Dr. Chapa’s OBGYN Clinical Pearls
Episodes
Extended Release Nifedipine Intrapartum For Severe HTN
14 Oct 2025
Contributed by Lukas
In the 09/1/2018 Society for Academic Specialists in General Obstetrics and Gynecology’s (SASGOG’s) Pearls of Exxcellence publication, “Manageme...
Fetal Gastroschisis
12 Oct 2025
Contributed by Lukas
Fetal gastroschisis is a congenital defect of the abdominal wall, typically located to the right of a normally inserted umbilical cord, through which ...
“New” CPU on Zuranolone? “NOTHING” .
11 Oct 2025
Contributed by Lukas
On October 9, 2025, the ACOG released a clinical practice update (CPU) regarding Zouranolone and brexanolone. As postpartum depression is an area of c...
What Did You say?!
07 Oct 2025
Contributed by Lukas
Sometimes you hear something that makes you just stop and say, “What did you say?!”. Yep, in this episode we will give evidence-based answers to t...
SCIENCE CHANGES: New Data on HPV Vaccination Peri-Leep/Cone
05 Oct 2025
Contributed by Lukas
In July 2023, the ACOG released a Practice Advisory stating, “Based on data on the benefit of adjunct HPV vaccination, ACOG recommends adherence to ...
AUDIO?!! FIXED!
04 Oct 2025
Contributed by Lukas
FYI
Elevated msAFP but Normal Fetal Anatomy: What Now?
03 Oct 2025
Contributed by Lukas
A breakthrough discovery in the 1970s was the determination of alpha-fetoprotein levels in the serum of pregnant women to detect fetuses with neural t...
Fetal Dextrogastria
01 Oct 2025
Contributed by Lukas
The only structure of fetal gastrointestinal tract (GIT) which is seen on routine second trimester anomaly scan is the fetal stomach. Under normal con...
Surprising C-Section Data
28 Sep 2025
Contributed by Lukas
Did you know that C-Section birth is referenced in Shakespeare’s Macbeth? Cesarean Section is the most common laparotomy in the world, and yest we a...
Bell’s Palsy in Pregnancy
26 Sep 2025
Contributed by Lukas
Just today in clinic, we had a patient, who was well into her third trimester, come to her regular scheduled appointment with new onset left-sided fac...
“CPR” For Decreased Fetal Movement? The CEPRA Trial
23 Sep 2025
Contributed by Lukas
Maternal perception of decreased fetal movement at term occurs in up to 15% of pregnancies and is a cause for maternal and provider concern. All mater...
New Intrapartum FHT Guidance: Oct 2025 CPG 10
21 Sep 2025
Contributed by Lukas
In the 1960s, continuous electronic fetal monitoring was introduced as a way to better capture and document the fetal response to labor and uterine co...
OB? Get Your ZZZZs: Insomnia’s Effects on Pregnancy
18 Sep 2025
Contributed by Lukas
In 2023, we released 2 episodes on obstructive sleep apnea (OSA) and adverse pregnancy. Now, on September 16, 2025, a new publication from JAMA Networ...
BNP and proBNP in PreE
17 Sep 2025
Contributed by Lukas
Brain-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) levels originate from the cardiac cells in response to cardiac strain. This may...
Vag E2 in Women With CVA HX?
13 Sep 2025
Contributed by Lukas
Stroke (CVA) is very common in women, who have a higher risk than men over their lifetime; one in five women between the ages of 55 and 75 will experi...
Does Vit B6 Reduce Mastalgia? New Meta-analysis 09/2025
11 Sep 2025
Contributed by Lukas
Mastalgia is a common breast complaint in reproductive aged women. Mastalgia can be separated into three categories: 1) cyclical, 2) noncyclical, and ...
09.10.2025
10 Sep 2025
Contributed by Lukas
We are delaying today's program, as stated in this message. We will resume our program as soon as possible. Remembering Charlie Kirk.
Eric's Encounters: Suppl. to Our Prior Episode
06 Sep 2025
Contributed by Lukas
We have a wonderful podacst community! Within 24 hours of our immediate past episode release, one close friend- and fellow OBGYN, Dr. Eric Colton (OB ...
