The Obs Pod

Florence

I am an NHS obstetrician hoping to share some thoughts and experiences about my working life. Maybe you enjoy call the midwife, perhaps birth fascinates, or you are simply curious about what exactly an obstetrician is? You might be pregnant and preparing for birth right now. Perhaps you work in maternity care and want to know what makes your obstetric colleagues tick, or you want some fresh ideas and inspiration. Whichever of these is the case TheObsPod is for you. Each episode contains 'the zesty bit' the essence of what I hope you will take away from listening. I do hope you will subscribe and enjoy joining me. Find me on Twitter @FWmaternity & @TheObsPod & explore #MatExp matexp.org.uk to find out more about women and staff working together to improve maternity services. With thanks to Anna Geyer www.newpossibilities.co.uk for my beautiful artwork read less
Health & FitnessHealth & Fitness

Episodes

Episode 170 Weight Stigma in Pregnancy
May 10 2024
Episode 170 Weight Stigma in Pregnancy
Have you ever considered the impact of a simple medical term on a person's experience? Midwife Jenny Cunningham and Catriona Forbes of a research collective join us to unravel the complex issue of weight stigma in pregnancy.  Jenny shares her path from hands-on midwifery to academic research, while Catriona offers a personal narrative on the stigma she faced as an expectant mother, lending depth to our understanding of these early, often negative categorizations.Language has power, especially in healthcare, and this episode sheds light on the need for respectful terminology when discussing body weight during maternity care. We've replaced the word "obesity" with "higher weight" to foster a stigma-free environment. Catriona provides invaluable insights into the response from individuals with higher body weights, and together, we discuss the evolution of our research methodology to ensure it's inclusive, community-based, and sensitive to the needs of those it aims to serve. We also tackle the practicalities of prenatal care, such as folic acid dosages and the importance of creating a healthcare environment free from anticipatory anxiety.Lastly, we navigate the emotionally charged waters of maternity scans and medical conversations about body size. From the choice between induction and cesarean delivery to the importance of transparent and patient-centered communication, we underscore the crucial need for honesty and personalized care in addressing weight-related health risks. As we invite more voices to join our ongoing research, particularly from communities that are often unheard, we reaffirm our commitment to enhancing support for all expectant mothers through respectful dialogue and care.Want to know more?https://shameandmedicine.org/maternity-care-for-women-of-a-higher-weight-how-is-shame-experienced/Contact Jenny  by email k2030248@kingston.ac.uk or DM via twitter or Instagram. Twitter: @djennymidwife  Instagram: @phdjennymidwife   Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 169 Hyperemesis
Apr 25 2024
Episode 169 Hyperemesis
I am excited to bring you this episode on hyperemesis gravidarum. Joined by renowned experts Professor Catherine Nelson-Piercy, Dr. Melanie Nana, and Professor Catherine Williamson, we dissect the impact of this condition and the ground breaking RCOG guidelines that are transforming care for pregnant women. These leading figures pull back the curtain on shocking statistics like the 5% termination rate for wanted pregnancies due to severe nausea, emphasizing the urgency for healthcare providers to truly listen and validate the experiences of their patients.Navigating through a maze of myths and half-truths can be daunting for anyone dealing with hyperemesis gravidarum. This episode dismantles the misplaced faith in ginger remedies and sheds a revealing light on the ineffective use of ketones as a dehydration marker. We also engage in a crucial discourse on the controversial use of ondansetron, weighing the systematic review findings against the necessity for evidence-based treatment. Our guests don't just talk facts; they advocate for a compassionate approach to care, urging clinicians to tune in to their patients' needs and foster a supportive healing environment.Wrapping up this crucial conversation, we turn to the poignant, often hidden psychological repercussions of hyperemesis gravidarum. The episode shares heartening stories of how pre-pregnancy counselling and proactive treatments can dramatically improve women's pregnancy experiences. Furthermore, we delve into the potential that genetic studies on HG hold for future treatment avenues, as our guests offer a glimpse into the exciting possibilities on the horizon. This isn't just a discussion—it's a beacon of hope for standardized care and understanding for every woman braving the storm of hyperemesis gravidarum.Want to know more?https://www.rcog.org.uk/news/updated-rcog-green-top-guideline-on-the-management-of-nausea-and-vomiting-in-pregnancy-and-hyperemesis-gravidarum-published/https://uktis.org/monographs/use-of-ondansetron-in-pregnancy/https://www.medicinesinpregnancy.org/https://pubmed.ncbiThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 168 Ramadan, it's ok to ask
