It was a privilege to give grand rounds at Advocate Illinois Masonic Medical Center last week in Chicago. I presented “What’s New in #OBAnes “ I enjoyed catching up with friends and making new connections. Thank you for the invitation and the hospitality! #Ostheimer2025

Such an honor to give Grand Rounds at Brigham & Woman’s Hospital (MGB) this past week. Loved reconnecting with my #OBAnes friends and meeting new ones. Thanks for the invitation! #Ostheimer2025

The complete 2025 Gerard W. Ostheimer Lecture “What’s new in #OBAnes?” from #SOAPAM2025 as presented by @emilysharpe.bsky.social #ostheimer2025

Wearable technology may provide a digital biomarker for preterm delivery by screening for changes in nighttime maternal heart rate variability throughout pregnancy. #Ostheimer2025 #OBAnes #SOAPAM2025 journals.plos.org/plosone/arti...

🩺 AI-guided screening using a digital stethoscope doubled diagnosis of pregnancy-related cardiomyopathy vs usual obstetric care 🩺 Identified 🤰 who may have remained undiagnosed #SOAPAM2025 #OBAnes #Ostheimer2025 www.nature.com/articles/s41...

RCT compared first pass success of VL vs DL in neonates: ✅ Video laryngoscopy increases the success rate for first-attempt intubation. ✅ NRP should be updated to include recommendations for VL for intubation #Ostheimer2025 #OBAnes #SOAPAM2025 www.nejm.org/doi/full/10....

This model incorporating SSDOH variables performed as well as models including race, demonstrating that SSDOH can likely be used in other clinical algorithms in place of race or ethnicity. #SOAPAM2025 #Ostheimer2025 #OBAnes www.ajog.org/article/S000...

Ende et al successfully developed & validated a PPH prediction model that outperformed the CMQCC tool ✅ Model has potential for improving clinical care by providing accurate & timely risk assessments #SOAPAM2025 #Ostheimer2025 #OBAnes journals.lww.com/greenjournal...

Systematic review & individual pt data meta-analysis of >55,000 pts ✅ TXA reduces risk of life-threatening postpartum hemorrhage ✅ No increased risk of thrombosis ✅ Data do not support TXA to all to prevent PPH #Ostheimer2025 #OBAnes #SOAPAM2025 www.sciencedirect.com/science/arti...

Study compared residual gastric volumes in fasted vs ‘Sip Til Send’ with water liberal drinking protocol. ‘Sip Til Send’ was noninferior to fully fasting in in terms of the antral CSA. #SOAPAM2025 #Ostheimer2025 #OBAnes journals.lww.com/ejanaesthesi...

Observational study that evaluated incidence of patient-reported intraoperative pain: ✅ 12 percent of patients reported pain ✅ Mismatch between reported pain and supplemental analgesia administration #SOAPAM2025 #OBAnes #Ostheimer2025 www.sciencedirect.com/science/arti...

RCT methergonovine vs carboprost: ✅ No difference detected in uterine tone score 10 minutes after administration of methylergonovine maleate or carboprost tromethamine as second-line uterotonic #OBAnes #Ostheimer2025 #SOAPAM2025 journals.lww.com/greenjournal...

👉 People with twin pregnancy require a 10x higher loading dose of oxytocin than those with singleton pregnancies, 👉 Consider an initial 5 IU bolus at elective CD under neuraxial anesthesia. #Ostheimer2025 #SOAPAM2025 #OBAnes journals.lww.com/anesthesia-a...

🔵 Dose-finding study to determine ED90 of oxytocin infusion to maintain tone after an initial 1 IU oxytocin bolus 🔵 Maintenance infusion of 4.5 units/hour provides continued uterine tone in scheduled CD #SOAPAM2025 #Ostheimer2025 #OBAnes link.springer.com/article/10.1...

RCT of IV Calcium chloride vs placebo demonstrated: ✅ IV calcium was well tolerated ✅ may reduce blood loss during intrapartum cesarean delivery with uterine atony #SOAPAM2025 #OBAnes #Ostheimer2025 journals.lww.com/greenjournal...

