Dr. Chapa’s OBGYN Clinical Pearls
Episodes
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.