Mar 30 2024
Episode 168 Ramadan, it's ok to ask
Have you ever experienced a moment of cultural awakening, realizing that there's so much more to learn about the traditions of those around us? That's exactly what happened to me, Florence, after reading an enlightening tweet from the outstanding obstetrician Nisha Knot, which set me on a path to discover more about Ramadan and its effects on pregnancy. Join me on the OBSpod as I navigate my own journey of understanding, driven by the realization that many of the Muslim women we support in healthcare are observing this pillar of their faith. This episode is a heartfelt quest for knowledge, as I tackle the complexities of fasting during pregnancy without the guiding voice of an expert guest, but with the earnest desire to learn more and share that knowledge with you.As we ponder the impact of fasting on expecting mothers and how this practice varies across the globe due to differences in daylight hours, I turn to a pivotal article that serves as an evidence-based guideline for obstetricians. This episode isn't just about sharing what I've learned; it's an invitation to engage in a more inclusive and informed maternity care conversation. I hope that by openly discussing my own educational gaps and curiosities, we can all feel empowered to ask questions and seek answers together. So whether you're a healthcare professional, a pregnant woman observing Ramadan, or simply someone intrigued by the intersection of culture and care, this episode is for you. Let's grow our understanding and become better allies to the diverse communities we serve.Want to know more?https://www.ajog.org/article/S0002-9378(23)00169-2/abstracthttps://maternityandmidwifery.co.uk/fasting-in-ramadan-during-pregnancy-and-breastfeeding-a-personal-journey/https://youtu.be/E2AceO2j2ocThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 167 Consent
Mar 16 2024
Episode 167 Consent
This week follows directly on from Episode 166 Personalised care this time talking about the issue of consent. In this episode I reflect on the introduction of electronic consent in maternity care, scrutinizing its benefits and the unforeseen complexities it introduces. I discuss the  General Medical Council's 2020 guidance on consent, spotlighting the critical need for inclusive language and the eradication of personal bias.  I consider the need for antenatal education as a bedrock for preparing expectant mothers to navigate the decision-making labyrinth of labour, fostering an environment where every voice is heard and every choice is informed.Together, we're building a more empathetic, patient-centred maternity service. And don't forget, your suggestions drive our discussions forward; reach out via TheObsPod on Twitter, Instagram, or email to share your thoughts on future topics.Want to know more?https://www.gmc-uk.org/-/media/documents/gmc-guidance-for-doctors---decision-making-and-consent-english_pdf-84191055.pdfhttps://concentric.health/patients/Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 166 Personalised Care
Mar 2 2024
Episode 166 Personalised Care
As we navigate the intricate journey of childbirth, there is a  balance between a mother's autonomy and stringent clinical guidelines.  Step into the world of Personalised Care in maternity services, where my discussion sheds light on the emotional complexities of honouring the unique birth plans of expectant mothers. This episode is a clarion call for healthcare providers to listen deeply, advocate for informed consent, and partner with pregnant women to create empowering birth experiences that resonate with their individual wishes. Join us for an engaging exploration of the challenges and triumphs in the quest for Personalised Care. From the implementation of a cutting-edge maternity teaching module to the role of the Personalised Care Institute's e-learning, we uncover the ways in which professionals are striving to marry personalized care with the realities of clinical practice. As we close, I extend an invitation to contribute ideas for future discussions, and share the means to support the continuation of our enriching, conversation-led journey through the landscape of obstetrics.Want to know more?https://learn.personalisedcareinstitute.org.uk/https://learn.personalisedcareinstitute.org.uk/course/view.php?id=35https://www.england.nhs.uk/wp-content/uploads/2021/03/B0423-personalised-care-and-support-planning-guidance-for-lms.pdfThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 165 Oxytocin Use
