Dr. Chapa’s OBGYN Clinical Pearls
Episodes
Are “routine“ pelvic examination going extinct? Let’s take a look at the data.
17 Nov 2018
Contributed by Lukas
Traditionally, a well-woman visit has included a pelvic examination defined as external genitalia inspection, speculum examination, and bimanual exam....
Elagolix: Indications, Data, and Dosing.
11 Nov 2018
Contributed by Lukas
Endometriosis related pelvic pain affects approximately 8% of reproductive age women. Recently, the FDA approved a new oral GnRH antagonist for treatm...
Migraine with Aura and Estrogen Containing Birth Control: What’s the Data on Risk?
09 Nov 2018
Contributed by Lukas
Traditionally, migraines with aura were considered contraindicated for estrogen containing birth control. However, that recommendation was made in the...
Opthalmia Neonatorum
03 Nov 2018
Contributed by Lukas
Neonatal opthalmia refers to conjunctivitis of any cause occurring within the first 4 weeks of newborn life. Gonorrhea now accounts for less than 1% o...
Asymptomatic microscopic hematuria in women
29 Oct 2018
Contributed by Lukas
In this podcast, we will cover the combined committee opinion from the ACOG and AUGS regarding asymptomatic microscopic hematuria in women. The ACOG d...
“The Savior of Women”: Ignaz Semmelweis
26 Oct 2018
Contributed by Lukas
In this brief historical profile, we will cover the inspiring tale of Dr. Ignaz Semmelweis. The story begins in the year 1846. Dr. Semmelweis was the ...
Marijuana use in pregnancy and while breast-feeding
23 Oct 2018
Contributed by Lukas
In this podcast, we will review the new clinical expert series from the ACOG on marijuana use in pregnancy and while breast-feeding. This clinical exp...
Framed, or Famed? LoL. It’s OK to laugh at yourself at times.
20 Oct 2018
Contributed by Lukas
A personal message regarding our last podcast to our listeners. 😁
How a famed surgeon changed the field of obstetrics: William Hallstead, postpartum hemorrhage, and brave genius.
20 Oct 2018
Contributed by Lukas
This is a quick historical perspective of an ingenious approach to a deadly obstetrical problem in history. Dr. William Halstead, the father of modern...
Thrombocytopenia in pregnancy
18 Oct 2018
Contributed by Lukas
Thrombocytopenia in pregnancy is defined as a maternal platelet count less than 150,000. In this podcast, we will review the ACOG practice bulletin nu...
Intrapartum Care of the HIV Positive Patient
08 Oct 2018
Contributed by Lukas
There have been significant changes – and advancement – in the interparty management of the HIV infected patient. In this session, we will quickly...
Acute Fatty Liver of Pregnancy
26 Sep 2018
Contributed by Lukas
Acute fatty liver of pregnancy is a rare but potentially life-threatening condition which usually presents in the 36th week of pregnancy. In this podc...
GBS in Pregnancy
20 Sep 2018
Contributed by Lukas
In this session, we will review the ACOG committee opinion on prevention of early onset GBS neonatal infection. This comes from the committee opinion ...
Does BMI affect emergency birth-control effectiveness?
15 Sep 2018
Contributed by Lukas
Levonorgestrel and ulipristal are 2 oral emergency contraceptive options. Since 2010, pharmacokinetic studies have suggested a lower effectiveness of ...
PMS and PMDD: Clinical Review
06 Sep 2018
Contributed by Lukas
In this session, we will review the diagnostic criteria for premenstrual syndrome and premenstrual dysphoric disorder. Options for therapy will also b...
Umbilical Cord Prolapse
30 Aug 2018
Contributed by Lukas
In this session, we will review and obstetrical emergency that has the potential to result in severe Ville and morbidity or even mortality… Umbilica...
Prophylactic Antibiotics in Labor & Delivery
28 Aug 2018
Contributed by Lukas
In this session, we will review the ACOG practice bulletin (199) from September 2018 on the use of prophylactic antibiotics in labor and delivery. Thi...
Ovarian Vein Thrombosis
20 Aug 2018
Contributed by Lukas
Ovarian vein thrombosis was recently the subject of a clinical review by the American College of OBGYN in November 2017. Ovarian vein thrombosis occur...
Clarification- Klumpke's palsy: "Neuropathy at gyn surg".
