Sitemap - 2025 - ObGyn Intelligence: The Evidence of Women’s Health
Labor Pain Relief Is Not a Binary Choice
A new Lancet publication shows over 20-times missing Apgar scores in US home births
Hyperemesis Gravidarum Is Not Morning Sickness
Tailored Prenatal Care from ACOG. A Promising Redesign at Risk of Becoming Rationed Care
The Mistakes That Keep Me Awake Every Day
When the Medical Record Becomes a Battleground
Prenatal Cannabis Use Is Not Neutral
When Genetic Screening Seems to Work and Ethics Still Fails
Dorothy Roberts and the Reproductive Truths Medicine Must Confront
The Next Frontier: How Two AI Studies Point Toward Predicting Obstetric Complications
Comprehensive Review of Sperm and Egg Donor Screening Results: Checklist and PROMPT
A Birth in a Stable: What the Nativity Teaches About Safety
Is Denmark Irresponsible For Not Recommending Hepatitis B Vaccines Routinely To Newborn Babies
The Placenta We Pretend Not to See
How to Build the Strongest Pregnancy Partnership
The Midwives were Right: Ignaz Semmelweis and the Midwives Who Already Knew
The Obstetric Intellect: Twins - Two Babies, One System And Twice the Complexity
Medicine Is Not the Enemy of Birth: Practicing Preventive Ethics Saves Women's and Babies' Lives
"abortion": When a Word Impedes Proper Medical Care
Knowledge or Kindness? What Patients Really Want
Oliver Sacks and the Intuition of Care
IVF Without Safety: The Ethical Catastrophe of Political Pronatalism
:We Don’t Live There” Is Not a Scientific Argument. It's Antiscience
COVID-19 Vaccination in Pregnancy in JAMA. What the Evidence Finally Settles
Syphilis in Pregnancy: A Preventable Tragedy We Keep Allowing to Happen
The Second Stage of Labor Is Not a Stopwatch
The Overlooked Crisis: Saving Mothers by Checking Blood Pressure After Birth
When Patient Autonomy Meets Obstetric Reality
A True Milestone Reached: 500 Subscribers
When Triage Fails: Why Labor and Delivery Must Treat Every Complaint as Real
Virginia Apgar and the First Minutes of Life
Henrietta Lacks and the Unseen Cost of Scientific Progress
To Those Who Were Denied the Future: The Women Involuntarily Sterilized by Power
Vaginal Progesterone, Revisited: What the New AJOG Meta-analysis Really Shows
Climate Change and Pregnancy: The Maternal Health Crisis We Keep Underestimating
Hannah Arendt, Natality, and the Moral Work of Modern Obstetrics
The Numbers Don’t Lie: Abortion Bans Are Killing Women and Babies
Positive HPV, Negative Pap: What Do We Do Next?
When Instruments or a Cesarean Become Necessary
Preventing Vaginal Tears During Birth
How We Monitor The Baby During Labor
Mobility and Positioning in Labor
Choosing a Birth Setting and Understanding Transfer
Pushing and Crowning Sensations In Second Stage of Labor
The Third Stage of Labor: What Happens After the Baby Is Born
The Stages of Labor Explained in Everyday Language
What Every Pregnant Woman Should Know Before a Vaginal Birth
Breathing for Two: Air Pollution, Pregnancy, and the Hidden Risks to the Developing Brain
Beyond “Just Talk to Them”: Why Communication Alone Won’t Solve Obstetric Litigation
When Autonomy Collides With Risk: What the Free Birth Movement Gets Wrong About Safety
The MAHA-Fueled Myth of “Natural Family Planning”
The Misleading Comfort of calling Labor “Physiologic”
Friction - “I’m on My Way”: When Absence Becomes an Institutional Risk
Cancer in Pregnancy: Balancing Two Patients, One Course of Care
When Ethics Refused to Wait: The AZT Trial and the Price of Doing Nothing
Stillbirth: The Tragedy We Pretend Is Unpreventable
When "Recommendations" Fail: Why We Need a New Playbook for Maternal Health
Fever in Pregnancy: Why the Cause Matters More Than Just the Number
When Lower Cesarean Rates Become a Story Instead of a Safety Question
America’s Hidden Shame: Rising Maternal and Infant Mortality