Decidua or No Decidua at CS Closure: "New" Sept 2025 Data
06 Sep 2025
Contributed by Lukas
On Sept 10, 2023, er released an episode titled, “CS Ut Closure: Decidua or No Decidua?”. We highlighted the importance of AVOIDING the decidua at...
Can SVD Occur After Pelvic Fracture?
03 Sep 2025
Contributed by Lukas
According to the J Am Acad Orthop Surg Glob Res Rev. (2024), the incidence of pelvic ring injuries is 34.3 per 100,000 with trauma being the most obvi...
Add MORE Progestin for Progestin BTB? (New Data)
31 Aug 2025
Contributed by Lukas
Traditionally, we have learned that any imbalance in the estrogen: progesterone relationship can trigger irregular uterine bleeding. That makes sense,...
Labor Cervical Exams: 2 hrs, 4 hrs, 8 hrs?
29 Aug 2025
Contributed by Lukas
Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dila...
Treating Breast Ca During Pregnancy? (New Guidance)
27 Aug 2025
Contributed by Lukas
Breast cancer is an hormone responsive malignancy, meaning it may use estrogen and progesterone, reduced in high quantities during a pregnancy, for gr...
You Asked, We Answered! (YES, Another One)
23 Aug 2025
Contributed by Lukas
YEP…Its another episode of You Asked, We Answered! In this episode, we will look at the data to answer 2 questions that came into the show within th...
T for Her: Who, What, & How
21 Aug 2025
Contributed by Lukas
In the last 2 episodes we covered new updates in menopausal hormone therapy. However, we did not address TESTOSTERONE use. This episode idea comes fro...
MHT Micronized progesterone vs MPA & the Breast
18 Aug 2025
Contributed by Lukas
This is a requested follow up to our most recent episode. Menopausal hormone therapy (HT) prescribing practices have evolved over the last few decades...
HRT "Black Box" Warning: Time To Go
15 Aug 2025
Contributed by Lukas
There’s a lot of fear and misinformation around HRT, and one of the biggest myths is that HT is a highly significant cause of breast cancer. That is...
Two Forgotten STIs: July 2025 AJOG Review
10 Aug 2025
Contributed by Lukas
Well, I hate to say it, but I'm going to say it: "I Told You So". Back in 2019, we released an episode called "Mycoplasma genitaliu...
OB Anesthesia New Review
08 Aug 2025
Contributed by Lukas
Thank goodness for William Morton and Horace Wells- pioneers in anesthesia. Anesthesia has come a long way since them and there is even a professional...
EMDR for PP PTSD 08/2025 Data
05 Aug 2025
Contributed by Lukas
EMDR (Eye Movement Desensitization and Reprocessing) therapy is a recognized and effective treatment for postpartum PTSD, particularly when related to...
The Change in Counseling in T13 & T18 (AAP Update)
30 Jul 2025
Contributed by Lukas
Edwards syndrome (trisomy 18) affects approximately 1 in 5,000 to 6,000 live births. Patau syndrome (also known as Trisomy 13) is even less common, oc...
NEW DATA (CPU) on DCC in Preterm Births!
26 Jul 2025
Contributed by Lukas
Delayed (AKA deferred) Cord Clamping (DCC) is extremely beneficial for both the preterm and term neonate. In September 2025, a new Clinical Practice U...
FEAR the HELLP (& Liver Rupture): RESPECT the MAG
24 Jul 2025
Contributed by Lukas
Podcast family, in this episode we will reply to 2 questions raised by our 2 of our podcast family members. The first pertains to a real world, HORRIB...
When to Deliver for Mod/Severe Poly
21 Jul 2025
Contributed by Lukas
Polyhydramnios may be due to excess urine production or impaired fetal swallowing. The ACOG CO 831 states that mild, idiopathic polyhydramnios may be ...
Yes, More Stuff on CS Skin Closure
18 Jul 2025
Contributed by Lukas
What’s best for skin closure at C-Section? Staples or suture? This debate has raged for over 20 years. Past data has shown greater odds of wound com...
Continue LDA PP For PreE Prevention? New Data
15 Jul 2025
Contributed by Lukas
We have covered Low Dose Aspirin (LDA) for pre-natal preeclampsia prevention MANY times before. But here's a good clinical question: Since preeclampsi...
