Dr. Chapa’s OBGYN Clinical Pearls

Boot Camp! 3 Life Lessons Learned!

27 Jun 2019

Contributed by Lukas

Left...Right...Left...Right...Left! I just recently completed my military boot camp experience! That was an adventure. In this session, we will cover ...

New Female SEX Med? Is Vylessi the DESIRE wonder drug?

24 Jun 2019

Contributed by Lukas

Sexual intimacy is an important part of a couples’ relationship. On June 21, 2019, the FDA approved a new novel medication for hypoactive sexual des...

Sunscreen Use in Pregnancy: Safe or Worrisome?

18 Jun 2019

Contributed by Lukas

🌞🌞IT IS SUMMER!! 👏👏 Are sunscreens safe to use during pregnancy? What does ACOG say? In this session, we will review the ACOG practice sta...

Can Turmeric (Curcumin) help PostPartum Depression?

17 Jun 2019

Contributed by Lukas

Turmeric is an edible root used in cooking. It’s powdered into a bright yellow spice popular in Asian cuisine. Turmeric also has a history of medici...

I’ll Be Baaack!

11 Jun 2019

Contributed by Lukas

Just a brief hiatus!

HbA1C and Birth Defects

09 Jun 2019

Contributed by Lukas

What is the mechanism by which elevated hemoglobin A-1C causes birth defects? Is there a “cut off“ level for this affect? Let’s look at the data...

Cardiac Arrest in Pregnancy

07 Jun 2019

Contributed by Lukas

Maternal cardiac arrest… a devastating condition! Techniques for maternal resuscitation have changed, even from when I was a resident. 30° left lat...

The Pill Made Me Fat! What?? Do OCPs cause weight gain?

05 Jun 2019

Contributed by Lukas

Weight gain is commonly cited as a side effect of combination oral contraception, and is amount the top reasons for pill discontinuation. Do birth con...

THRIVE (Part 3)! The FIRE of Your PASSION.

04 Jun 2019

Contributed by Lukas

(Part 3): The Finale of our 3-Part series! Remember when you would have done anything to get into medical school, and cried/struggled to get that perf...

THRIVE (Part 2)! The Challenge!

04 Jun 2019

Contributed by Lukas

(Part 2): Take the challenge! This is Principle #2 in our “mini-series”. It is easy to fall into a trap of “the routine“, and the mundane. Doi...

THRIVE! You have been warned....

03 Jun 2019

Contributed by Lukas

WARNING: This is my most personal, and passionate podcast yet. In light of the recent CNBC news article regarding physician well-being, this podcast w...

Maternal O2 use in Labor: Benefit or Harm?

31 May 2019

Contributed by Lukas

For decades, common practice in Labor And Delivery has been to use supplemental maternal oxygen by facemask as a remedy for fetal heart rate decelerat...

AMAZING: The 1st Self- Appendectomy; The True Account of Dr. Evan O'Neill Kane.

30 May 2019

Contributed by Lukas

This is TRUE, and a testament to what having a VISION, a strong will, and a desire to change the status-quo can accomplish! This is the remarkable tru...

cfDNA and Maternal Cancer: A Cause For Concern?

29 May 2019

Contributed by Lukas

In 2011, cf DNA from the maternal serum became commercially available to screen for fetal aneuploidy. Overall, about 3% of test results will detect an...

Pitocin For Early D&C? No!

26 May 2019

Contributed by Lukas

Somethings in medicine are done by tradition. The use of Oxytocin during first trimester uterine evacuation is one such thing. Evidence seems to be la...

Brexanolone for PP Depression: Facts and Precautions.

22 May 2019

Contributed by Lukas

In March 2019, the FDA approved the first medication specifically targeted for postpartum depression, brexanolone (Zulresso). However, this medication...

SMFM Dont’s! (Part 2)

21 May 2019

Contributed by Lukas

Does finding an isolated echogenic cardiac focus or choroid plexus cyst require amnio? What about MTHFR testing for thrombophilia? AFI or deepest vert...

SMFM Don’ts!! (Part 1)

21 May 2019

Contributed by Lukas

(Part 1) Cerclage for twins? What about progesterone? Do gestational diabetics controlled with diet (A1) alone require antepartum fetal surveillance? ...

Send a Voice Message!

17 May 2019

Contributed by Lukas

Now, regardless of which venue/platform you are listening to the podcast through, you can leave us a voice message! Simply go to “episode notes“ a...

CALL TO ACTION: US Maternal Mortality and CVD

14 May 2019

Contributed by Lukas

The CDC confirmed in a report recently released that about 700 women die each year in the United States from cardiovascular conditions, infections, he...

