Shannon Clark, MD, FACOG

OP tima_frombrooklyn #dna #greenscreen #microchimerism #pregnant #pregnancy

#stitch with @ melxzen01 YOU ALL ARE AMAZING BEINGS! ALWAYS REMEMBER THAT! #pregnancy #pregnant #birth #childbirth #laboranddelivery #twins #twindelivery #mylife #storytime #storytimevideos

OP @Talissa💛 #birth #childbirth #pregnant #laboranddelivery #pregnancy #episiotomy #episiotomyscar

The case that haunts me 💔 #obgyn #mfm #ipv #dv #maternalmortality PMID: 34619735 Homicide During Pregnancy and the Postpartum Period in the United States, 2018–2019: Homicide is a leading cause of death during pregnancy and the postpartum period in the United States. Pregnancy and the postpartum period are times of elevated risk for homicide among all females of reproductive age. Homicide and other violent causes are, by definition, not counted in estimates of maternal mortality, which fails to capture the totality of preventable death occurring among girls and women who are pregnant or in the postpartum period. Not only does the perinatal period appear to increase likelihood of experiencing violence, but a study on trauma victims in Pennsylvania found that injuries inflicted on pregnant females are more likely to be fatal. The consistency of these findings implicates health and social system failures. Although there have been longstanding recommendations for universal IPV screening during prenatal care visits, implementation has been inadequate at best and stigmatizing at worst. Moreover, lack of universal procedures for responding to positive screens in effective and nonpunitive ways means that opportunities for intervention are missed. A majority of pregnancy-associated homicides occurred in the home, implicating the likelihood of involvement by persons known to the victim. We were able to directly evaluate the role of firearms and found that nearly 7 of 10 incidents involved a firearm. This prevalence surpasses previously reported estimates—likely a reflection of the broader national increase in gun-related homicide occurring over the past decade—and reaffirms firearms as the most common means of perpetrating pregnancy-associated homicide.

#teenpregnancy #sepsis #septicshock #obgyn #mfm #maternalmortality #periviable

#stitch with @thegodnasr did your baby have caput or a conehead?! #birth #childbirth #laboranddelivery #caput #pregnancy #conehead

Share your residency training stories 🥴 #obgyn #obgynresidency #obgynresident #medicalschool #medschool #obgynlife #residency #

Go to my “cesarean TOLAC VBAC” highlight for more info ! #placentaprevia #placentaaccreta #pasd #placentasccretaspectrumdisorder #cesarean #cesareansection #cesareandelivery

#womeninmaledominatingfields #womeninmalefields

#stitch with @Itsmelisi369 #obgyn #mfm #laborandelivery #cesarean #cesareansection #cesareandelivery

PLEASE SHARE TO REPLACE THEIR SENSATIONALIZED CONTENT WITH ACCURATE INFO FROM SOMEONE WHO KNOWS! Evie Magazine has NO BUSINESS “educating” on this topic. They have NO IDEA what is clinically happening in states with AB bans/restrictions. They are minimizing the lives lost as a DIRECT RESULT of these bans/restrictions with their sensationalized posts and have no interest in making this country a safer place to be pregnant and give birth. WHO: Abortion care encompasses care related to miscarriage (spontaneous abortion and missed abortion), induced abortion (the deliberate interruption of an ongoing pregnancy by medical or surgical means), incomplete abortion as well as fetal death (intrauterine fetal demise). *These are all intrauterine pregnancies. CDC: For the purpose of surveillance, a legal induced abortion is defined as an intervention performed by a licensed clinician within the limits of state regulations, that is intended to terminate a suspected or known ongoing INTRAUTERINE pregnancy and that does not result in a live birth. Most states and reporting areas that collect abortion data report if an abortion was medical or surgical. Medical abortions are legal procedures that use medications instead of surgery. Ectopic pregnancy is not included in abortion statistics. ACGME: The Accreditation Council for Graduate Medical Education is the body responsible for accrediting all graduate medical training programs for physicians in the United States, including OBGYN residents. They must log cases of management of ectopic pregnancy and abortion. Resident Case Log experience with abortions may include a range of surgical or medical UTERINE evacuation techniques. This experience can include uterine aspirations, medical abortions, incomplete abortions, missed abortions, therapeutic abortions, and elective abortions. ECTOPIC PREGNANCY MANAGEMENT IS NOT INCLUDED UNDER ABORTION CASES; they are logged as laparotomy or laparoscopy procedures. Many factors influence or necessitate a person’s decision to have an induced abortion. Contraceptive failure, barriers to contraceptive use and access, pregnancy/parenting is not desired, rape, incest, intimate partner violence, fetal anomalies, illness during pregnancy, and exposure to teratogenic medications. Pregnancy complications, including placental abruption, bleeding from placenta previa, preeclampsia or eclampsia, and cardiac or renal conditions, may be so severe that induced abortion is the only measure to preserve an individual’s health or save their life. #facts #evidencebasedmedicine #greenscreen