🤰 This multidisciplinary consensus statement provides practical and concise clinical guidance to optimize pain management for pregnant people with OUD to improve maternal and perinatal outcomes #SOAPAM2025 #Ostheimer2025 #OBAnes journals.lww.com/anesthesia-a...

✅ Intrathecal catheters can provide excellent labor analgesia & CD anesthesia ✅ Significant drug errors may result in high-spinal ✅ Clear guidelines needed on the use of IT catheters #SOAPAM2025 #Ostheimer2025 #OBAnes associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

Ansari et al evaluated anesthetic management for postpartum tubal ligation ✅ Labor epidural catheter reactivation failure rates was 35% ✅De novo spinal anesthesia failed in 15% of PPTLs. #SOAPAM2025 #Ostheimer2025 #OBAnes www.obstetanesthesia.com/article/S095...

Can you perform DPE with 27g? ✅ DPE with a 27g spinal needle had higher incidence of sacral blockade than epidural within an hour after placement. ✅ Time to adequate analgesia did not differ #SOAPAM2025 #Ostheimer2025 #OBAnes www.obstetanesthesia.com/article/S095...

Labor #epidural analgesia was associated with a 35% reduction in severe maternal morbidity and particularly noticeable among women at increased risk @bmj_latest #SOAPAM2025 #Ostheimer2025 #OBAnes www.bmj.com/content/385/...

The NIH Pathways to Prevention panel on postpartum health provides a consensus statement on the evidence, research gaps, and future priorities to prevent maternal morbidity and mortality. #SOAPAM2025 #Ostheimer2025 #OBAnes pubmed.ncbi.nlm.nih.gov/38128099/

👉 Joseph et al conclude recent changes in maternal mortality surveillance, such as using pregnancy checkbox on death certificates, have led to an overestimation of maternal mortality in US #SOAPAM2025 #Ostheimer2025 #OBAnes www.ajog.org/article/S000...

‼️ Even when accounting for familial factors, women w/ perinatal depression were associated with an increased risk of death, particularly during the first year after diagnosis and because of suicide. #OBAnes #SOAPAM2025 #Ostheimer2025 @bmj_latest www.bmj.com/content/384/...

👉 The overall MMR declined but maternal suicides did not and are now leading cause of maternal mortality 👉 Need for surveillance & suicide prevention strategies entire 1st year postpartum @BJOGTweets #SOAPAM2025 #Ostheimer2025 #OBAnes obgyn.onlinelibrary.wiley.com/doi/10.1111/...

High neuraxial block in the Netherlands in @iarsjournals.bsky.social ✅ Incidence of high neuraxial block was low ✅ Spinal anesthesia after epidural analgesia in labor is a common cause of high neuraxial block. #SOAPAM2025 #OBAnes #Ostheimer2025 journals.lww.com/anesthesia-a...

NAP7 in #OBAnes: ✅ Hemorrhage single leading cause of periop cardiac arrest ✅ Cardiac arrest is recognized complication of spinal anes ✅ High block develop s/p spinal after failed epidural #SOAPAM2025 #Ostheimer2025 associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10....

I reviewed >6000 articles ➡️ 177 in syllabus & 32 in lecture. The major topics came together for me in themes: ✅ Maternal Morbidity & Mortality ✅ Labor analgesia ✅ Cesarean delivery ✅ Hemorrhage ✅ Maternal disparities ✅ Neonatal outcomes ✅ Innovation #Ostheimer2025 #SOAPAM2025

Thank you @stanfordaimlab for your support of the #Ostheimer2025 lecture. Download the app at Ostheimer.app for access to the entire syllabus. #SOAPAM2025

Time for the #Ostheimer2025 lecture. I will summarize a few relevant articles published in 2024 for #OBAnes Thank you to the SOAP board of directors for selecting me for this opportunity. #SOAPAM2025

Looking forward to a short break from the MN winter and the chance to attend my very first Academy of #Anesthesiology meeting! #ansky

We studied the accuracy & quality of #TikTok as a source of medical information on neuraxial labor analgesia We Found: 👉10 % of videos on labor epidurals contained inaccurate information 👉The overall quality of videos was low #OBAnes www.sciencedirect.com/science/arti...