Am. Soc. Breast Surgeons: Updated Breast CA Screening Recs

11 May 2019

Contributed by Lukas

Controversy surrounding screening mammography guidelines has resulted in conflicting recommendations from physicians and uncertainty for women. The Am...

Skin to Skin at CSection: Part 2

09 May 2019

Contributed by Lukas

In this session (Part 2), we will cover skin to skin neonatal contact at time of Cesarean birth. Is this possible? What does the data show? This will ...

Skin to Skin Neonatal Contact: What’s the Big Deal?

08 May 2019

Contributed by Lukas

Skin to Skin neonatal contact is endorsed/recommended by the AAP, AWHONN, the CDCP, and the WHO. What’s the data behind his practice? Are there any ...

Osteoporosis

06 May 2019

Contributed by Lukas

Researchers estimate that approximately 10.2 million Americans have osteoporosis, and an additional 43 million have low bone density. Equally stark ar...

The “HYSTerical” Origins of Vibrators!

05 May 2019

Contributed by Lukas

“Hysteria” referred to a constellation of psychological and physical ailments occurring only in women. It was thought to have its origin in the ut...

The Non-Fundal IUD. What’s to do?!

02 May 2019

Contributed by Lukas

Hey, we have all been there at one time or another: The ultrasound report shows an IUD/IUS in the endometrial cavity but it is NOT in the fundal locat...

Why PLACEBO pills in Birth Control Pills? The Surprising History.

01 May 2019

Contributed by Lukas

What do Mexican Yams, menses, and the Pope have in common? The answer: the Birth Control Pill! In this session, we will review the interesting and sli...

46XY Females: AIS vs Swyer Syndrome

30 Apr 2019

Contributed by Lukas

Both Androgen Insensitivity Syndrome (AIS) and Swyer Syndrone (Pure Gonadal Dysgenesis) are characterized by phenotypical females who are genetic male...

MEASLES!! ACOG Practice Advisory.

27 Apr 2019

Contributed by Lukas

The US is currently experiencing the greatest number of reported cases of measles, also known as rubeola, since the disease was eliminated in 2000. Ou...

Female Ejaculation and “Squirting”: HEY...YOU ASKED!!

23 Apr 2019

Contributed by Lukas

In the late 1950s, two researchers (Masters and Johnson) began breakthrough research on human sexuality. Since then, “sexologists” have expanded o...

LIKE...What NOT to say!

18 Apr 2019

Contributed by Lukas

I’m sorry… I had to release this pent-up frustration regarding a common occurrence! LoL. “Like... I really hope you, like, enjoy this session”...

Fetal Echogenic Bowel

18 Apr 2019

Contributed by Lukas

Fetal Echogenic bowel is a non-specific finding observed during 0.2 to 1.8% of routine second trimester ultrasound. Possible causes include primary ga...

Does Progestin Only BC Cause Depression?

12 Apr 2019

Contributed by Lukas

Birth control, especially progestin only methods, seem to take a lot of heat regarding their potential role in CAUSING depression. Although past indiv...

PreCS Vaginal Prep

07 Apr 2019

Contributed by Lukas

In 2016, the CSOAP trial confirmed that adding Azithromycin 500 mg IV to standard cephalosporin antibiotic prophylaxis pre-Cesarian helps reduce post ...

IV vs Oral Iron Therapy in Pregnancy

04 Apr 2019

Contributed by Lukas

Iron deficiency anemia during pregnancy has been linked to several obstetrical adverse events including preterm birth, low birth weight, Cesarian Sect...

Prolactinomas in Pregnancy

01 Apr 2019

Contributed by Lukas

Prolactinomas are categorized as micro- or macroadenomas based on their size. These tumors are considered the most frequently diagnosed functioning, a...

Pavovirus B19 in Pregnancy

31 Mar 2019

Contributed by Lukas

Parvovirus B 19 is a single-stranded DNA virus that causes the childhood exanthem known as fifth disease. The risk of maternal Parvo B19 infection var...

Toxoplasmosis in Pregnancy

29 Mar 2019

Contributed by Lukas

In the United States, 1 out of 1,000-8,000 babies are born with toxoplasmosis. Vertical transmission increases per trimester but severity of fetal dis...

CMV in Pregnancy

29 Mar 2019

Contributed by Lukas

CMV is the most common congenital infection, occurring in 0.2 to 2.2% of all neonates. Vertical transmission of this herpesvirus is possible throughou...

Do OCPS help ovarian cysts resolve?

28 Mar 2019

Contributed by Lukas

Historically, oral contraceptive pills were prescribed in attempt to help quicken resolution of ovarian cysts. Is this practice evidence-based? In thi...