Feb 17 2024
Episode 165 Oxytocin Use
Discover  the hormone oxytocin and its role in the birthing process  in the latest ObsPod episode. We unravel the dual nature of this potent hormone, once an unquestioned staple in Active Management of Labour.  Listen as we share an engaging conversation about its physiological impacts, the delicate balancing act required for its use in inducing labor, and the critical examination of its application in natural labor progression.We discuss use of oxytocin over time,  We tackle the tough questions about its contribution to caesarean birth rates and dissect the role that confirmation bias has played in obstetric intervention. With a focus on the value of one-to-one midwifery care and the potential consequences of oxytocin use, such as hyperstimulation and fetal distress, our discussion paints a comprehensive picture of the complexities involved in labor management. We take a  look at the risks associated with administering oxytocin during labor. Highlighting scenarios where its use is beneficial against those where caution is paramount, we stress the importance of respecting natural labor progression, discussing alternatives. I extend an invitation to our listeners to contribute to the conversation and support the ObsPod, remember that this episode isn't just about the clinical—it's about informed consent and empowering women to make the right choices for their births.Want to know more?https://obgyn.onlinelibrary.wiley.com/doi/10.1111/j.1471-0528.1996.tb09734.xhttps://www.cochrane.org/CD007123/PREG_the-effectuse-of-the-drug-oxytocin-as-a-treatment-for-slow-progress-in-labourhttps://www.nice.org.uk/guidance/ng235https://www.nice.org.uk/guidance/ng235/evidence/f-use-of-oxytocin-in-the-first-or-second-stage-of-labour-pdf-13186672963Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 164 Intermittent Auscultation
Feb 3 2024
Episode 164 Intermittent Auscultation
Join me & my guest Dr. Kirsten Small as we build on our previous joint episode 157 Fetal heart monitoring in labour. This time we discuss the world of intermittent auscultation, you'll be enlightened by the evolution from the hands-on Pinard stethoscope to the advanced Doppler device. Dr. Small shares her expertise on the intimate connection care providers once had with this practice and how it's changing in today's clinical settings. We also examine the remarkable methods midwives employ in various care environments to monitor fetal well-being, revealing the depth and diversity of approaches.Listen as we discuss cardiotocograph interpretation, the myths surrounding traditional CTG patterns and  upend long-held beliefs about fetal distress. We discuss the need to re-evaluate our understanding of decelerations. This episode promises to arm you with knowledge and provoke  reflection on the stories we've accepted without question.We compare intermittent auscultation and continuous electronic fetal monitoring. We lay out the importance of considering the full spectrum of fetal heart rate information, dissecting the biases that can sway clinical judgment. Dr. Small's insights offer clarity on the practical application of guidelines  required to ensure informed clinical decisions. This episode not only educates but also invites you to contribute to our ongoing conversation about the complexities of maternity care.Want to know more?https://birthsmalltalk.com/Kirsten has many fascinating blog posts to explore we touch on a couple of them here https://birthsmalltalk.com/2023/05/24/keeping-up-with-physiology-research/ https://birthsmalltalk.com/2022/01/12/whats-the-deal-with-early-decelerations-and-head-compression/She also runs online fetal monitoring courses for maternity professionals.https://birthsmalltalk.com/courses/Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 163 Overweight
Jan 20 2024
Episode 163 Overweight
Embark on a poignant exploration of a topic that's often cloaked in stigma yet crucial to maternal health: obesity and BMI during pregnancy. Join me, Florence, on the ObsPod, as we unravel the intertwined issues of weight management and prenatal care, delving into the NHS classifications that inform how expectant mothers with a BMI over 30 navigate their unique journey. This episode promises insightful discussions and a deeper understanding of the practical applications and limitations of BMI as a standard of health, particularly during such a life-changing period for women.This candid discussion also brings to light the specific hurdles and advancements that shape the experiences of overweight women in pregnancy, from ultrasound imaging