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Rounds 2021-2022 - Shared screen with speaker view
Sharon Dore
26:24
new SOGC IOL guideline is in progress but likely several months before publication
Catherines iPhone
31:52
Can someone copy & paste the link into the chat for us on their phone
Katy Bartlett Hatam
32:14
www.menti.com
Katy Bartlett Hatam
32:18
2556 0984
Pilar Chapman, R.M.
40:39
!!!!!!
Sharon Dore
40:48
Please don’t use term fetal distress - not defined and not recommended in FHS guideline
Pilar Chapman, R.M.
41:24
Cost analysis is really important — thanks for this perspective
Shasta Cividino
42:07
I believe that cost is the experience of visit and the product combined. Gels range from $54-75 dependent on dose. The average outpatient assessment from hospital cost perspective only is $345-400
Sharon Dore
42:15
Miso 25 available in oral gel capsule - extensively used in East Coast and Toronto cost about $1.00 pre capsule
MackenzieGrisdale
44:07
there is a very significant disconnect between perception among nursing toward early amniotomy and this evidence
MackenzieGrisdale
45:12
at least at some of the academic sites
Julie Pace
46:16
I agree, thus education and a shared understanding among all providers is key
Jon Barrett
47:45
Washout ! I don’t believe there is any good evidence. Who wants to do a RCT ?
Stephanie Winsor
49:19
Sometimes the reason in the book is " post dates" but there are other factors, especially in the high risk patients
defrance@mcmaster.ca
59:57
MUMC cesarean section rate is between 35-38% over the past 5 years
Jon Barrett
01:01:17
So many important points in these wonderful rounds . 1. There is available data on IOL rate - we cab get this from BORM in our SOMCHN Network - the data is there we just dont have a culture of getting it and knowing it - we must change this and networks have jut been funded to do this 2. We cannot extrapolate the Arrive Trial to IOL other Gestations 3. The Arrive trial is not the only data showing that planned IOL reduces section rate - dont be sacred about implementing data that does not fit your Bias or by making up issues such as “ generalizability “ - BUT that does not mean we have to implement - the increase in demand on L and D is real 4. We must do a RCT on washout !!! 5. A wonderful Quality project - ONLY induce Post dates if T + 10 . We have the post term creeps at &T + 4 with “ other risk factors “
Sharon Dore
01:01:26
New pt info sheet re Oxytocin just published - 5 questions to ask
Julie Pace
01:01:38
great presentation and overview. Thank you !
defrance@mcmaster.ca
01:04:14
We (at MUMC) track all our L&D data including section rates monthly … as a hand count so readily available.
Eman
01:04:19
Great jobSorry I missed the start not sure if this was already mentioned - ways to avoid IOL the importance of membrane sweeps, if patient wants to BF - encouraging expression or pumping starting at 36 weeks and dates! Three dates TID lol there is evidence for that
Pilar Chapman, R.M.
01:04:33
Question: 2019 Swedish study — we saw reduced stillbirth rates if IOL was before 42 weeks. However, choosing to rate to for SOL (spontaneous onset of labour ) in the 41 week whether it is 41+0 to 41 +6 is similar - correct? I want to make sure I understand
Jocelyn Wessels
01:06:33
In case anyone is interested Dr. Foster's student just published a systematic review on the quality of systematic reviews on IOL and found that the quality of studies in this area is not increasing over the last two decades. I think it's important to not only do research in this area, but do good (or better) quality research in this area. Here is the link to the paper: https://pubmed.ncbi.nlm.nih.gov/34495378/
Jon Barrett
01:09:05
Who were the residents that did the retrospective Review of washout ?
Sapna Sharma
01:09:23
Ashley Musci and Kate Pizzuto (I believe)
MackenzieGrisdale
01:09:23
I think it was prospective. Kate Pizzutto and Ashley Mucsi
Jon Barrett
01:09:45
Thank you :) are they here today?
Sarah McDonald
01:09:59
could you please put back up the amniotomy slide?
Pilar Chapman, R.M.
01:10:50
This was a very relevant presentation. Can you remind us how to obtain the recording if we want to go back and review?
Julie Pace
01:10:57
yes it does
MackenzieGrisdale
01:11:25
thanks
Jon Barrett
01:13:19
I was always taught that when use Pit you should ARM otherwise not affective - this is what this slide shows
Sapna Sharma
01:13:36
The presentation will be posted here
Sapna Sharma
01:13:37
https://obsgyn.mcmaster.ca/faculty-and-staff-resources/star-cv
Jon Barrett
01:17:10
100% agree with Sarah - BUT implementation will be a challenge with current staffing
MackenzieGrisdale
01:17:39
it is awkward as a patient to be asking for a well-researched induction via ARRIVE trial to witness the providers who don’t really want to do it. signed, me and Frankie
Jon Barrett
01:21:50
but that was post partum - noyt the same as getting the indictions in