Universal Low-Dose ASA Use In Pregnancy?

25 Mar 2019

Contributed by Lukas

In 2018, The ACOG expanded the possibility of low-dose aspirin use in pregnancy for preeclampsia prevention. Women deemed at moderate risk (1 or more ...

The PROLONG trial: Does 17-OH really prevent preterm birth?

20 Mar 2019

Contributed by Lukas

Recently, the PROLONG Trial, investigating 17-OHP’s role in preventing recurrent preterm birth, called into question the effectiveness of this treat...

VTE and Gyn Surgery

16 Mar 2019

Contributed by Lukas

In 1858, Virchow reported on the triad of hypercoagulability, venous stasis, and vessel wall injury as the factors pertinent to venous thromboembolism...

Do BC Pills have to be stopped before GYN surgery?

10 Mar 2019

Contributed by Lukas

Postop DVT and PE are potentially devastating to a postop patient. What does the ACOG and the American College of Chest Physicians say about stopping ...

One abnormal value on 3 Hr GTT: Implications?

07 Mar 2019

Contributed by Lukas

In the United States, GDM is diagnosed by a 3 hour GTT when 2 or more values are above a designated cut off. But what happens when only one value is e...

ACOG: Umbilical Cord Blood Banking

26 Feb 2019

Contributed by Lukas

Umbilical cord blood banking still carries significant misperceptions regarding its potential use. Did you know, that umbilical cord blood is not mean...

NS or LR: The IV Fluid Battle May Have Ended.

23 Feb 2019

Contributed by Lukas

IV fluids?! Does it really make a difference if the patient receives normal saline (NS) or Lactated Ringers (LR)? Well, for short bouts of rehydration...

FOAMed!!

20 Feb 2019

Contributed by Lukas

FOAMed!!! A shout out to “free open access medical education”. Thanks for the information, Scott C.-one of our clinical medical students!

Vanishing Twin Syndrome

20 Feb 2019

Contributed by Lukas

Incredibly, Although the frequency of multiple gestation is 3 to 5% at 8 weeks, vanishing twin syndrome occurs in 20-30% of all multifetal gesstations...

HIV PrEP

14 Feb 2019

Contributed by Lukas

According to the CDC, 1 in 8 of the 1.2 million people living with HIV in the United States are unaware of their HIV status and only half of those kno...

Screening for Perinatal Depression

11 Feb 2019

Contributed by Lukas

Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one ...

Polyhydramnios

08 Feb 2019

Contributed by Lukas

Polyhydramnios is an abnormal increase in amniotic fluid volume typically diagnosed in the second or third trimester. Either the single deepest vertic...

DKA in Pregnancy

06 Feb 2019

Contributed by Lukas

Diabetic ketoacidosis in pregnancy is an obstetric and medical emergency and therefore requires prompt and aggressive treatment in a specialized care ...

Glycemic Effects After Steroids for FLM

04 Feb 2019

Contributed by Lukas

Corticosteroid therapy for fetal lung maturity was first endorsed back in 1994. But what do we know about its affect on glycemic levels? Pregnant wome...

This… Happened!

31 Jan 2019

Contributed by Lukas

You just have to listen…

Mag Sulfate for Fetal Neuroprotection

28 Jan 2019

Contributed by Lukas

Incidence of cerebral palsy is inversely related to gestational age a delivery. The first reported association between fetal exposure to mag sulfate a...

Remembering the Tuskegee Syphilis Study

25 Jan 2019

Contributed by Lukas

In 1932 a governmental agency called the Public Health Service began working with the Tuskegee Institute to study syphilis in black men. In 1947, when...

HRT and WHI (Part 2): NAMS 2017 Updated Statement

23 Jan 2019

Contributed by Lukas

This is Part 2 of our critical reappraisal of the WHI study. In this episode we will cover the NAMS 2017 guidelines on HRT use. Does hormone therapy i...

HRT and WHI: Fear vs Reality! (Part 1)

21 Jan 2019

Contributed by Lukas

(Part 1) The media attention surrounding the publication of the initial results of WHI in 2002 led to fear and confusion regarding the use of hormonal...

Nuchal Cords: Innocent or Guilty?

20 Jan 2019

Contributed by Lukas

Nuchal cord (NC) is common, and the vast majority of term deliveries with nuchal cord have normal outcomes. However, nuchal cord associated fetal morb...

Umbilical Artery Dopplers

16 Jan 2019

Contributed by Lukas

Umbilical Artery Doppler studies are a valuable tool to assess vital well-being in the growth restricted fetus. What are the indices that are evaluate...