difficulties to anesthesia considerations during childbirth. We'll reflect on the latest innovations, such as the TraxiDrape and Alexis retractors, which have significantly improved caesarean section outcomes for both mothers and healthcare professionals. Throughout our conversation, the emphasis remains on fostering empathetic communication, empowering women to feel informed and supported—a commitment that transcends the clinical environment and touches the heart of human connection.Want to know more?https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/care-of-women-with-obesity-in-pregnancy-green-top-guideline-no-72/https://www.nhs.uk/health-assessment-tools/calculate-your-body-mass-index/calculate-bmi-for-adults https://www.youtube.com/watch?v=3Xus_vsiZ5chttps://www.youtube.com/watch?v=dgN_0iffzzIThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 162 Alcohol and Pregnancy
Jan 6 2024
Episode 162 Alcohol and Pregnancy
Embark on a transformative journey through the complexities of alcohol use during pregnancy, as we unravel the myriad risks and the vital necessity of abstinence for expectant mothers. Grappling with the nebulousness of self-reported alcohol intake and the deceptive simplicity of a 'unit' of alcohol, we aim to demystify the misconceptions and bring to light the stark realities of alcohol-exposed pregnancies (AEP) and fetal alcohol syndrome disorder (FASD). With a staggering 400+ conditions linked to FASD, this episode is an essential listen for anyone invested in the future health of our children.Navigating this sensitive topic with the utmost care, we engage with healthcare professionals on the front lines who embody the 'A-S-S-T' framework — a compassionate, judgment-free approach to supporting pregnant women. Through vivid stories, expert insights, and poignant reflections, we invite our listeners to contribute to a crucial conversation that impacts lives profoundly. Want to know more?https://eschool.nationalfasd.org.uk/course/alcoholandpregnancyhttps://www.rcog.org.uk/media/buohxsmm/pi-alcohol-and-pregnancy.pdfhttps://alcoholchange.org.uk/help-and-support/managing-your-drinking/dry-januaryThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 161 Blood Transfusion
Dec 9 2023
Episode 161 Blood Transfusion
Are you already familiar with the life-saving role of blood transfusions in obstetrics? If not, get ready for an enlightening journey into this critical aspect of maternity care. This episode is packed with insights about the ins and outs of transfusions, from packed red cells to platelets, plus everything else a woman might need to replace following excessive bleeding during pregnancy or childbirth. We also introduce you to the role of a hematologist and a game-changing device called TEG. Pregnancy and childbirth can sometimes bring along unforeseen complications. Here, we delve into potential reactions during transfusions, the significance of monitoring and consent, and the intricacies of platelet transfusions. We also discuss the importance of knowing a woman's blood group and the use of O negative blood in emergencies. Wrapping up, we extend an invite to engage more with the topic and seek your support to keep the ObsPod alive and kicking. Tune in and immerse yourself in the world of obstetrics!Want to know more?https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/blood-transfusions-in-obstetrics-green-top-guideline-no-47/https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/23998/inf1580-1-receiving-a-blood-transfusion-print-friendly.pdfhttps://www.nhs.uk/conditions/blood-transfusion/https://epostersonline.com/oaa2022/poster/p9?view=trueWilling to donate blood in the uk?https://www.nhsbt.nhs.uk/Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 160 ICP & Me
Nov 25 2023
Episode 160 ICP & Me
Trigger warning this episode contains discussion of baby loss.What if you found yourself entangled in a challenging and rare pregnancy condition, not once but twice, with a heartbreaking ending? Unravel the personal narrative of Jenny Chambers, the founder and CEO of ICP Support, as she shares her painful journey through Intra-Hepatic Cholestasis of Pregnancy (ICP). From the agony of stillbirth, the challenges of conceiving again, to her unwavering commitment in raising awareness about this complex condition, Jenny's story shines a light on the importance of support, understanding, and research for families affected by ICP.We shift gears to shed light on the essential role of diagnosis and medical support, examining a mother's devastating account of losing two babies during pregnancy due to undiagnosed ICP. The narrative underscores the significance of self-advocacy during pregnancy and the critical need for increased awareness about potential complications. We then traverse the intricate