Society for Maternal-Fetal Medicine

You need to go back to your OB.

I luckily had represented the Society for Maternal Fetal Medicine at the time.

And so I called a few people and said, what do you do in this case? And the answer was, well, we don't test medications in pregnant women.

And so we don't know.

I mean, we're still forcing it.

The American College of Obstetricians and Gynecologists, the American Board of Obstetrics and Gynecology, and the Society for Maternal Fetal Medicine are still pushing this poison in pregnant

women.

It is so wrong.

I refer to the American College of Obstetrics and Gynecology.

I refer to the Society for Maternal and Fetal Medicine.

They all endorse the safety of SSRIs during pregnancy.

All the evidence that we have is that SSRIs are safe during pregnancy.

Few people have done more to confront that reality than my guests today.

Dr. Heywood Brown chaired obstetrics and gynecology at Duke for 14 years, served as the 68th president of the American College of Obstetricians and Gynecologists, led the Society for Maternal and Fetal Medicine, and today is the chief medical officer for prenatal department at Billion to One.

a molecular diagnostics company reimagining prenatal sick training.

Dr.

Nada, thank you for your opinion.

But in the U.S., everyone wants to know what about SMFM or ACOG.

And we should, because those are our directive bodies.

But here's the catch.

That was a, that was an ad when I was growing up as a kid, [laughs] okay? So I mean, I, I could, I could spend the whole entire podcast with you, Elizabeth, listing things in the last 100 years that the do- that medical system has done that are, that is completely stupid, and every one of these stupid things has been done by somebody who has a lot of num- uh, letters behind their name, whether they were board certified when, y- you know, sometimes this was before board certification actually existed, or members of ACOG, because ACOG was founded in 1951.

The Society of Maternal Fetal Medicine was founded in 1977.

Who took care of high-risk physicians, I mean, high-risk patients before 1977? OBs did.

But a bunch of guys got together and they formed this thing called the Society of Maternal Fetal Medicine in 1977, and since that time, how have our outcomes been? How have we been doing? You know, outcomes haven't gotten better, but revenue generation from all the testing and all the...

If you ever read an ultrasound report, like a 20-week ultrasound report, it'll be very rare that it will say, "Follow up only as clinically indicated." It'll always say, "Recommend follow-up in six weeks to check this or check that or check this." They're always bringing you back for another thing.

Now, the individual person doesn't know that.

I'm ra- I'm, I've been railing on the 392 white women, and I've also railed on maternal fetal medicine.

The Society for Maternal Fetal Medicine, which is an international society, was founded in 1977.

Mm-hmm.

Okay.

So it is international, and the title of this expert review is Management of Multiple Sclerosis During Pregnancy and the Reproductive Years in 2026, an Expert Clinical Review.

So to be very clear, this is not, you know, ACOG, it's not SMFM, it's not the National MS Society, but it is a group of experts that span neurology and OBGYN who say, look, we've taken a look at the data for over a decade, literally over a 10-year span.

And it's OK.

We can deal with this just like we can deal with optimizing diabetes before pregnancy.