Sickle Cell in Pregnancy: Part 2

12 Jan 2019

Contributed by Lukas

In this episode, which is part 2, we will cover the role of “prophylactic” red blood cell transfusion during pregnancy. We will also cover the med...

Sickle Cell in Pregnancy: Part 1

10 Jan 2019

Contributed by Lukas

Sickle cell disease is the most common inherited condition worldwide. Sickle cell disease carries unique maternal and fetal risks during pregnancy. In...

ACOG Emphasizes Interpregnancy Care: OB Care Consensus #8

08 Jan 2019

Contributed by Lukas

The interpregnancy interval provides an ideal opportunity to discuss interventions which can maximize maternal as well as neonatal outcomes. Do you kn...

Pitocin! From Discovery to Modern Day Use.

06 Jan 2019

Contributed by Lukas

At what gestational age does the uterus become responsive to oxytocin? Can Pitocin result in hypertension or HYPOtension?...And who was Sir Henry Dale...

Peripartum Cardiomyopathy (Part 2)

03 Jan 2019

Contributed by Lukas

Is Digoxin routinely used for peripartum cardiomyopathy? Can women who had peripartum cardiomyopathy take oral contraceptive pills? In this episode, w...

Peripartum Cardiomyopathy (Part 1)

02 Jan 2019

Contributed by Lukas

(Part 1): Peripartum cardiomyopathy occurs in about 1 in 2,000 births in the United States. Although relatively rare, it can be devastating to the mot...

How “Blowing Smoke Up Someone’s A$$” went from medical treatment to a modern colloquial phrase.

30 Dec 2018

Contributed by Lukas

Did you know the common, modern-day, colloquial expression about “blowing smoke up someone’s A$$” actually has a medical origin? Yep... it was a...

Gestational HTN and PreEclampsia UPDATE: ACOG PB 202

28 Dec 2018

Contributed by Lukas

In 2013, the ACOG released a comprehensive review on hypertensive disorders in pregnancy. In January 2019, the College re-visits gestational hypertens...

Beer 🍻 and Breastfeeding? What’s the data on alcohol use during lactation?

25 Dec 2018

Contributed by Lukas

Alcohol use during pregnancy is well studied with well stated warnings. But what about alcohol use during breastfeeding? What’s the data on that? In...

Our Holiday Message to you!

24 Dec 2018

Contributed by Lukas

Our BEST Holiday wishes to you!

ACOG UPDATE (Part 2): Chronic Hypertension in Pregnancy.

24 Dec 2018

Contributed by Lukas

This is part 2 of our review of the ACOG practice bulletin #203. In this session, we will review low-dose aspirin for preeclampsia prevention, as well...

ACOG UPDATE! AHA and Chronic Hypertension in Pregnancy.

23 Dec 2018

Contributed by Lukas

Recent recommendations from the American College of Cardiology (ACC) and the American Heart Association (AHA) have changed the criteria for diagnosing...

SCABIES!....In Pregnancy.

22 Dec 2018

Contributed by Lukas

OK, so your pregnant patient comes to you with persistent itching between the fingers and toes and you suspect scabies. Which medication is safe to us...

Is vaginal estrogen safe? New data from the Nurses’ Health Study!

21 Dec 2018

Contributed by Lukas

Genitourinary syndrome of menopause causes a significant disruption in quality of life for many menopausal women. The ACOG and NAMS endorse vaginal es...

“Weed”, Sperm, and Epigenetics: A Cautionary Note!

20 Dec 2018

Contributed by Lukas

As legal access to marijuana continues expanding across the US, more researchers are studying the effects of tetrahydrocannabinol, (THC), in teens, ad...

Hello! From our 3rd Year ObGyn Med Students!

19 Dec 2018

Contributed by Lukas

Just something fun to break up the monotony.

Vulvar Lichen Planus

19 Dec 2018

Contributed by Lukas

Lichen Planus is a chronic inflammatory mucocutaneous disorder that can affect the mouth, vulva, vagina, and anus. Wickham’s Striae are characterist...

Vulvar Lichen Simplex Chronicus (2018 Update)

19 Dec 2018

Contributed by Lukas

Vulvar Lichen Simplex Chronicus is a non-scarring, chronic inflammatory disease of the skin characterized by intense itching. 65% to 75% of patients h...

Vulvar Lichen Sclerosus (2018 Update)

18 Dec 2018

Contributed by Lukas

Vulvar Lichen Sclerosus is a chronic inflammatory vulvar dermatosis. There is an association between this condition and various systemic autoimmune co...

Ulipristal for NEXPLANON Bleeding?