AFS in Second Trimester: Implications?
12 Jul 2025
Contributed by Lukas
Amniotic Fluid Sludge (AFS) has been theorized to be sonographic evidence of an underlying infection/inflammation. Others have proposed it may represe...
BIG Announcement!
11 Jul 2025
Contributed by Lukas
Podcast family, we are in process of an exciting rebrand! Dr. Chapa's Clinical Pearls will soon become our legacy show as we change names and chan...
New ICP Proposed Schema
09 Jul 2025
Contributed by Lukas
Intrahepatic Cholestasis of Pregnancy (ICP) has dichotomous effects: Benign for the mother (although the itching it causes may be a qualify of life is...
New SMFM Stillbirth Checklist Update (July 2025)
05 Jul 2025
Contributed by Lukas
Stillbirth is one of the most devastating adverse pregnancy outcomes, occurring in 1 in 160 deliveries in the United States. In March 2020, the ACOG r...
FOCUS For PPH: A DIY Approach
02 Jul 2025
Contributed by Lukas
PPH is terrible. PPH must be assessed quickly via the “4Ts” and acted upon in a timely manner. And listen to this: new data from the Journal of Ma...
Can Metformin Prevent HG?
29 Jun 2025
Contributed by Lukas
Severe nausea and vomiting in pregnancy/hyperemesis gravidarum (HG) takes a toll on patient, and the healthcare system. According to a June 2024 ACOG ...
SVD or CS After OASIS?
27 Jun 2025
Contributed by Lukas
OASIS (3rd and 4th degree perineal lacerations) occur at a rate of 4-11% (average around 5.5%). OASIS lacerations have both short term and ling term p...
You Asked, We Answered (Again)
24 Jun 2025
Contributed by Lukas
Ladies and gentlemen, welcome back to another addition of “You asked, We answered”! In this brief episode, we will tackle 2 very appropriate clini...
New Guidance on OB CX Ripening (July 2025)
21 Jun 2025
Contributed by Lukas
The Bishop Score was originally developed in 1964 by Dr. Edward Bishop and remains the central assessment tool for determining the appropriateness of ...
KO the KB for OB-VB
18 Jun 2025
Contributed by Lukas
Second and/or Third trimester vaginal bleeding is a common reason for L&D Triage patient assessment. The evaluation starts with determining the st...
Antenatal Steroids, and Baby Brains, Oh-MY!
15 Jun 2025
Contributed by Lukas
Antenatal Corticosteroids (ACS) for Fetal Lung Maturation (and more) is an ever evolving saga. This is how science and medicine evolve, by always seek...
Zoliflodacin, Coming to Your Pharmacy Soon
12 Jun 2025
Contributed by Lukas
Innovation in medicine is happening. In our immediate past episode, we summarized how AI is improving standard mammography to now PREDICT breast cance...
NEW Breast Imaging AI is HERE
10 Jun 2025
Contributed by Lukas
Each year, more than 2.3 million women worldwide are diagnosed with breast cancer—including over 370,000 in the United States alone. For more than 6...
SFP vs ACOG on EPL
08 Jun 2025
Contributed by Lukas
It’s interesting how, at times, different medical societies can look at the same data and arrive at different recommendations. It happens! In April ...
WCH in Pregnancy
05 Jun 2025
Contributed by Lukas
The white-coat effect is a measure of blood pressure change from before to during the visit in office/clinic when the blood pressure is recorded by a ...
The Incarcerated Gravid Uterus
02 Jun 2025
Contributed by Lukas
Uterine incarceration in pregnancy, is a rare but troublesome complication. This occurs when a retroverted uterus becomes trapped in the pelvic cavit...
Is At-Home Cervical HPV Screening VALID?
29 May 2025
Contributed by Lukas
In May 2024, the FDA approved vaginal self-collection for HPV as a cervical cancer screening tool. This was limited to health care settings. While thi...
LEA And Bladder Catheter: Yea or Nay?
27 May 2025
Contributed by Lukas
In the US, an estimated 70-75% of women who give birth use an epidural for pain relief during labor. Epidural anesthesia during labor can affect bladd...