The MedMal Room - When Minutes Matter: The $200 Million Lesson in Fetal Monitoring and Team Response
Informed Consent for a Cesarean Delivery: What Every Pregnant Woman Should Know
The Gut-Brain Axis and Pregnancy
The Cancer That Pretends to Be Pregnant
The Year After Birth: What We Still Miss
Why ObGyn Needs an Obstetric AI Subspecialty to Protect Patients and Advance Care
When AI Listens Better Than We Do: More Empathy and Compassion
The MedMal Room: The Lump That Couldn’t Wait - A Case of Missed Breast Cancer in Pregnancy
Friction: The Cowgirl Obstetrician, High Volume, Low Patience, Zero Protocols
Why Pregnancy Needs Real Insurance, Not Fantasy Economics
When Removals Of Warnings Are Political Rather Than Scientific - And ACOG Applauds It
Pregnancy and the Hidden Ecosystem Within: Bacteria, Birth, and Beyond
When Night Becomes the Enemy: How Artificial Light May Shape Pregnancy Outcomes
The Case for Recording Birth: Cameras, Trust, and the Ethics of Remembering What Happened
When Maternity Wards Disappear: The Crisis of Rural Birth Care
The Life-Saving Risk: What Parents Deserve to Know About Corticosteroids in Preterm Pregnancy
Secondary Safety: How “Normal Birth” Ideology Endangered Britain’s Mothers
What’s Wrong with ACOG’s Public List of Indications for Labor Induction
When Discomfort Drives Dangerous Choices and Home Births
Stop Training Cancer Surgeons and Infertility Doctors to Deliver Babies
Creativity Keeps the Brain Young — And May Shape a Healthier Pregnancy
102 Things Journal Reviewers Do For Free
Key Essays from ObGyn Intelligence
A Series - Friction: When Medical Culture Resists Patient Safety. The Introduction
Doctor, are my nausea meds vegan?” Hyperemesis, ingredients, and informed choice
Beyond the Baby Blues: The Power of the Edinburgh Postnatal Depression Scale
Anxiety in Obstetrics: Seeing What We’ve Been Missing
The Evidence Room: The Mirage of the “Latent Labor” Curve
The MedMal Room: Ten MORE Preventable Tragedies in Labor and Delivery
Health Care’s Productivity Crisis—and How Artificial Intelligence Might Finally End It
The MedMal Room: Ten Preventable Cases on L&D with GAI
Pregnancy and Environmental Toxins: a practical, science-based guide for families
The MedMal Room: Yes, Many Brachial Plexus Injuries ARE Our Fault-And We’re Failing to Fix It
The Dangerous Myth of the Hero Obstetrician
The MedMal Room: Oxytocin and VBAC - When Induction Turns Catastrophic
Chaperones, Trust, and the Cost of Silence
The MedMal Room: Magnesium Sulfate - A Deadly But Effective Medication on Labor & Delivery
How Obstetric Anesthesia Became One of Medicine’s Safest Success Stories
The MedMal Room: When Born “Too Early” No Longer Means “No Chance”
The Wrong Scapegoat: Why Blaming AI Won’t Fix Medicine’s Accountability Crisis
Healing Begins with Understanding: Trauma-Informed Care and How AI Can Help
Can Artificial Intelligence Help During a Shoulder Dystocia Emergency?
When Doctors Decide What Patients Shouldn’t Hear: The Persistence of Patronizing Care in ObGyn
The MedMal Room: The Jury Is Watching - Why ACOG Guidelines Alone Won’t Save You
The MedMal Room: The Unmonitored Oxytocin Drip
The MedMal Room: The case of an Attempted Homebirth Gone Wrong
Heat, Pregnancy, and Timing: What Climate Change Is Teaching Us
The Invisible Invaders: Microplastics and the Pregnant Body
The Class They Didn’t Want Taught: Why ObGyn and MFM Doctors Need Prompt Engineering
Your Risk Is Not “1 in 384.” It’s a Story About You and Your Baby
Does Stress Cause a Miscarriage? Understanding Fear, Biology, and the Evidence
Too Hungry to Wait: What SNAP and WIC Cuts Mean for Pregnant Women
The Whisper Network: When Medicine Stops Listening
From Hippocrates to Artificial Intelligence: The Changing Face of Obstetrics in the New Time of A.I.