journey of ICP research, treatment, and community support, bringing in insights from leading researchers and consultants who are pushing the boundaries in ICP treatment. We engage in a thought-provoking discussion on the impact of ICP on women's lives and the critical need for empathy and understanding from the medical community and society.In the final part of our episode, Jenny reflects on her tireless work in raising awareness about ICP, her experiences within the NHS, and her instrumental role in connecting women with research teams. This conversation unveils advances in ICP research, the uses and limitations of sodium oxycholic acid, and the potential of new medication under trial. Want to know more?https://www.icpsupport.org/index.html#gsc.tab=0Please contribute if you can to help this amazing charity keep going by  donating to their end of year fund raiser.https://bit.ly/FundingTheFutureICPSupport2023As we wrap up, we invite you, our listeners, to suggest future topics, extend your support, and join our endeavor to keep this podcast free and accessible to all. Your support makes a world of difference.Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 159 Sleep position in Pregnancy
Nov 11 2023
Episode 159 Sleep position in Pregnancy
Ever felt confused or guilty about your sleep position during pregnancy? Fear not, as I, Florence, an experienced NHS obstetrician, guide you through the maze of advice on this critical topic. Drawing from years of practice, continued learning and the latest research, I shed light on this topic, putting to rest unfounded fears and guilt. Together, we explore the NICE guidelines and dissect multiple research studies that have explored the impact of sleep position on stillbirth and fetal growth. My goal is to provide you with evidence-based knowledge, giving you the confidence and peace of mind you need during this special time.In addition, we dive into a fascinating MRI study that demonstrates how different sleep positions affect fetal oxygen saturation and placental blood flow. The importance of the position you aim to sleep in, not the one you wake up in, is highlighted. Want to know more:https://www.nice.org.uk/guidance/ng201/evidence/w-maternal-sleep-position-during-pregnancy-pdf-331305934396https://www.tommys.org/pregnancy-information/im-pregnant/sleep-side/sleep-side-research-behind-campaignhttps://www.tommys.org/pregnancy-information/im-pregnant/sleep-side/sleep-position-pregnancy-qahttps://physoc.onlinelibrary.wiley.com/doi/10.1113/JP284269As I continue my quest to make obstetric care more accessible, we discuss ways you can support TheObsPod and help keep this platform free for all. Hear about how you can contribute and get involved, suggesting topics for future episodes. So, join me on this journey, as we bridge the gap between medical professionals and expectant mothers, one podcast episode at a time.Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 158 Fertility
Oct 27 2023
Episode 158 Fertility
Today is a much awaited episode having been brewing for over three years since I started the podcast which seems apt given the subject. How does it feel to be pregnant after fertility treatment, what might be the issues maternity staff need to be aware of ? What maternity care do we need to provide to the increasing number of families in our care after assisted conception and a fertility journey. Join me in an episode ready for fertility week (30th Oct -4th Nov) hear my thoughts about pregnancy after fertility. This episode with special  thanks to Katie Eaves an inspirational midwifehttps://www.all4maternity.com/support-for-midwives-with-infertility-and-having-fertility-treatments/https://www.thefertilitypodcast.com/midwifeandinfertility/ Want to explore more?https://www.hfea.gov.uk/about-us/publications/research-and-data/fertility-treatment-2021-preliminary-trends-and-figures/#footnotes-ihttps://www.rcn.org.uk/Professional-Development/publications/transition-fertility-maternity-care-uk-pub-010-338https://www.hfea.gov.uk/about-us/our-blog/new-guidance-published-to-support-women-transitioning-from-fertility-to-maternity-care/https://www.thefertilitypodcast.com/Finally pregnant podcast https://open.spotify.com/show/148o2wODSIMyMFtsbZdodsThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 157 Monitoring the Fetus in Labour
Oct 13 2023
Episode 157 Monitoring the Fetus in Labour