18 Dec 2018

Contributed by Lukas

The etonogestrel contraceptive implant is a type of LARC with proven high efficacy. Yet, similar to all progestin only contraception, abnormal bleedin...

ACOG Practice UPDATE! 17OHP IM vs 17OHP SQ

16 Dec 2018

Contributed by Lukas

On December 15, 2018, the ACOG released a Practice Update regarding subcutaneous use of 17OHP rather than IM 17OHP for preterm birth prevention. Weekl...

Nipple Discharge

16 Dec 2018

Contributed by Lukas

Nipple discharge is a common breast symptom. Keys and clues to stratify patients as either low risk or high-risk include: the patient’s age, unilate...

Let us hear from YOU!

15 Dec 2018

Contributed by Lukas

Let us hear from you! Thanks for being a part of our podcast family! Did you know, you can send us feedback and recommendations/suggestions for future...

Sex During Pregnancy

15 Dec 2018

Contributed by Lukas

Pregnant women and their partners often ask whether or not sex is allowed in pregnancy and what possible consequences may occur. Does sex cause preter...

“POI” in Young Women

14 Dec 2018

Contributed by Lukas

Premature Ovarian Insufficiency (POI) has replaced the previous term of “premature ovarian failure” or “premature menopause”. POI is a stressf...

Does Progestin Birth Control Cause Depression?

13 Dec 2018

Contributed by Lukas

Progestin only contraceptive options include the subdermal implant, Injection, IUS, and pills. Progestin based LARCs provide HIGHLY effective contrace...

“Your name is Mudd!” How “Duty to Treat” ruined a physician’s life.

11 Dec 2018

Contributed by Lukas

Dr. Samuel A. Mudd. Although few in modern times are aware of this physician, many have heard of the unwelcoming statement, “Your name is Mudd!“. ...

Talc Before Panties? A look at the curious & controversial data on talc and female cancer.

11 Dec 2018

Contributed by Lukas

Talc Before Panties? A look at the curious & controversial data on talc and female cancer... The controversy between the use of talc in the female gen...

Risk Reduction Salpingectomy

09 Dec 2018

Contributed by Lukas

An evolving burden of evidence supports the theory that a large majority of high-risk ovarian epithelial cancers have a tubal origin. RRS is growing i...

The “Big O”: Female Orgasm- The How, Why, and What of the BIG O!

08 Dec 2018

Contributed by Lukas

The “BIG O”!! This podcast will cover the biology of, purpose of, and surprising health benefits of... female orgasm. (Yep...Oh, the topics we cov...

PRES: Posterior Reversible Encephalopathy Syndrome

07 Dec 2018

Contributed by Lukas

PRES may be associated with Preeclampsia and Eclampsia. The condition is theorized to result from dys-autoregulation of posterior cerebral perfusion. ...

Ovarian Torsion

05 Dec 2018

Contributed by Lukas

Ovarian torsion is considered a gynecological emergency. Ovarian torsion can also occur in pregnancy. Recent data has confirmed the feasibility of ova...

The PALM-COEIN System for AUB

04 Dec 2018

Contributed by Lukas

In 2011, the FIGO adopted a new nomenclature to characterize abnormal uterine bleeding in the reproductive age patient. ACOG subsequently adopted the ...

Diagnosis and management of palpable breast masses

03 Dec 2018

Contributed by Lukas

Fibroadenomas are the most common cause of breast masses in adolescent girls and young women. Nonetheless, it is important to remember that the palpab...

Dysmenorrhea and Endometriosis in the Adolescent Patient

02 Dec 2018

Contributed by Lukas

This podcast is a review of the ACOG Committee Opinion 760 from December 2018. Dysmenorrhea, or menstrual pain, is the most common menstrual symptom a...

Septic Pelvic Thrombophlebitis

02 Dec 2018

Contributed by Lukas

Septic pelvic thrombophlebitis can occur in the deep pelvic vessels alone or may involve the ovarian vein. Ovarian vein thrombosis is most frequent on...

Thank you!! Danke! Gracias!

27 Nov 2018

Contributed by Lukas

Our mission is to educate, train, and develop healthcare professionals in women’s healthcare. Our podcast has hit a milestone!! This podcast, which ...

Immediate Postpartum LARCs

27 Nov 2018

Contributed by Lukas

Immediate postpartum LARCs are endorsed by the ACOG. This podcast will summarize the ACOG committee opinion 670, and review the new data (October 2018...

Pregestational Diabetes Mellitus

22 Nov 2018

Contributed by Lukas

This podcast will quickly summarize the ACOG practice bulletin number 201 on pre-gestational diabetes mellitus. This ACOG practice bulletin is set to ...