And thank you to Dr. Ruth Landau, the editorial staff, and reviewers at IJOA for their hard work in the peer review of our manuscript. Science wouldn’t happen without people doing this often unrecognized work

We used a multivariate logistic regression to control for several variables and found that length of surgery, activation of epidural, hx of anxiety, and Black race were independently associated with PDCD.

In a previous study, we also found that length of surgery was associated with PDCD. We believe that this is a surrogate marker of surgical complexity that may be associated with more forceful manipulation of intra abdominal organs t.co/SnJuQ6Tnz4

Published in International Journal of OB Anes: Patient and clinical characteristics associated with pain during cesarean delivery (PDCD). We found that hx of anxiety, length of surgery, activation of epidural and Black race associated w/ PDCD #AnSky #OBGYNsky 🧵 sciencedirect.com/science/articl…

Congratulations to Dr. Jessica Litman on leading this study! She was an OB/GYN intern when this study was conducted and she tirelessly went to the bedside before, during, and after her shifts to collect this data.

And special thanks to @emilysharpe.bsky.social for her contributions as a co-author. She was instrumental in getting the manuscript across the finish line. I’m looking forward to her upcoming #Ostheimer lecture at #SOAPAM2025!

In preparation for my #Ostheimer2025 lecture, I have been actively tracking relevant #OBAnes literature for the past year. Every eTOC, email, news article, Twitter post, etc I was always searching… My favorite part of 2025 so far…. I can ignore everything new (for now). #SOAPAM2025

Ever wondered what an anesthesiologist is thinking or what on earth they do? Did a recent interview with Science News in the wake of the most recent insurance company silliness. www.sciencenews.org/article/time...

New study on #sexualharassment in #anesthesiology in @iarsjournals.bsky.social by AUA ➡️60%♀️&30%♂️report harassment ➡️75%♀️report verbal/nonverbal harassment ➡️87%♀️&8%♂️feel clinical ability doubted ➡️source likely anesthesiologists buff.ly/42iYxfd @mayahastie.bsky.social @alyssaburgart.bsky.social

Always fun to look back on the books I read/🎧 this past year. There were so many great books! A few of my favorites were The Women, James, Eleanor Oliphant is Completely Fine, Wellness, James & We Solve Murders. And so many more! What were your favorite books this year? What should I read in 2025?

Need to write a personal statement for residency or fellowship application? Check out this recent article on what NOT to write in your personal statement … meridian.allenpress.com/jgme/article...

Completely agree w/ this editorial. There is no “one size fits all” for labour epidural analgesia My practice: CSE: rapidly progressing multip DPE: majority of my epidurals EPI: when pt declines dural puncture @emilysharpe.bsky.social #AnSky #ObGynSky

The people who invented insulin sold their patent for $1 because they wanted it to be available to people. The lead researcher famously said, “Insulin does not belong to me, it belongs to the world.” Pharmaceutical companies ramped up the price anyway, to line their pockets. #MedSky

Published TODAY in BUMC Proceedings: Effect of intracervical block on pain w/ IUD insertion In our study, pts who had block had lower VAS scores (not statistically significant). Of 37 pts, only 3 (8%) pain worse/much worse than expected. 🧵 #AnSky #OBGYNsky www.tandfonline.com/doi/full/10....

As a person who lives deadline to deadline (and often over deadlines)… it felt great to submit a journal review one day early! Happy Thanksgiving y’all!

Check out our newest manuscript! We described the care of parturients 🤰🏽 w/ von Willebrand Disease who had ⬇️VWF activity but normal factor VIII activity and were treated w/ recombinant VWF #OBAnes #AnSky #MedSky @amarshallmd.bsky.social www.tandfonline.com/eprint/XAGHM...

There is nothing "elective" about intervening when someone is septic or bleeding to death or otherwise at risk of death and providing abortion care. This is appalling.

Writing a letter of reference for someone? Or (gasp) drafting for someone who’s writing for you? If you haven’t seen this graphic on avoiding gender bias, read it. Ref letters are broadly biased in both major and seemingly tiny ways. The bias is avoidable once you’re aware.

Apply for this #OBAnes IJOA journal fellowship. This is an amazing opportunity.