The Bread We Break: What Loaves Can Teach Us About Pregnancy Nutrition
Antibiotics in Pregnancy: Life-Saving When Needed, Harmful When Not
Forbidden Foods III: Spices and Strange Beliefs – Do Spicy Foods Cause Early Labor?
The Language of Consent: When “Same Language” Isn’t the Same Understanding
When the Door Stayed Closed: Leaving Germany, 1977
What OBs Don't Tell Pregnant Women About Labor & Delivery: A Guide to the Real Truth
When Ovulation Stops: Understanding Amenorrhea as the Body’s Survival Reflex
Sample Informed Consent For Labor Induction
The Safety Ledger: Why Labor & Delivery Needs Its Own Emergency Room
Obstetric Intelligence Calculators and Tools
The Evidence Room: How Safe Is Birth Control?
The Hidden Chemistry of Motherhood: Why Everyday Products Matter Before, During, and After Pregnancy
The IVF Illusion Political Theater in the Disguise of Compassion
The Most Human Delay: Why So Many Women Miss the Warning Signs of Preterm Labor
The Obstetric Intellect: When the Placenta Becomes Velcro
AI and the Next Transformation in Obstetrics
Einstein, Buddhism, and the Mindful Universe of Pregnancy
Teaching Patients Prompt Engineering: The Next Frontier in Health Literacy
The Evidence Room: What Your Baby Really Needs Isn’t in Drive-Thru Fast Food
Artificial Intelligence and Obstetric Practice: An Automation Framework
Calculating Your Due Date by Moon Phase: Myth vs. Medicine
What AI Can — and Cannot — Replace in Obstetrics
The Evidence Room: Depo-Provera, Meningiomas, and Professional Responsibility
The Real Danger Isn’t AI. It’s Us.
How to Best Get Pregnant: A Sex Ed for Adults
The Safety Ledger: Doctor, Nurse, and Keyboard Walk Into a Room…
Your Pregnancy Safety Plan: 10 Moves That Put You in Control
The Economics of Emotional Survival: Three Perspectives on Burnout and Hostility in Medicine
The Human Factor: Invisible Labor
Smarter Patients, Safer Care: How Generative A.I. Can Empower Every Conversation
The First Obstetric Misdiagnoses: Lessons From Historic Mistakes
The Forgotten Preconception Trimester
The Myth That Circumcision Causes Autism
Pregnancy Taboos, Part 2: Forbidden Foods
Your Doctor Saw Something on Your Ultrasound and What They’re Not Telling You.
The Evidence Room: “Total” Is Not What You Think
The Safety Ledger: Why Surgeons Should Never Scrub Out for a Phone Call
The Endless Sentence of Arrogance
The Human Factor: We Don’t Tell Patients the Real Numbers
The Due Date: The Most Important Number in Pregnancy
Pregnancy Taboos, Part 1: The Body Under Watch
The Responsibility Clause: Why Reporting Domestic Violence Saves Lives
The Prognosis: Quantum Physics Meets the Womb
The Prognosis: The Nobel That Explains How Pregnancy Works
The Safety Ledger: The Myth of "Natural Safety" in Pregnancy
The Evidence Room: Why Obstetrics Must Stop Asking Permission to Be Safe
The Obstetric Intellect: The Preconception Period - A Guide to the Real Truth
The Evidence Room: How Do I Know If I Produce Enough Milk For My Baby?
The Evidence Room: Racism Is Not an American Export
The Obstetric Intellect: Periodontal Disease in Pregnancy
Good Eggs, Bad Eggs: What Prospective Parents Need to Know
Why U.S. maternal mortality is so much worse than Europe’s
Fasting During Pregnancy: What to Tell a Patient Before Yom Kippur
Our Professional Obligation in Counseling About Acetaminophen and Autism
The Safety Ledger: The Night the Uterus Ruptured
The “Pro-Family” Party’s War on US Mothers
Is Acetaminophen Really Safe Enough in Pregnancy? What “Inconclusive” Really Means
When Risk is Tiny, But Policy is Loud: The Inconsistencies of Acetaminophen and Home Birth
The Obstetric Intellect: What Do We Really Mean by “AI” in Healthcare?