How much trust are you placing on the CTG monitor as you welcome a new life into the world? Get ready to have your beliefs challenged as Dr. Kirsten Small and I dissect the language and implications surrounding fetal monitoring during labor. We dive beneath the surface to expose how CTG monitoring can become a source of moral panic, shifting the focus from the true essence of childbirth. Dr. Small, a critical voice in the field, and I navigate the complex world of CTG monitoring. We reveal how misleading language and beliefs can cloud our judgement about its effectiveness. Our conversation brings to light the dire need for a randomized controlled trial to evaluate physiology-based CTG interpretation conclusively. Together, we grapple with the challenge midwives and healthcare professionals face in reconciling evidence-based understanding with the stringent guidelines they are bound by. As our enlightening chat progresses, we unmask the complex nature of fetal monitoring during labor. From discussing Dr. Small's informative online courses to debating the implications of directly measuring oxygen levels in labor, we leave no stone unturned. We challenge the concept of central monitoring in labor, discussing its effectiveness and potential challenges. Whether you're a maternity professional, birth worker, or someone intrigued by fetal heart rate monitoring, this conversation offers insights and debates that will make you reconsider what you thought you knew. Tune in for a perspective-altering discussion that is sure to stimulate your thinking around fetal monitoring.You can find Kirsten & her courses here on her website https://birthsmalltalk.com/as well as on Instagram & Twitter @birthsmalltalkThank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 156 Hypnobirthing with Megan Rossiter Birth-Ed
Sep 23 2023
Episode 156 Hypnobirthing with Megan Rossiter Birth-Ed
Ever wondered how hypno-birthing can change your childbirth experience? Today's special guest, Megan Rossiter, will take you on a journey through the transformative power of hypno-birthing. Megan went from an initial skeptic to becoming an inspiring advocate and teacher in this field. Dive in as we explore how hypno-birthing techniques influence the subconscious mind, helping parents reframe their thoughts around childbirth and enhancing their connection with their bodies and babies.Our enlightening conversation doesn't stop there. Get insight into various relaxation techniques that keep expecting parents in the calm part of their nervous system during this momentous journey. Learning how to negotiate the maternity care system, ensure informed consent during labor, and manage conversations with professionals are also touched upon as we underscore the importance of starting early and maintaining a serene demeanor. Megan provides profound guidance on these areas, all essential tools for maximizing the best possible birthing outcomes.Finally, we delve into the empowering effects of hypno-birthing, fostering parents' trust in their instincts and informed decision-making abilities. Discover the immense power of language in childbirth and its profound impact on both mind and body. Megan emphasizes the role of midwives in quickly building a connection with expecting parents and highlights the importance of self-advocacy. If you're seeking to take control of your childbirth experience, this episode is a must-listen, packed with powerful tools, techniques, and insights that can revolutionize your journey into parenthood.Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 155 Antenatal Steroids
Sep 1 2023
Episode 155 Antenatal Steroids
What if the treatments we believe to be beneficial in Obstetrics aren't as helpful as we thought? Or worse, might they bring along hidden risks for mothers and babies? As your host, Florence, I invite you to journey with me as we explore the complex world of antenatal steroids, a commonly used intervention for preterm labor and planned cesarean births. This episode will not only shed light on the perceived positives, like improved baby outcomes, but also dissect the potential downsides, such as its impact on diabetic control for mothers. We'll also delve into emerging evidence that raises questions about the true scale of these benefits.Let's take a closer look at the long-term implications of administering antenatal steroids. Is it possible that even a single course of these steroids could lead to a higher chance of mental or behavioral disorders later in life for the baby? Or increase the risk of serious infections in their first year? Informed discussions between doctors and parents are crucial when it comes to this controversial topic. Drawing to a close, we'll talk about how you, our dedicated listeners, can support this podcast and ensure its accessibility to all, and how to propose topics for our future episodes. Prepare to have your perceptions challenged and your understanding deepened as we navigate the evolving realm of Obstetrics.Want to know morehttps://www.rcog.org.uk/media/karfqj1i/corticosteroids-in-pregnancy-patient-information-leaflet.pdfhttps://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.17027https://www.bmj.com/content/382/bmj-2023-075835Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 154 Pregnancy in Prison
