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Empowered, knowledgeable, and engaging. Cara and Missi provide insightful, relevant conversations on midwifery topics that will enhance student knowledge and improve confidence for certification. Featuring current research and evidence based practice guidelines, the EngagED midwife podcast hopes to engage practicing midwives to enhance their robust knowledge base and elevate their clinical practice.
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Cara and Missi are joined for this episode by Dr. Sam Bleull to discuss the use of forceps or vacuum when needed for operative vaginal birth. While midwives may have expanded scope to use vacuum and/or forceps, they often rely on physician colleagues to step in and assist. Indications, contraindications, and sequelae are reviewed. #HelpFromBelow #C…
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In this episode, Missi and Cara talk about viral illness in pregnancy and how to protect against some of the most common and most harmful respiratory infections. Influenza, COVID, and RSV are reviewed in detail (with a small shoutout to pertussis, whoop whoop!), as these infections not only impact the pregnancy and pregnant person, but may have pro…
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For this episode, Cara and Missi are joined by Certified Nurse-Midwife Linda Johnson. Linda is an experienced clinician with over 30 years of practice--she not only shares key management decisions in the care of patients with amniotic fluid embolism, but also highlights the need for clinician preparation/practice for maternal collapse and debriefin…
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We're Beyond Basic: Expanding Midwifery Scope
48:22
48:22
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To kick off the 9th season of The EngagED Midwife, Missi and Cara describe the process that midwives can take to expand their practice beyond that of the beginning CNM/CM with core competencies for basic midwifery practice. They provide examples of expanded practice skills and review the educational preparation and maintenance of competency needed …
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In this episode, Cara and Missi review the implications of the 2018 ARRIVE study on patient outcomes and practice changes. They provide a midwifery-focused perspective on rapid application of research findings and how analysis of study design, analysis, and conclusions can help you to interpret the study outcomes. #arrive #induction #elective #expe…
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What's In a Name? Cervical Cancer Screening & Management Updates
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45:08
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In this episode, Cara and Missi discuss recent updates to cervical cancer screening and management of results. They give a brief history of cervical cancer screening, incidence and mortality for cervical cancer in the US, and recommendations for the frequency of screening. Then, they provide an update to screening abnormalities and how to individua…
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Itchy, Stinky, and Mo' (Discharge): Vaginitis Conundrums
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49:14
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In this episode, Cara and Missi review common vaginitis symptoms, evaluation, diagnosis, and treatment. They then dive deeper into complex presentations, recurrent infections, and treating mixed vaginitis. Vulvar and vaginal itching, irritation, discharge, and odor are a frequent reason for visits to a midwife or other GYN provider and this episode…
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In this episode, Cara and Missi dive into an overview of fibroids and adenomyosis. Both diagnoses can be associated with abnormal uterine bleeding, pelvic pain, and pelvic fullness. While definitive treatment is likely surgery, conservative management of these dignosis can be accomplished by the midwife or nurse practitioner. This episide will expl…
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In this episode, Cara and Missi continue a previous conversation on causes of jaundice. ABO and Rh incompatability are predominate causes of hyperbilirubinemia in newborns. This episode reviews the physiology of ABO and Rh and the care of women in the antepartum period as well the implications in care of the newborn. #ABO #Rh #Alloimmunization #jau…
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In this episode, Cara and Missi look into the evidence surrounding obesity and induction of labor. Obesity alone is a risk for primary cesarean section. Several recents studies will be discussed shedding light on how to effectively manage patients with obesity specifically in the context of induction of labor. This review will help midwives use the…
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In this episode, Cara and Missi introduce a topic that is important to gynecoloogy, sexual, and reproductive health--abortion. While abortion is known to be a hot topic that can spark strong opinions, the girls discuss the midwife scope of practice; highlight how midwives care for patients in options counseling, abortion care, and post-abortion car…
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In this episode, Cara and Missi discuss some of their favorite gifts for the midwife in your life—from the new graduate, to student, preceptor, partner, or bestie! They share ideas for making the call room comfy, for sporting your favorite advocacy, and for supporting their favorite makers and creators. This might just be one of their favorite epis…
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In the episode, Cara and Missi review the uses of progestins in both contraception and hormone replacement. Progesterone is an essential hormone in the menstrual cycle and synthetic progestin has a multitude of benefits as well as side effects. This conversation will help midwives make a decision on how to chose the right progestin for the right si…
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In this episode, Cara and Missi push rewind on the TERMPROM study. This study, originally published in 1996, has recently bee re-examined in a an interesting secondary analysis. This episode will highlight the new insights into the data to help midwives provide evidence based care for prelabor rupture of membranes in all settings. #PROM #PPROM #pre…
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In this episode, Cara and Missi shed light and love on how to give difficult news. It's never easy to deliver news of a diagnosis, a problem, or a complications to a patient and this conversation will help provide useful tools to students and practicing midwives. This episode explores several techniques for scripting these encounters, as well as gi…