The Evidence Room: Food and Male Fertility: A Troubling New Link
Beyond the Myths: Real Science in Women’s Health - Does Medicine to Stop Labor Really Work?
Beyond the AI Hysteria: Why ObGyn Physicians Should Embrace Large Language Models
Who Really Needs IVF—and Who Doesn’t
The Scariest Moment of My Career? A Gun Pointed at me in the Delivery Room
Every Pregnant Woman Deserves Pregnancy Safety That Is Designed, Not Assumed
Screening Pregnant Patients for Cannabis: A Critical Look at ACOG’s Recommendations
Who Really Loses in the Ob-Gyn Shortage? Patients Without Access
Research Update - Circumcision in America: Tradition, Medicine, and Changing Trends
A Dangerous Oversimplification: Why ACOG’s Folic Acid Message Misses the Mark
The Hidden Architecture of Obstetrics
How Federal Policy Is Raising the Risk of Maternal and Perinatal Death in the United States
Can AI Provide Better Consultation Than Humans When There Is a Fetal Malformation?
Living Near Golf Courses: What the Science Shows and Why Pregnancy Deserves Special Attention
Beyond the Myths: Real Science in Women's Health - Episiotomy Prevents Severe Tears? Think Again.
Texas and the Doctor Shortage: An Ethical Crisis for Women and Medicine
Why Every Obstetrician Remembers Their First Shoulder Dystocia
Hyperemesis Gravidarum: When Morning Sickness Becomes Dangerous
Legal & Medical Disclaimer and Terms of Use @Obstetrical Intelligence Substack
Birth Defects: A Public Health Challenge and a Shared Opportunity for Prevention
When “Document and Re-Offer” Isn’t Enough: The Ethical Duty to Persist in Counseling
What 19th-Century Obstetricians Got Wrong That Still Affects Us Today
The Truth About Due Dates: Why 40 Weeks Is a Myth
A Night in Labor & Delivery: What the Public Never Sees
Why Ignoring Prompt Engineering is the Fatal Flaw in AI Education for Doctors
The Future of AI in Obstetrics: Between Wonder and Responsibility
Why Doctors Should Recommend: Professional Responsibility and Patient Autonomy
Coffee when TTC and in Pregnancy: How Much Is Really Safe?
Cesarean Delivery on Maternal Request: Autonomy or Risk?
Neutrality Is Not an Option: Why ACOG’s Approach to COVID-19 Vaccine Refusal Falls Short
Raw Milk, Pregnancy, and the Forgotten Lesson of Pasteur
Pregnant Women or Pregnant Patients, Not Pregnant People: Why Words Matter in Medicine
Why Ethics in Obstetrics Is Essential
Home Birth in the U.S.: What the Data Show—and How to Counsel Ethically
Informed Consent and Induction of Labor: What Every Pregnant Patient Should Know
Misoprostol for Cervical Ripening: Informed Consent Is Not Optional
New ACOG Guidelines on Cervical Ripening
Infertility and Heart Disease: A New Warning Sign for Women’s Health
Perspective on the FDA’s New Focus
Where to Start with LLM and AI? Read Nate's newsletters:
Should Your ObGyn Do a Cesarean Delivery Without a Medical Indication If You Request It?
100 Essential GAI Prompts Every Expectant Mother Should Know To Enhance Her Obstetric Intelligence
JAMA Study: Breastfeeding Linked to Improved Child Development
100 Essential GAI Prompts for ObGyn Professionals: Enhancing Clinical Practice and Patient Care
How Generative AI Can Be Your Pregnancy Partner To Enhance Obstetric Intelligence
Why ObGyns Must Embrace Generative AI to Enhance Obstetric Intelligence
How Perinatologists Can Best Use Generative AI To Enhance Obstetric Intelligence
Survival of Infants Born at/after 22 Weeks has Significantly Improved
How Can Maternal Mortality Be Prevented?
Obstetric Infections related to Brain Issues in Children at Age 10
Maternal health in the US can be improved and maternal mortality can be prevented
Obstetric Intelligence: An Unfiltered View from the Front Lines of Maternal Care