Aug 11 2023
Episode 154 Pregnancy in Prison
There have been some disturbing stories in the media recently about outcomes for women and babies in prison. Here I explore some evidence and more importantly what is being done to try and improve the situation.Want to know more?https://www.tommys.org/about-us/news-views/pregnant-women-prison-greater-risk-pregnancy-complications-and-baby-losshttps://www.birthcompanions.org.uk/resources/5-birth-charter-for-women-in-prison-in-england-and-waleshttps://www.theguardian.com/society/2023/jul/28/serious-failings-contributed-to-babys-death-in-12-hour-lone-prison-birth#:~:text=Photograph%3A%20Martin%20Argles%2FThe,26%20September%202019.Article in Birthhttps://onlinelibrary-wiley-com.rcog.idm.oclc.org/doi/10.1111/birt.12692Article on mothers leaving care & interactions with criminal justice systemhttps://academic.oup.com/bjc/advance-article/doi/10.1093/bjc/azad028/7222129Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 153 Breast Cancer in Pregnancy
Aug 4 2023
Episode 153 Breast Cancer in Pregnancy
In this episode I am joined once again  by incredible obstetric physicians Professor Catherine Nelson-Piercy & Dr Melanie Nana. This time we are discussing breast cancer in pregnancy & some fantastic work they have been doing to standardise and improve care for women in this situation. We also discuss the fabulous charity Mummy's Star.Want to know more?https://www.mummysstar.org/Breast cancer infographichttps://www.mummysstar.org/_files/ugd/2dde0d_6790930c3e5a47ccb875a63683dfaa10.pdfYou can contact Cathy or Melanie on Twitter @nelson_piercy & @Melanie_Nana1 Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 152 Obstetric Medicine
Jul 28 2023
Episode 152 Obstetric Medicine
In this episode I am joined by incredible obstetric physicians Professor Catherine Nelson-Piercy & Dr Melanie Nana. We discuss what is an obstetric physician? How can we better work together in pregnancy to care for women with more complex medical issues? Plus learn all about maternal medicine networks. Want to know more?https://www.pslhub.org/learn/patient-safety-in-health-and-care/high-risk-areas/maternity/3-ps-in-a-pod-poster-identifying-red-flags-in-pregnant-women-r4568/https://www.obstetricmedic.org.uk/https://www.england.nhs.uk/publication/maternal-medicine-networks-service-specification/https://uktis.org/https://www.medicinesinpregnancy.org/You can contact Cathy or Melanie on Twitter @nelson_piercy & @Melanie_Nana1 Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...
Episode 151 Compassion
Jul 14 2023
Episode 151 Compassion
It's a tough time in the NHS at the moment. This week is a brief reflective episode on the importance of compassion not only for families under our care but for our selves and colleagues.Want to know more?Compassion for midwiveshttps://journals.plos.org/globalpublichealth/article/file?id=10.1371/journal.pgph.0002034&type=printableGMC training survey & RCOG workplace behaviour toolkithttps://www.gmc-uk.org/-/media/documents/national-training-survey-2023-initial-findings-report_pdf-101939815.pdfhttps://www.rcog.org.uk/careers-and-training/starting-your-og-career/workforce/improving-workplace-behaviours/workplace-behaviour-toolkit/https://www.rcog.org.uk/media/vwipz4bh/addressing-negative-behaviours-infographic.png?width=470&height=332Thank you all for listening, My name is Florence Wilcock I am an NHS doctor working as an obstetrician, specialising in the care of both mother and baby during pregnancy and birth. If you have enjoyed my podcast please do continue to subscribe, rate, review and recommend my podcast on your podcast provider.If you have found my ideas helpful whilst expecting your baby or working in maternity care please spread the word & help theobspod reach other parents or staff who may be interested in exploring all things pregnancy and birth. Keeping my podcast running without ads or sponsorship is important to me. I want to keep it free and accessible to all but it costs me a small amount each month to maintain and keep the episodes live, if you wish to contribute anything to support theobspod please head over to my buy me a coffee page https://bmc.link/theobspodV any donation very gratefully received however small. Its easy to explore my back catalogue of episodes here https://padlet.com/WhoseShoes/TheObsPod I have a wide range of topics that may help you make decisions for yourself and your baby during pregnancy as well as some more reflective episodes on life as a doctor. If you want to get in touch to suggest topics, I love to hear your thoughts and ideas. You can find out more about me on Twitter @FWmaternity & @TheObsPod as well as Instagram @TheObsPod and e...