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In this episode, Cara and Missi dissect the ACOG practice guideline on antepartum fetal surveillance. Knowing when to test, what tests to use, how often to test are all important factors in competent, holistic care of the pregnant person. This episode will break down the kinds of test like NST and BPP as well as what conditions require testing and …
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Intrapartum Interventions: Questions Answered
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In this episode, Cara and Missi respond to a listener query about rupture of membranes. This question got the girls thinking about all of the interventions that are done in the intrapartum and how those correlate with the pearls of midwifery. Tune in and listen to this robust conversation on everything from well timed amniotomy to position changes …
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In this episode, Cara and Missi take a deep dive into all things urinary track. Moving beyond just thinking about UTI, this conversation explores incontinence, pelvic floor therapy, and how to better manage your patients with urinary complaints.By Cara Busenhart and Missi Stec
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Clinical Update: All Things Breast and Mastitis
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In this episode, Cara and Missi are joined by Jenna Erickson, CNM, IBCLC for an important clinical update on the 2022 mastitis guidelines from the Institute for Breastfeeding Medicine. This episode is a must listen to learn to stop the ice, treat the inflammation, feed naturally, and get down to the real causes of mastitis. Jenna give us her IBCLC …
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In this episode, Cara and Missi break down some common conversations between providers and patients. Have you ever wondered how other providers talk to patients? Did you ever want to hear someone else's spiel? This episode will give the practicing midwife some tips and tricks on communicating with patients and things we should always be saying.…
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In this episode, Cara and Missi take a look at asthma in primary care and in pregnancy. More than 22 million people in the US are diagnosed with asthma and it accounts for 14.2 million office visits annually. Asthma management including pharmacologic treatments will be reviewed as well as treatment modalities in pregnancy.…
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In this episode, Cara and Missi help to explain the new (read 2011) criteria for defining labor progress based on the Zhang research. Moving past the 1954 research from Friedman, the new labor curve suggests that we maintain more flexible parameters for defining labor progress than can help to decrease c-section rate. This episode also discusses th…
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In this episode, Cara and Missi discuss identification and management of obstetrical causes the acute abdomen. This conversation specifically focuses on the emergent obstetrical causes of abdominal pain. Although midwives are not surgeons, good assessment and diagnostic skills are crucial to the timely identification and management of abdominal eme…
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In this episode, Cara and Missi aren't talking about academic courses. Listen up to hear everything you need to know about amenorrhea. Confused about the HPA axis? Hormones giving you the run around? Tune in to hear the girls talk about why periods haven't 'come down' and how to diagnose and treat. #amenorrhea #secondaryamenorrhea #whereismyperiod …
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In this episode, Cara and Missi outline the TORCH infections and considerations for the antepartum period and the newborn. TORCH can have serious implications during the neonatal period. Passing the TORCH will remind you about IgG and IgM, symptoms to look for, and risk factors that may contribute to infections. #TORCHinfections #cytomegalovirus #r…
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In this episode, Cara and Missi chat on fetal monitoring and implications for the intrapartum period. Catch Me reviews fetal monitoring categories, the difference between non-stress and contraction stress, as well as the guidelines for intermittent and continuous fetal monitoring. This episode is for anyone out there that dares to catch those Babis…
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In this episode, Cara and Missi offer amazing insight on the most stressful topic of all for students- EXAM PREP! Don't worry focuses on tips and tricks for students and offers revelations that the girls have had from teaching exam prep for 10+ years together. Students won't want to miss this hour long conversation about get ready, feeling confiden…
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In this episode, Cara and Missi get way out the midwifery comfort zone with a conversation postpartum patients that present with complications. Triage and the Postpartum Patient covers topics such as infection, postpartum pre-eclampsia, and bleeding just to name a few. Join in to ease your "uncomfortableness" with this complex topic. #postpartum #c…
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In this episode, Cara and Missi get intimate with a girl to girl conversation about all things sex. From understanding your body to the anatomy of the clitoris, you won't want to miss this real talk about how to get the most from your sexual experiences. Have a great sex life- amazing- join us to hear how to talk to your patients about how to impro…
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In this episode, Cara and Missi get serious about gestational diabetes. In this short review, the girls talk about screening and diagnosis and well as who needs early screening. Not to Sugar Coat it offers listeners a reminder tour while briefly discussing treatment and follow up. #diabetes #gestationaldiabetes #glucosechallenge #nutrition #medical…
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In this BONUS episode, Cara and Missi talk about what it's like for students at the ACNM annual meeting. This year's meeting will be in Orlando, FL May 5-8. Tune in to get all of the insider information about how to get ready to explore this valuable conference. #annualmeeting #workshops #exhbithall #businessmeeting #kittywinners #fellows #mentorin…
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It's a Growing, Hormonal, Emotional Kid- No It's Puberty
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25:53
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In this episode, Cara and Missi get serious about puberty. Join this important conversation about helping adolescent patients and their parents navigate changing bodies, volatile moods, contraception, and body issues.By Cara Busenhart and Missi Stec