Prophylactic CS ABX: What is Too Much? (New Data, May 2025)
25 May 2025
Contributed by Lukas
At the end of April 2025, we released an episode summarizing the ERAS update for 2025. In that episode/update, we summarized the data on extended spec...
Vaginal E2 FACE Cream, & ‘Roids: A Two-Fer!
22 May 2025
Contributed by Lukas
We have covered menopause on this show on various occasions. That’s fitting and non-surprising as we are a women’s health education podcast! While...
“GSL” New Data (Obstet Gynecology)
21 May 2025
Contributed by Lukas
In 2014, the International Society for the Study of Women's Sexual Health together with the North American Menopause Society introduced the term “...
New DATA on Endo RX for Pain (May 2025)
19 May 2025
Contributed by Lukas
Endometriosis is a prevalent gynecologic condition that affects approximately 10–15% of women of reproductive age worldwide. For endometriosis relat...
IUD/S Placement NEW Guidance: Was It Racism Before?
17 May 2025
Contributed by Lukas
In August 2024, the CDC updated its MEC. This included a recommendation for local anesthesia for IUD/S placement and also had guidance regarding misop...
POPs=Asthma? New Data
14 May 2025
Contributed by Lukas
Asthma is more prevalent in adult women than in adult men. Specifically, data from the National Health Interview Survey (NHIS) indicates that 9.7% of ...
FGM 2025 Update.
12 May 2025
Contributed by Lukas
Female Genital Mutilation (FGR) is condemned by the WHO, Unicef, and the US. Nonetheless, it is still being performed worldwide, and in North America....
Ca-Mg “Love-Hate” Bond: Follow Ca Levels on MagSulfate?
09 May 2025
Contributed by Lukas
(Topic Requested): Serum Magnesium and Calcium have an intimate and complex relationship best described as “love-hate”. One of our podcast family ...
ERAS POST CS 2025 UPDATE: Stop Stuff Early?
07 May 2025
Contributed by Lukas
Some debates in medicine and in OBGYN are “the same ol’ thing”. Like the debate on when to remove the urinary catheter after a “routine” ces...
Estrogen the Vag: Live Better!
05 May 2025
Contributed by Lukas
The term "genitourinary syndrome of menopause" (GSM) was introduced in 2014 by the International Society for the Study of Women's Sexu...
NEW ERAS-CS UPDATE: 2025!
03 May 2025
Contributed by Lukas
The ERAS (Enhanced Recovery After Surgery) concept was initially developed for colorectal surgery in 1997 to standardize surgical protocols. The ERAS ...
Mini Q&A: 1. TOLAC Ut Rupture, & 2.Measles!
02 May 2025
Contributed by Lukas
I know this sounds braggadocious, but I'm going to say it anyway: I work with some incredible people! We recently released a podcast on updated TO...
Dating a TWIN Gestation: Smaller or Larger Fetal Estimate?
30 Apr 2025
Contributed by Lukas
Spontaneous twin pregnancies occur in about 1 out of every 250 pregnancies. A real world clinical question has to do with dating a spontaneous twin ge...
"TOLAC SEEMS SAFE": Ya Don't Say. (NEW DATA)
27 Apr 2025
Contributed by Lukas
In the ACOG Practice Bulletin 205 (Reaffirmed August 2025), the stated risk of uterine rupture with TOLAC is stated as 0.7% (after 1 prior LTCS). Howe...
The MYTH of Multitasking
25 Apr 2025
Contributed by Lukas
As healthcare professions we are often pulled in different directions ALL AT ONCE. It happens. We "multitask" every day. Or do we? Neuroscience actual...
The OBGYN EXODUS that wasn't (April 21, 2025 Data)
23 Apr 2025
Contributed by Lukas
I love my home state of TEXAS. I am definitely full of Texas pride. We have Texas barbecue, Texas, hospitality, and of course, the Texas music scene! ...
Rectus at CS: Close or Not?
22 Apr 2025
Contributed by Lukas
There have been various publications and commentaries published on “evidence-based” cesarean section techniques. Still, one of the persistent cont...
