Archive - Obstetric Intelligence

When the Strip Speaks in Two Languages: Why Generative AI Can Finally Help Us Read Fetal Monitoring Correctly

Obstetricians focus on the fetal heart rate. AI can restore what we have been missing all along: the uterus.

10 hrs ago • Amos Grünebaum, MD

The 18-Minute Myth: Why “Safe” Decision-to-Delivery Times Aren’t Safe Enough-It's Not All Relative

The literature suggests 18 minutes is the delivery threshold for avoiding severe acidemia. The literature is wrong, every minute you shave off your…

Jan 3 • Amos Grünebaum, MD

The Impossible Conversation: How AI Can Finally Deliver What Pregnant Women Deserve Before Vaginal Birth

How a 19-item consensus list shows the gap between what women deserve and what the system actually delivers. And why "Cesarean" is missing.

Jan 2 • Amos Grünebaum, MD

Obstetric-Related Emergency Medical Treatment and Labor Act (EMTALA) Violations and No Health Exception Bans

A study by Woskie et al, published in JAMA Health Forum shows how EMTALA laws are broken more often in states with Abortion bans.

Jan 1 • Amos Grünebaum, MD

January 1, Circumcision, and the Ethics of a Small Cut With Big Meaning

A medical procedure, a religious covenant, and a decision that still challenges families today

Jan 1 • Amos Grünebaum, MD

December 2025

Labor Pain Relief Is Not a Binary Choice

What AJOG’s Expert Review by Bateman and Carvalho actually says about epidurals, alternatives, and honesty

Dec 31, 2025 • Amos Grünebaum, MD

A new Lancet publication shows over 20-times missing Apgar scores in US home births

Evidence before this study

Dec 30, 2025 • Amos Grünebaum, MD

Hyperemesis Gravidarum Is Not Morning Sickness

:Why minimizing and undertreating a serious disease harms women and their pregnancy, distorts informed consent, and violates professional responsibility

Dec 30, 2025 • Amos Grünebaum, MD

Tailored Prenatal Care from ACOG. A Promising Redesign at Risk of Becoming Rationed Care

Why ACOG’s vision will succeed only if implementation, accountability, and equity are treated as core clinical obligations, not optional add-ons

Dec 29, 2025 • Amos Grünebaum, MD

The Mistakes That Keep Me Awake Every Day

What forty years in obstetrics taught me about error, accountability, and the kind of teamwork that actually saves lives

Dec 28, 2025 • Amos Grünebaum, MD

When the Medical Record Becomes a Battleground

Why personal grievances do not belong in the Electronic Medical Record (EMR), and what professionalism actually requires

Dec 27, 2025 • Amos Grünebaum, MD

Prenatal Cannabis Use Is Not Neutral

What the Evidence Shows, and What Clinicians Owe Patients

Dec 27, 2025 • Amos Grünebaum, MD

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