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In this episode, Cara and Missi dive into care of the newborn in the immediate post-natal period. Every wonder what to say when describing screening tests, blood draws, and procedures? Listen in for some great tips on understanding those first 48 hours post-birth.By Cara Busenhart and Missi Stec
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In this episode, Cara and Missi explore the endocrine system and those primary care topics that can be hard to grasp. They review the top two issues that are seen in the care of women- diabetes and thyroid dysfunction. Join in for this conversation on diagnosis, management, and referral for these important disorders.…
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Feeling Hot Hot Hot: Menopause and All The Things
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In this episode, Cara and Missi dive deep into menopause and all it has to offer. From hot flashes, to menstrual abnormalities, and all thing in between, join the girls for this conversation about understanding physiology and symptomatology while gain insight on providing supportive pharmacologic and non pharmacologic treatments for midlife.…
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In this episode, Cara and Missi break down the many opinions of breast cancer screening including the big three- ACS, USPSTF, and ACOG. Join in to listen to this comprehensive conversation about screening, diagnosis, and consultation of breast complaints across the life span. In loving memory of Chelsea Rust.…
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In this episode, Cara and Missi get serious about how we communicate in our professional lives. Do you feel emotional ? Powerless? Do you hate difficult conversations? Tune in here the girls give all of their successful strategies for communicating effectively in all situations.By Cara Busenhart and Missi Stec
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In this episode, Cara and Missi review diagnosis and management of headaches. Wether you work in primary care or pregnancy, join this conversation and learn about types of headache, pharmacologic, and non-pharmacologic strategies for treatment.By Cara Busenhart and Missi Stec
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In this episode, Cara and Missi discuss the dynamic of precepting from the student and preceptor perspective. Precepting is one of the most important aspects of midwifery education and should be a value to both student and midwife. Listen in for tips and tricks to make the most of this important relationship.…
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In this episode, Cara and Missi compare and contrast active versus physiologic management of the third stage of labor. Using the evidence as a guide, this conversation will help nurses and providers alike find their own way to manage third stage and understand the risk factors that may prompt active management.…
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In this episode, Cara and Missi discuss the ins and outs of vaginitis. Most midwives can easily treat normal presentation of vaginitis using the CDC recommendations. In this overview, abnormal presentations and treatment for recurrent infections are reviewed and tips and tricks for clinical practice are discussed.…
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In this episode, Cara is joined by her twin sister Diana Bowman, who is a Critical Care Nurse Practitioner. Diana shares her expertise in caring for critically ill patients with us, while Cara highlights the importance of interprofessional collaborative care. Topics include sepsis, respiratory support, and resuscitation.…
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In this episode, Cara and Missi provide an overview of the physiology, diagnosis, and treatment of jaundice. As care providers for babies up to 28 days, it is imperative the midwives understand how to identify jaundice and provide anticipatory guidance to parents of newborns with hyperbilirubinemia. Join in and build your foundational knowledge of …
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In this episode, Cara and Missi step away from clinical conversations to talk about what it looks like to prioritize your life and get organized. The girls discuss how to micro-schedule, make effective lists, and establish priorities to help you live a more well rounded life.By Cara Busenhart and Missi Stec
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In this episode, Cara and Missi are joined by Dr. Teresa Ash for a conversation around interprofessional collaboration between APRNs and Pharmacists. Dr. Ash is a PharmD who is the Chief Operation Officer at Mercy Anderson in Cincinnati, OH. Her wealth of experience provides insight on how to utilize pharmacy in the care of patients. She offers up …
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In this quick update, Cara and Missi give all of the updates about what's coming from DeliverED Exam Prep. The girls are so excited to announce our their new products and updates to the existing programs to help ensure student success.By Cara Busenhart and Missi Stec
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In this episode, Cara and Missi discuss induction of labor. Everything from bishop score to pharmacology to mechanical ripening, the girls are here for all of it. We recognize that induction of labor is certainly facility dependent, but tune in to listen as the girls give the scoop on getting babies out.…
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In this episode, Cara and Missi are joined by Elizabeth Holbein, RN, IBCLC, for a discussion on breast feeding you won't want to miss. Elizabeth gives us awesome tips on how to help our patients be successful and how to manage those not so easy complications. Resources: Elizabeth's go to haakkaa https://a.co/d/cHuXMFg Breastfeeding network https://…
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In this episode, Cara and Missi discuss identification and management of the acute abdomen in pregnancy. This conversation specifically focuses on non-obstetrical causes of abdominal pain. Although midwives are not surgeons, good assessment and diagnostic skills are crucial to the timely identification and management of abdominal emergencies.…
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In this episode, Cara and Missi explore the concept of scope of practice for midwives in the US. Several factors affect scope including national standards, state boards, and individual facilities. As many states fight for full practice authority, understanding scope is of the utmost importance. Listen in for tips on advocacy, knowing the role, and …
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