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

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

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:

This show is supported by:

Connect with Dr. Stu & Blyss:


Avsnitt(432)

#213: Trolling for Twins

#213: Trolling for Twins

Dr. Stu reviews The Twin Birth study and politely responds to some angry Facebook trolls using ACOG's own words and reason. Blyss jumps in with both feet to discuss chorionicity and add her midwife wisdom.

16 Juni 20211h 24min

#212: Full of Surprises!

#212: Full of Surprises!

Blyss and Dr. Stu discover they aren’t yet old dogs. The third stage of labor still has new tricks to teach us. Join in the conversation as we share tales of perplexing placentas and listener comments.

9 Juni 20211h 2min

#211: What Mammals Know and We Have Forgotten

#211: What Mammals Know and We Have Forgotten

The mammalian birth model is perfectly designed, and anything outside of that is an intervention. Today’s topic focuses on how the medical model disrupts the birthing process, when to allow nature to play its role, and when it might be time to step in.

2 Juni 20211h 7min

#210: Deliver Us From Eva with Eva Thies

#210: Deliver Us From Eva with Eva Thies

Hemophilia mom, Eve Thies, gets a "do over" as she recounts her two birth stories with Blyss & Dr. Stu.

26 Maj 202154min

#209: Professionally Responsible???

#209: Professionally Responsible???

Maybe academia just sees the world differently. More division and suspicion and the destruction of trust in the medical system as Dr. Stu once again deconstructs the ethics of the self-proclaimed ethicists. Blyss and Dr. Stu discuss another way to communicate. There is some good news, too!

19 Maj 20211h 9min

#208: Nature is smarter than the CEO of Moderna

#208: Nature is smarter than the CEO of Moderna

In today's show, Blyss and Dr. Stu continue the theme of questioning everything. From virtual funerals to airline face mask "law" to how to live healthily. After another beautiful primip home breech birth, Dr. Stu headed to Oregon to bring back pearls from the Healthy Immunity 2021 Conference.

12 Maj 20211h 7min

#207: Informed Consent Quandary

#207: Informed Consent Quandary

In this episode, Blyss and Dr. Stu are getting into the ethics of decision-making and informed consent. Between gray area guidelines, personal bias, and passed down dumb doctor dogma, this topic can be confusing. Today Dr. Stu and Blyss share their perspective on the foundational value of their practice.

5 Maj 20211h 4min

#206: The Long and Winding Road

#206: The Long and Winding Road

In this edition of the Birthing Instincts podcast, Blyss and Dr. Stu share their backstory. How did we end up here in Blyss’s kitchen? Dr. Stu’s Dumb Doctor Dogma segment shows the dogma is systemwide and an idyllic breech home birth in the canyon and a sweet letter of gratitude from breech parents remind us of the beauty and awe of birth.

28 Apr 20211h

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