Shannon M. Clark, MD, FACOG

Us Medicaid kids are the real ones 🙌 #mywhy #mylife #medicaid #medicaidkid #firstgeneration #medschool #obgynresidency #mfmfellow #physician #surgeon #academic #professor

You know who you are! #obgyn #obstetricalcare #ob #obsetetrician #gynecologist

RECOMMENDATIONS ●Prevalence – Umbilical cord prolapse is a rare event potentially associated with serious fetal/neonatal complications. ●Risk factors – Risk factors for cord prolapse include (1) fetomaternal factors that lead to inadequate filling of the maternal pelvis by the fetus and (2) iatrogenic obstetric interventions, but many prolapses occur without antecedent risk factors. Fetal and maternal factors that have been associated with cord prolapse include: ●Malpresentation (breech, transverse, oblique, or unstable lie) ●Unengaged presenting part ●Polyhydramnios ●Preterm gestational age ●Low birth weight ●Second twin ●Low lying placentation ●Pelvic deformities ●Uterine malformations/tumors ●External fetal anomalies ●Multiparity ●Long umbilical cord ●Prolonged labor ●Atypical placental cord insertions (velamentous and marginal) Obstetric interventions are associated with those that may elevate the fetal head out of the pelvis and include: ●Iatrogenic rupture of membranes,especially with an unengaged presenting part ●Manual rotation of the fetal head ●Amnioinfusion ●External cephalic version ●Internal podalic version ●Application of forceps or vacuum ●Clinical presentation – The first sign of cord prolapse is usually severe, prolonged fetal bradycardia or moderate to severe variable decelerations or late decelerations after a previously normal tracing. The prolapse may be overt or nonovert (occult). ●Management – Standard obstetric management of cord prolapse is prompt cesarean birth to avoid fetal compromise or death from compression of the cord. ●Intrauterine resuscitation – Intrauterine resuscitation using maneuvers to elevate the presenting part (eg, manually, or placing the patient in a knee-chest position or deep Trendelenburg, or retrofilling the bladder with at least 500 mL of saline) and administering a tocolytic may reduce pressure on the cord while preparations are being made for delivery. ●Outcome – Reported perinatal mortality related to cord prolapse varies widely, from 0 to 3 percent for events occurring among patients monitored on a labor and delivery unit. Asphyxia and complications related to prematurity and congenital anomalies are the major causes of poor outcome. The degree of cord compression, the interval between cord prolapse and delivery, and successful use of intrauterine resuscitation maneuvers all impact the risk of asphyxia. #cordprolapse #umbilicalcordprolapse #birth #childbirth #laboranddelivery

Does this clear things up? What is else do you want to know? #cervix #cervicalexam #pregnancy #laboranddelivery #birth #childbirth

#emtala #obgyn #mfm #emergencyroom #emergencymedicine

OP @Beatanxiety.Me #trauma #traumaresponse #birth #childbirth #laboranddelivery

Test all the vitamins and supplements!! #naturemadevitamins #naturemadeprenatal #classactionlawsuits #prenatalvitamins

Replying to @Sydney Bedel #cervix #cervicalcheck #cervixexam

Watch this video! @Dr K Pregnancy Specialist [MD] @docrachel I would reconsider your video. #reproductivejustice #reproductiverights #miscarriage #embryo #prenatalultrasound #pregnantmom #obgyn #MaternalFetalMedicine #maternity #adrianasmith #greenscreen

#obgyn #mfm #laboranddelivery

OP @ Conversationswithcam From NIH: Hypoxic ischemic encephalopathy (HIE) is an umbrella term for a brain injury that happens before, during, or shortly after birth when oxygen or blood flow to the brain is reduced or stopped. While some children who experience HIE at birth may not have any long-term consequences, others can experience mild to severe disabilities or even death. The severity of HIE-related issues depends on many factors, including: •How long the brain is without oxygen or blood flow •How much of the brain is affected •How the individual’s brain repairs itself Encephalopathy, or a decrease in blood flow or oxygen to the brain, can affect many different organs, not just the brain. Individuals with HIE may have heart, lung, kidney, or liver problems. Immediately during or after the brain injury, the infant or child may have the following symptoms: Low heart rate Breathing problems Too much acid in body fluids (acidosis) Seizures or unusual movements Stained meconium (a newborn’s first stool) Low muscle tone Blue or very pale skin Low reflexes Individuals with HIE may be diagnosed with perinatal encephalopathy, perinatal asphyxia, neonatal encephalopathy, or birth asphyxia. Health problems that result from HIE typically occur in two stages: when the brain is initially deprived of oxygen and blood, and when normal blood flow returns and toxins are dispersed from the damaged cells (this is called reperfusion injury and usually occurs six to 48 hours after the initial trauma). Brain injuries from HIE can cause: Developmental delays Intellectual disabilities Epilepsy Cerebral palsy Heart problems or cardiac arrest The extent of the damage in HIE may not be understood for several months or years after the brain injury occurs. Sometimes, issues are not identified until the child begins attending school. #homebirth #shoulderdystocia #hie #hypoxicischemicencephalopothy #greenscreenvideo

#teamwork #obgyn #mfm #birth #childbirth #laboranddelivery #epidural #epiduralbirth #anesthesia #obanesthesia

There is no delayed umbilcal cord clamping conspiracy. All these folk want to get on social media to act like a medical professional without actually doing the work. Right @alexandrakisitu.phd? #birth #childbirth #delayedumbilicalcordclamping #greenscreenvideo

#headache #pregnancy #neurology #neurologist

@Crystal Ann I hope whatever commission you earn is worth it. Ritual, allowing accounts to do this to sell your product is deceptive and misleading advertising targeting a very vulnerable population of people trying to get pregnant. Targeting the infertility community is just dirty…plain dirty. #prenatal #prenatalvitamin #folicacid #greenscreenvideo #greenscreen

Replying to @TsaraTheQueen I’m staying… #obgyn #mfm #texas

It seems anyone can be an “expert” in pregnancy and childbirth on social media. Accounts want to claim this expertise without putting on the time and training to earn it, and, unfortunately, many people fall for it. It is important to know that CREDENTIALS MATTER! Expertise in pregnancy and childbirth care comes with clinical experience-this means they provide bedside care for pregnant individuals. This level of expertise that cannot be obtained by others despite what they self proclaim. Although individuals with a PhD can be called “doctor”, the key difference between an MD and a PhD is that an MD (Doctor of Medicine) is a professional degree focused on clinical practice, while a PhD (Doctor of Philosophy) is a research degree. MDs are medical doctors who diagnose and treat patients, while PhDs typically conduct research, often in academic or specialized industries. There are many MDs, like myself, who do clinical practice and research in an academic center. Check credentials! #obgyn #mfm #expert #pregnancy #pregnancycare #prenatalcare

My journey to motherhood was anything but typical. I fought many battles, and the scars are still there. In many ways, that journey changed me. I know there are many of you still waiting for your journey to have a happy ending. My heart is with you today because I know what this day feels like when you are still fighting battles ❤️ #ivf #infertility #ama #pregnancyloss #bedrest #pretermbirth #twins #cesarean #nicu #obgyn #mfm #eggdonor #donoregg #advancedmaternalage #over40

#stitch with @Diaz Travels the World Modern medicine is amazing. It affords us the ability to do incredible things for pregnancy care. A pregnant person on life/organ support is incredibly complex. Adrianna was not medical experiment—we have the capability to provide prolonged life/organ support. The issue is that doing so is not always the best for a patient and/or family. #adriannasmith