18 Aug 2018
Contributed by Lukas
Alright, as occasionally happens… There was an error in the editing of our prior podcast regarding nerve injury at gynecological surgery. This very ...
Nerve Injury at Gyn Surgery
17 Aug 2018
Contributed by Lukas
Gyn surgery can be associated with iatrogenic nerve injury. Neuropathy can be classified into three types: neuropraxia, axonotmesis, and neurotmesis. ...
Management of Intra-Amniotic Infection
12 Aug 2018
Contributed by Lukas
In this podcast, we will review the ACOG updated guidelines regarding intra-amniotic infections. Three classifications have been given by the ACOG: 1....
Delayed umbilical cord clamping after birth (ACOG CO 684)
06 Aug 2018
Contributed by Lukas
The ACOG, as well as the AAP, recommends delayed umbilical cord clamping in stable term as well as preterm neonates. While once considered necessary t...
Epithelial Ovarian Cancer
02 Aug 2018
Contributed by Lukas
Ovarian cancer is the most deadly of all gynecological malignancies. Most cases present an advanced stage. Epithelial ovarian cancer is the most commo...
Follow us on Facebook
01 Aug 2018
Contributed by Lukas
Howdy! Thanks for following our podcast. Be sure to find us, and follow us, on our Facebook page by the same name. Typically, additional information a...
Cervical Cancer
31 Jul 2018
Contributed by Lukas
Persistence of high-grade oncogenic HPV is the key risk factor for the development of cervical carcinoma. In this session, we will review the pathophy...
Endometrial Cancer
28 Jul 2018
Contributed by Lukas
Endometrial carcinoma is the most commonly diagnosed gynecologic malignancy. The SGO and the ACOG released a practice bulletin in 2015 which is the mo...
Endometrial Intraepithelial Neoplasia
28 Jul 2018
Contributed by Lukas
EIN Represents a true antecedent lesion in the endometrial cavity with the potential to develop into endometrial adenocarcinoma. This podcast will rev...
Emergency Contraception
24 Jul 2018
Contributed by Lukas
In this session, we will cover emergency contraception: levonorgestrel, Ullipristal, and the copper IUD. Data for this podcast comes from the ACOG pra...
MRI use in Pregnancy: Is Gadolinium a Concern?
23 Jul 2018
Contributed by Lukas
MRI offers some advantages over ultrasound as a diagnostic tool in pregnancy. In this session, we were review the ACOG committee opinion on MRI use in...
Ultrasound in Pregnancy PART2
22 Jul 2018
Contributed by Lukas
In Part 1, we covered the basics of OB ultrasound. In this session, a short additional piece, we answer a few additional questions regarding ultrasoun...
Ultrasound in Pregnancy
22 Jul 2018
Contributed by Lukas
Ultrasound is the most common procedure performed during pregnancy. The ACOG recognizes three types of ultrasound: standard, limited, and specialized....
Pelvic Inflammatory Disease (PID)
20 Jul 2018
Contributed by Lukas
Unrecognized or misdiagnosed PID may result in infertility, tubal pregnancy, and chronic pelvic pain. In this session, we will review the CDC guidelin...
Thromboembolism in Pregnancy
17 Jul 2018
Contributed by Lukas
In this session, we will review thromboembolism in pregnancy based on the July 2018 ACOG Practice Bulletin. We will cover DVT and PE presentation, wor...
Chancroid
16 Jul 2018
Contributed by Lukas
In this session, we will review chancroid, a genital STI caused by H. Ducreyi. This bacterium causes ulcers presenting as painful sores (soft chancre)...
Syphilis
14 Jul 2018
Contributed by Lukas
In this session, we will discuss the clinical stages of syphilis, diagnosis, treatments, and pregnancy considerations.
Gonococcal Infection
13 Jul 2018
Contributed by Lukas
In this session, we will cover the microbiology and the pathophysiological processes of gonococcal infections. Screening, treatment, and prevention of...
Chlamydial Infection in Women
12 Jul 2018
Contributed by Lukas
Chlamydia Trachomatis is the most common bacterial STI. In this session, we will review screening recommendations, treatment, pregnancy considerations...
PART 2: Chronic Hypertension in Pregnancy
11 Jul 2018
Contributed by Lukas
In this short session, we will cover recommended delivery times for women with chronic hypertension as well as breast-feeding on antihypertensive medi...