#stitch with @doc_and_doula @Dr.BillChun This type of post literally burns me up! There are so many things in pregnancy that we have no control over, but we can definitely have control over recommending AGAINST unnecessary alchohol intake in pregnancy. Its not worth the risk to the fetus to be “the cool doc”. From @fasdunited: As defined by U.S. federal agencies, researchers, and other experts at the 2004 Fetal Alcohol Spectrum Disorders Terminology Summit sponsored by FASD United (then the National Organization on Fetal Alcohol Syndrome – NOFAS), “Fetal alcohol spectrum disorders (FASD) is an umbrella term describing the range of effects that can occur in an individual whose mother drank alcohol during pregnancy. These effects may include physical, mental, behavioral, and/or learning disabilities with lifelong implications. The term FASD is not intended for use as a clinical diagnosis.” Please note: In order to use less stigmatizing language a revised definition of FASD is now in use. The phrase “in an individual whose mother drank alcohol during pregnancy” has been replaced with “in an individual prenatally exposed to alcohol.” Accordingly, the current definition is: “Fetal alcohol spectrum disorders (FASD) is an umbrella term describing the range of effects that can occur in an individual prenatally exposed to alcohol. These effects may include physical, mental, behavioral, and/or learning disabilities with lifelong implications. The term FASD is not intended for use as a clinical diagnosis.” #fas #fetalalchoholsyndrome #fetalalcoholspectrumdisorder #pregnancy #pregnant #obgyn #mfm

#stitch with @alayna_riggs per ACOG: induction at 39 weeks may be conditional upon the values and preferences of the pregnant person, the resources available (including personnel), and the setting in which the intervention will be implemented. A collaborative discussion with shared-decision making should take place with the pregnant person. Additionally, as induction of labor involves coordination between the health care provider and the infrastructure in which induction and delivery will occur, it is critical that personnel and facilities coordinate polices related to the offering of elective induction of labor. #induction #inductionoflabor #39weeks #laboranddelivery #birth #childbirth #pregnant #pregnancy

I delivered her babies & stayed the rest of the night. As an #obgyn & #mfm, I’m there for the sad times, too 💔 #pregnancyloss #twins #pretermbirth

What L&D like where you work? #laboranddelivery

Most ectopic pregnancies occur in early pregnancy and often present to Emergency Depts where AB bans/restrictions are superceding EMTALA. This affects management of ectopic pregnancy care. In some states methotrexate, a drug used to treat ectopic pregnancy, is labeled as an “abortion-inducing drug” and has restricted use. ACOG: Patients with an ectopic pregnancy must have timely access to all treatment options. •An untreated ectopic pregnancy is life threatening; withholding or delaying treatment can lead to death. •Laws limiting, restricting, or directing treatment of ectopic pregnancy are dangerous and unethical. Abortion bans threaten to impede ectopic pregnancy treatment. For example ... •Legislation that bans abortion care for those with an ectopic pregnancy or mandates how clinicians treat ectopic pregnancies does not reflect the clinical reality of ectopic pregnancy management and could result in delays or even denials of care. •Abortion bans—even those with exceptions for ectopic pregnancy—can generate confusion for patients and health care professionals and can result in delays to treatment. Health care professionals should never have to navigate vague legal or statutory language to determine whether the law allows them to exercise their professional judgment and provide evidence-based care. •Any application of an abortion ban that affects those in need of treatment for ectopic pregnancy is inappropriate and will certainly cost lives.#greenscreenvideo #greenscreen #obgyn #mfm #abortion #abortionisessentialhealthcare

#obgyn #mfm #highriskpregnancy

#obgyn #mfm #surgeon #oncall #backupcall #academicmedicine #professor #highriskpregnancyspecialist

#stitch with @Doctor Michael I wish I never had bad days as a doc, but I do. In my field the highs are high and the lows are very very low… #obgyn #mfm #myworstday

#inmate #conception #incarcerated #greenscreen