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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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Send us a text In episode, Cara and Missi take us on a tour around the body to see what the effects of chronic stress can be on health. From identifying types of stress, reviewing risk factors, listing signs and symptoms, and explaining long-term effects, they break it down to explain how chronic stress leads to abnormally high cortisol levels and …
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Send us a text What's it like to work with midwives when you never have before? What's it like to be a new midwife in a facility that has never had one? In this episode, Missi and Cara share some advice for nurses and midwives that encounter change in their work environment. Pulling from their own experiences and many years of practice, Cara and Mi…
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Picking the Right Tool from the Toolbox: Weight Management and Obesity in Women's Health
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Send us a text Missi and Cara get real in this episode, with both sharing personal stories about weight loss, taking control of their health, and the medical implications of being overweight or obese. They share guidelines for the medical management of weight, such as lifestyle changes, support/counseling, and use of surgical or medication techniqu…
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Send us a text In this episode, Missi and Cara are discussing birth injuries--what is common? what is rare? what are the risk factors? While we can't always anticipate which babies might have birth injuries, we can use good assessment skills, identify birth injuries, and arrange for appropriate follow up. This episode will also dive a bit into risk…
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Training up the Next Generation: Teaching Roles for Midwives in Medical Education
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Send us a text In this episode, Cara and Missi talk with Dr. Christy Evers, a midwifery educator that is experienced in working with OB/GYN residents in a large community-based hospital. Christy and Missi compare and contrast the various teaching roles that they've had in working with medical students and residents. From learning the language of ac…
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More than Just the Blues: How to Identify, Evaluate, and Manage Perinatal Mood and Anxiety Disorders
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Send us a text **Trigger: This episode covers mental health disorders and discussion of suicide.* In this episode, Missi and Cara discuss perinatal mental health, including mood and anxiety disorders. These PMADs include OCD, posttraumatic stress disorder, and bipolar disease. Cara and Missi share screening recommendations, signs and symptoms, risk…
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No GOMERs Here: Rolling Out the Midwifery Welcome Mat for Triage
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Send us a text In this episode, Cara and Missi are joined by Dr. Krsyta Ramirez Henry, a Certified Nurse-Midwife that works in a recently developed OB emergency department at a high-volume community hospital. Krysta and Missi compare and contrast the various triage presentations, protocols, and interprofessional communication that takes place in a …
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Cut it Out (but, actually, DON'T): Perineal Integrity, Obstetric Lacerations, and Episiotomy
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Send us a text This episode has Cara and Missi reminiscing about the old days of learning, in which episiotomies were more common...unfortunately! Thankful for changes in practice and a focus on improving patient outcomes and satisfaction, Missi and Cara discuss types of obstetric lacerations, the history and types of episiotomies, repair technique…
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Send us a text In this episode, Missi and Cara review one of a midwife's least favorite things to encounter in labor and birth--shoulder dystocia. They will provide helpful information on assessing risk, identification, management, and liability reduction when you encounter this obstetric emergency. #ShoulderDystocia #HELPERR #ALSO #MidwifeLife #Be…
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We Belong To Each Other: Benefits and Best Practices for Group Prenatal Care
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Send us a text In this episode, Cara and Missi discuss the benefits of group prenatal care, as well as some history, logistics of running a program, and who may benefit the most from this type of care. They are joined by Jessica Shattuck, CNM, a group care midwife, to learn more about this experience from the provider's point of view. #group #prena…
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Pregnancy Gamechangers: Tests Every Midwife Should Know About
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Send us a text In this episode, Missi calls an audible and forces Cara to scramble because there are new things on the playing field! Our hosts share information about a couple of new tests available during pregnancy care to identify risk for hemolytic disease (related to Rh incompatibility) and development/progression of preeclampsia. By using the…
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Personal Detour: Breast Cancer Screening Revisited
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Send us a text For this episode, Cara and Missi take a little detour into personal territory while also reviewing new breast cancer screening guidelines from the United States Preventive Services Task Force. They discuss the emotional toll of abnormal screening results and share insight into patient-centered, holistic care of patients undergoing sc…
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Send us a text In this episode, Cara and Missi discuss nutrition and vitamin supplements during pregnancy. They cover what is important in a prenatal vitamin, vitamin excess, supplements to avoid, and disciss ways to get the nutrition that pregnant people and fetuses need--whether lactose-intolerant, vegan, or those with other dietary restrictions.…
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Send us a text 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. #H…
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Send us a text 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, b…
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Send us a text 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 collaps…
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We're Beyond Basic: Expanding Midwifery Scope
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Send us a text 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 com…
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Send us a text 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 …
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What's In a Name? Cervical Cancer Screening & Management Updates
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Send us a text 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 h…
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Itchy, Stinky, and Mo' (Discharge): Vaginitis Conundrums
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Send us a text 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 a…
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Send us a text 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 ep…
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Send us a text 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 #Alloim…
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Send us a text 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 m…
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Send us a text 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 po…
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Send us a text 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 thei…
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Send us a text 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 f…
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Send us a text 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. #P…
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Send us a text 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…
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Send us a text 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 requi…
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Intrapartum Interventions: Questions Answered
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Send us a text 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 po…
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Send us a text 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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Send us a text 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 giv…
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Send us a text 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…
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Send us a text 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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Send us a text 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 al…
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Send us a text 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 o…
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Send us a text 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 #w…
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Send us a text 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 #cyt…
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Send us a text 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 ca…
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Send us a text 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, f…
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Send us a text 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.…
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Send us a text 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 abo…
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Send us a text 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 #nut…
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Send us a text 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 #fe…
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It's a Growing, Hormonal, Emotional Kid- No It's Puberty
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Send us a text 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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Send us a text 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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Send us a text 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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Send us a text 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 …
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Send us a text 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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Send us a text 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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