Chronic Hypertension in Pregnancy
10 Jul 2018
Contributed by Lukas
Chronic hypertension affects 3 to 5% of all pregnancies. In this session, we will cover the SMFM and ACOG bulletins on the subject. Which patients nee...
Pre-labor rupture of membranes (PROM)
05 Jul 2018
Contributed by Lukas
In January 2018, the ACOG changed the terminology for PROM, now referred to as pre-labor rupture of membranes. In this session, we will review practic...
Lactation
05 Jul 2018
Contributed by Lukas
In this session, we will review the process of mammogenesis and lactogenesis as well as the process of lactation. Mastitis and breast abscess manageme...
Managing fetal macrosomia
02 Jul 2018
Contributed by Lukas
Fetal macrosomia predisposes both the mother and child to increased risks. In this review, a summary of the ACOG practice bulletin #173, we will revie...
Update on Maternal Alloimmunization (Part 2)
25 Jun 2018
Contributed by Lukas
This is part 2 of our series on maternal alloimmunization. In this session, we will review prevention of RH isoimmunization with a brief review on Rho...
Update on Maternal Alloimminization (Part 1).
25 Jun 2018
Contributed by Lukas
In March 2018, the ACOG released an updated practice bulletin on the management of alloimmunization during pregnancy. The ability to determine genotyp...
Multifetal Gestations
23 Jun 2018
Contributed by Lukas
Multifetal gestations are either dizygotic or monozygotic. The rate of monozygotic twins tends to be constant worldwide. Twin and triplet pregnancies ...
Non-obstetrical surgical conditions in pregnancy
21 Jun 2018
Contributed by Lukas
In this session we will cover general surgery comditiond in pregnancy. The three most common non-obstetrical surgical conditions in pregnancy are: app...
Cell free DNA for fetal aneuploidy screening
20 Jun 2018
Contributed by Lukas
Cell free DNA screening evaluates short segments of DNA in a maternal serum and can be used to screen for fetal aneuploidy, fetal RH type, and sex chr...
Spontaneous abortion (Early Preg Loss)
10 Jun 2018
Contributed by Lukas
In this session, we will cover data from the ACOG practice bulletin number 150, on early pregnancy loss. We will cover etiology, diagnosis, and the th...
Prenatal (Antepartum) Care: Part 3
09 Jun 2018
Contributed by Lukas
In this final session, we will review RhoGAM use, GBS screening, and the ACOG update on vaccinations in pregnancy (Tdap).
Prenatal (Antepartum) Care: Part 2
09 Jun 2018
Contributed by Lukas
This is part 2 of our 3 part series on antepartum care. In this session, we will cover ultrasound use, screens for aneuploidy, screening for inherited...
Antepartum (Prenatal) Care: Part 1
08 Jun 2018
Contributed by Lukas
In this session, we will review the ACOG guidelines regarding specific screening tests, monitoring, and interventions during routine prenatal/antepart...
Preconception Care
08 Jun 2018
Contributed by Lukas
In this session, we will review guidelines for pre-conception care based on the ACOG current commentary.
The Obsolete Friedman Curve
05 Jun 2018
Contributed by Lukas
1955, Emmanuel Friedman described the labor progress of 500 nulliparous wowen. That curve became the standard for labor management for 60 years. Howev...
Mechanism of normal labor: the passenger and the pelvis
03 Jun 2018
Contributed by Lukas
In this session, we will cover specifics of the mechanisms of labor. We will cover details on the fetus (lie, attitude, presentation, and position) an...
Intimate partner violence
02 Jun 2018
Contributed by Lukas
In this session, we will review intimate partner violence which was presented in the American College of OB/GYN committee opinion #518.
Maternal physiologic respiratory changes in pregnancy
02 Jun 2018
Contributed by Lukas
In this session we will cover the maternal physiological changes which occurr during pregnancy.
HPV!
26 May 2018
Contributed by Lukas
In this session, we will review the pathophysiology of human papillomavirus infections. We will also cover HPV immunization, and contrast primary scre...
Sexual Assault
25 May 2018
Contributed by Lukas
In this session, we will review the ACOG committee opinion (592) on sexual assault as well as the CDC algorithm for post exposure prophylaxis followin...
PCOS
16 May 2018
Contributed by Lukas
In this session, we will cover polycystic ovarian syndrome. Although the etiology is not clearly understood, there are set diagnostic criteria for PCO...
