The Woman Centered Health Podcast

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EP 61: Hormone Therapy with Dr. Stephanie Faubion Aug 25, 2022

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In this episode we interview Dr. Stephanie Faubion about hormone therapy for the treatment of menopause symptoms. We cover the new position statement released by NAMS about hormone therapy, what changed since the last position statement, how clinicians can frame conversations about hormone therapy, and where clinicians can learn more about providing hormone therapy. You can also still register for the NAMS Conference that is being held in Atlanta October 12-15, 2022. Interview Questions 1. Can you start by explaining to our listeners what is the North American Menopause Society or NAMS and what are the goals of NAMS? 2. What gaps do you feel exist in menopause and symptom management? 3. During our phone conversation, you shared that there is a movement from calling it hormone replacement therapy to just hormone therapy. Can you share more about this movement and why it is happening? 4. NAMS recently released a new position statement on hormone therapy, which we will be sure to include the link for on our webpage. Can you share with us what fueled the updated position and what changes were made from the 2017 position statement? 5. The position statement states, “Personalization with shared decision-making remains key, with periodic reevaluation to determine an individual woman’s benefit-risk profile.” Can you share with our listeners how they can frame or ask questions to personalize and create shared decision-making around hormone therapy? 6. In our clinical experience, we have found that some providers are reluctant to prescribe hormone therapy. Why do you feel that is the case and what advice do you for reluctant providers? 7. What communication tips do you have for clinicians so that patients do not feel like their symptoms of menopause are being dismissed or minimized. 8. We have a growing number of listeners who do not identify as clinicians; what would you like to share with these folks who may be considering hormone therapy to help manage symptoms of menopause? 9. Where can listeners go to learn more about NAMS and hormone therapy?

EP 60: Caring for Folks with Intersex Traits with Diana Love Jul 28, 2022

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In this episode, we interview Diana Love about providing clinical care for folks with intersex traits. We cover what are intersex traits, how folks with intersex traits have been historically cared for, how they should be cared for, and what you can do to make your practice more inclusive. Diana Love, RN (they/them/theirs) is a PhD student at the School of Nursing, UW-Madison. They have 18 years of experience as a public health nurse with a focus on sexual and reproductive health, racial equity, and LGBTQIA+ health justice. Their passion for this work grows from the experiences they've had in healthcare systems as both a provider and as a queer nonbinary patient; from both these perspectives, they recognize the million and one ways our healthcare systems are not designed to be person-centered. Diana is deeply committed to research that contributes to ending the practice of cosmetic genital surgery on infants and children with intersex traits, with the recognition that most healthcare providers are taught and adhere to binary systems of sex, gender, and sexuality. Those belief systems create harm for LGBTQIA+ people within healthcare, and Diana is dedicated to producing knowledge that expands healthcare providers and scientists’ views on binary sex, gender and sexuality. Diana firmly believes that healthcare providers need more stories of queer joy and liberation to break free from their negative assumptions about LGBTQIA+ people’s lives. Key takeaways see: http://womancenteredhealth.com/intersex_traits/ References: Boston Children’s Hospital: https://www.childrenshospital.org/ InterACT Advocates for Intersex Youth: https://interactadvocates.org/ Intersex Justice Project: https://www.intersexjusticeproject.org/ Main Questions Asked: 1. Can you start by explaining to our listeners what does it mean to be a person with intersex traits and how common this trait is in the population? 2. Historically, how have people with intersex traits been treated and cared for by clinicians? 3. When we think about our current healthcare system, what challenges do folks with intersex traits have when navigating the healthcare system? 4. How can surgeons or other providers discuss care for infants with intersex traits? 5. What communication tips do you have for clinicians who have patients with intersex traits? 6. What change can clinicians make to ensure their practice is more inclusive for folks with intersex traits? 7. We have a growing number of listeners who do not identify as clinicians, what would you like to share with people with intersex traits and other folks? 8. What is one thing you want all clinicians to know about folks with intersex traits? 9. Where can listeners go to learn more about providing care to patients with intersex traits?

EP 59: Neuro-inclusive Clinical Practice with Dr. Melissa Houser Jun 30, 2022

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In this episode we interview Dr. Melissa Houser about how to have a neuro-inclusive clinical practice. We also discuss neurodiversity, neurodivergence, what happens when we operate from a "default," and being diagnosed as neurodivergent later in life.

EP 58: Doula Care with Grace Swartzendruber May 26, 2022

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In this episode we interview Grace Swartzendruber, a full spectrum doula, about doula care. We cover what a doula is, what they do, why someone would hire a doula, the benefits of a doula, and how a doula can be a valuable member of the birth team. Interview Questions: 1. Can you start off by explaining to our listeners what is a doula, what types of training they go through, and what services they provide? 2. What are some of the reasons that a pregnant person might hire a doula? 3. What are some common misconceptions about doulas that you have heard, particularly from OB/Gyn clinicians? 4. We are all about evidence and I know there has been some research on the benefit of doulas in birth. Can you please share with our listeners the evidence surrounding the impact the doulas? 5. How can doulas be seen as part of member of the birth team? 6. We are also all about communication in this podcast so we want to ask two specific questions about communication related to doulas. First, how can provider appropriately respond to a patient who wants a doula. 7. Second, can you share some tips on how clinicians can improve their communication with a doula during the labor, delivery, and post-partum period? 8. We have a growing number of listeners who do not identify as In your opinion what makes a “good” doula? 9. What do you see as the future of doula services? 10. Where can our listeners go to learn more about doulas and even find one in their community?

EP 57: Microaggressions with Dr. Piri Ackerman-Barger Apr 28, 2022

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In this episode we interviewed Dr. Piri Ackerman-Barger about microaggressions in healthcare including what is a microaggression, how microaggressions differ from racism or stereotypes, common microaggressions in the healthcare setting, and how to deal with microaggressions.

EP 56: Health Literacy with Dr. Allison Saiz Mar 31, 2022

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In this episode we interview Dr. Allison Said, a Gynecologist Oncologist, about health literacy including how women's health literacy may differ from general health literacy, the impact of health literacy, and the clinicians role in health literacy.

CEUs from CEHQ with Dawn Ainger Mar 16, 2022

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In this episode we interview Dawn Ainger, CEO of Genova Technology, about her company and our partnership to offer CEUs to nurses for listening to the WCH podcast.

EP 55: Nursing Culture, Racism, and Maternal Outcomes with Dr. Rebecca Clark Feb 24, 2022

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In this episode we interview a researcher, Dr. Rebecca Clark, about nursing culture (at both the clinic/unit level and systems level), racism, and how nursing culture and racism impacts maternal outcomes.

EP 54: Count the Kicks with Megan Aucutt Jan 27, 2022

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In this episode we interview Megan Aucutt, the Director of Programs for Health Birth Day, Inc. and Count the Kicks, about a tool that clinicians can discuss with pregnant folks on tracking fetal movement.

EP 53: OB/GYN Care for Folks with Disabilities with Storm O’Brink Dec 30, 2021

Show notes

**Trigger Warning** This episodes discusses sensitive issues including medical violence and assault. In this episode we welcome back Storm O'Brink to discuss providing OB/GYN care for folks with disabilities. As a person with disabilities and a professional advocate, Storm discusses their perspective on the historical and current state of OB/GYN care for folks with disabilities, consent, and of course how to improve communication.

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