew About OB/GYNHere
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Waiting to place IUDs after chorioamnionitisEpisode 5.9 Cookies, Virgin Birth, Forceps, and the History of HandwashingHere
Unnecessary prenatal labsEpisode 5.8 Medical and Surgical Management of Missed AbortionHere

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Baseline labs for CHTN/Hx of GHTNEpisode 5.7 In vitro fertilization (infertility Part 4)Here
Urology consult for cystotomy repairsEpisode 5.6 COVID Update, Cystotomies, Scope, and MoreHere
Metformin for PCOSEpisode 5.5 PCOS
Premedication for IUD placementsEpisode 5.4 Meds for IUD placement, some recent studies, and a poem!Here
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CA-125 for simple cystsEpisode 5.3 Eponyms! and some oncologyHere
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First trimester RhogamEpisode 5.2 Baby Season (a listener question) and RhoGAMHere
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Cutting caffeine to prevent fibrocystic changeEpisode 5.1 OB Emergencies Part 2Here
Cutting tight nuchal cordEpisode 4.13 OB Emergencies Part 1Here
Two layer closure at CesareanEpisode 4.12 Angle of Progression, Two Layer Closure, and DeliveranceHere
Undue haste with general at CDEpisode 4.11 Amnioinfusions, Stat Cesareans, Braxton-Hicks, and TikTokHere
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Iron replacement for non-anemicsEpisode 4.10 Iron in pregnancy, Sexism in OB/GYN, and the Postpartum visitHere
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Follow-up US for choroid plexus cyst and echogenic intracardiac focus Episode 4.9 Value Based Care Part 2: Vaginal Delivery (and some other stuff)Here
Telling pregnant women not to eat fishEpisode 4.8 Fish, Maternity Deserts, and Value Based Care Part 1Here
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Routine cord blood gasesEpisode 4.7 Gases, Marijuana, Sugar, Milking, and Other Things?Here
Self IUD string checkEpisode 4.6 The Queen’s Births and more
Fetal kick countsEpisode 4.5 Surgeon Outcome By Gender, Kick Counts, Vitamin D, and More
Routine ultrasound at 36-37 weeksEpisode 4:4 Fertility Part 3: Fertility Treatments
Sounding before placement of an IUD with a metal sound. Bonus: Using a tenaculum routinely when placing an IUD.Episode 4.3 Fertility Part 2: Basic Fertility EvaluationHere and here.
Using stress dose steroidsEpisode 4.2Here and here.
Checking a uric acid level or LDH level as part of the evaluation of HTN in pregnancy.Episode 4.1Here.
Routinely using IUPCs and FSEsEpisode 3.13Here, here, and here.
Checking a progesterone with prenatal labs.Episode 3.12Here.
Measuring fundal heights.Episode 3.11Several articles at episode page.
Scrubbing hands for 5 minutes before surgery. Episode 3.10Here and here.
Prescribing the minipill to breastfeeding women. Episode 3.9Several links at episode page.