Hyperprolactinemia
10 May 2018
Contributed by Lukas
Hyperprolactinemia may be physiological, pharmacological, or pathological. In this session, we will review possible causes of, and workup for, an elev...
Primary Amenorrhea
08 May 2018
Contributed by Lukas
In this session, we will review the diagnostic algorithm for primary amenorrhea based on the American Society of Reproductive Medicine (ASRM). Primary...
Methods for estimating pregnancy due date.
05 May 2018
Contributed by Lukas
This is a brief review of the ACOG committee opinion number 700, Methods for Establishing the Due Date. We will review discrepancies between first, se...
TXA for Postpartum Hemorrhage
30 Apr 2018
Contributed by Lukas
Tranexamic acid is ACOG endorsed for the treatment of established postpartum hemorrhage. Postpartum hemorrhage is now defined as greater or equal to 1...
The "4th Trimester"!
28 Apr 2018
Contributed by Lukas
In this session, we will cover the May 2018 new Committee Opinion from the ACOG on optimizing postpartum care. The postpartum interval, referred to as...
Common Gallbladder Issues in Pregnancy
24 Apr 2018
Contributed by Lukas
In this session, we will cover cholelithiasis and cholecystitis in pregnancy. Data taken from the society of maternal fetal medicine and the American ...
Emergent therapy for acute onset, severe hypertension during pregnancy and postpartum interval.
18 Apr 2018
Contributed by Lukas
In this session, we will review the ACOG committee opinion number 692 and the medical protocols for management of acute-onset, severe hypertension dur...
Hypertension in Pregnancy: ACOG Task Force summary
14 Apr 2018
Contributed by Lukas
In this session, we will highlight the ACOG Task Force Report on Hypertension in Pregnancy.
Maternal Cardiovascular Effects of Pregnancy
13 Apr 2018
Contributed by Lukas
In this session we will cover the vast cardiovascular changes which occur in the maternal compartment during pregnancy.
Pyelonephritis in Pregnancy
11 Apr 2018
Contributed by Lukas
Pyelonephritis Affects up to 2% of women in pregnancy. Complications can include preterm labor, preterm rupture of membranes, Urosepsis, and ARDS. In ...
Kidney Stones in Pregnancy: Part 2
08 Apr 2018
Contributed by Lukas
In this session, part two, we will cover medical management of renal stones in pregnancy. We will also cover temporary methods of ureter decompression...
Kidney Stones in Pregnancy: Part 1
07 Apr 2018
Contributed by Lukas
Nephrolithiasis in pregnancy can be a diagnostic dilemma. However, most patients present with classic flank pain radiating to the groin, with or witho...
HSV in Pregnancy PART 2
05 Apr 2018
Contributed by Lukas
This is PART 2 of our HSV in pregnancy podcast. We will cover specifics on pregnancy management, both antepartum and intrapartum. Data is taken from t...
HSV in Pregnancy
05 Apr 2018
Contributed by Lukas
HSV in Pregnancy: Part 1. This session will cover the classification, diagnosis, and general principles of vertical transmission of Herpes Simplex Vir...
Hepatitis B in Pregnancy
31 Mar 2018
Contributed by Lukas
Hepatitis B management in pregnancy has had some changes. The Society for Maternal Fetal Medicine recommends the use of Tenofovir when maternal viral ...
Hep C in Pregnancy: PART 2
29 Mar 2018
Contributed by Lukas
We present data from the Society of Maternal Fetal Medicine regarding the medical management, intrapartum, and postpartum care of the hepatitis C viru...
Hepatitis C in Pregnancy: Part 1
29 Mar 2018
Contributed by Lukas
In this episode we will cover hepatitis C infection in pregnancy. This is part one of a two-part series based on the Society for Maternal Fetal Medici...
Management of suboptimally dated pregnancy
25 Mar 2018
Contributed by Lukas
Attempts to minimize risks of prematurity balanced with the risks of a postmature fetus, are central to the management of the poorly dated pregnancy. ...
The Kleihauer Betke Test
19 Mar 2018
Contributed by Lukas
A quick review on the science, indications, and utilization of the KB test in pregnancy.
Gestational Diabetes Update
17 Mar 2018
Contributed by Lukas
A clinical review and synopsis of the practice bulletin from February 2018 from the American College of OB/GYN on gestational diabetes.