New ACOG Guidance on PATH Prenatal Care (May 2025)
19 Apr 2025
Contributed by Lukas
On December 13, 2022, we released an episode describing a new concept in prenatal care, called the PATH model. This was to “redesign” prenatal car...
Pelvic Congestion Syndrome (PCS): Fact or Fiction?
17 Apr 2025
Contributed by Lukas
Pelvic congestion syndrome is a controversial entity that does not currently have validated diagnostic criteria. In the ACOG PB 218 (2020), it states,...
Baby After Uterine Transplant Q&A: Fantastical Facts
14 Apr 2025
Contributed by Lukas
On Monday April 7, 2025, the UK’s publication The Guardian wrote, “Surgeons are hailing an ‘astonishing’ medical breakthrough as a woman becam...
2025 Update (ACCP): ABX Safety in Pregnancy
11 Apr 2025
Contributed by Lukas
On March 19. 2025, The American College of Clinical Pharmacy published, "A review of antibiotic safety in pregnancy- 2025 Update". In this e...
EASY BREEZY IUS Patient Tale
10 Apr 2025
Contributed by Lukas
Well Podcast Family, in this VERY BRIEF episode, we will highlight a patient's perspective on IUS insertion with lidocaine jelly pre-insertion pre...
CAT BITTEN in Pregnancy
09 Apr 2025
Contributed by Lukas
Animal bites in humans are a common problem in the United States, with two to five million occurring each year. The vast majority of animal bites are ...
Single or Multiple Dose Diflucan for VVC? Oral or Topical?
04 Apr 2025
Contributed by Lukas
VVC is second to BV in vaginitis type, here in the USA. data indicate that 75% of women have experienced at least one episode of genital candida throu...
POTS in Pregnancy
02 Apr 2025
Contributed by Lukas
Postural Orthostatic Tachycardia Syndrome (POTS), first described in the 1940s, is a heterogeneous and often debilitating condition affecting the auto...
Microhematuria: 2025 AUA/SUFU Guideline
31 Mar 2025
Contributed by Lukas
Hematuria remains one of the most common urologic diagnoses, estimated to account for over 20% of urology evaluations. Women with hematuria have been ...
BREAKING NEWS: Self-Collection STI Kit Approved
28 Mar 2025
Contributed by Lukas
HOT HOT HOT Off the News CycleL The FDA has just approved (1 hour ago) a new at-home STI test kit. Does this work? What is the data on accuracy? What ...
PCOS, Mood, and Metformin: New Data on MetSyn.
28 Mar 2025
Contributed by Lukas
Metabolic syndrome (MetSyn) is a cluster of conditions, such as increase in waist circumference, dyslipidemia (elevated triglyceride levels and reduce...
Introducing Blujepa!
25 Mar 2025
Contributed by Lukas
Throughout their lifetime, over 50% of women experience uUTIs, with recurrent infection reported in approximately 30%. Today, on March 25, 2025, the F...
Internists, IUDs, and Inspiration.
24 Mar 2025
Contributed by Lukas
Medicine has traditionally been practiced “in silos”. But compartmentalization of medical practice/interventions can leave gaps in patient care. P...
“Devil in the Details”: UPDATE on Stopping PIT in Active Labor (AJOG)
21 Mar 2025
Contributed by Lukas
TWICE BEFORE, we have covered Pitocin use intrapartum: 1. On Oct 24, 2022 we covered, “Save the Pitcoin! Safe to Stop Pit Once in Active Phase?”, ...
Perspectives From the Trenches: “The Rise of Autism”.
20 Mar 2025
Contributed by Lukas
Fresh off the heels of our immediate last episode, we bring you a perspective from the trenches! Sarah, a Clinical Pearls podcast family member, is a ...
Does OB N/V = Autism?
19 Mar 2025
Contributed by Lukas
Autism Spectrum Disorder (ASD) has an alarming trend of rise in the US. Currently, 1 in 36 (or 1 in 40 in some reports) have an ASD diagnosis. For thi...
Ramadan Fasting & Pregnancy
14 Mar 2025
Contributed by Lukas
Fasting during the lunar month of Ramadan (Feb 28 to March 30, 2025) is a core practice for Muslims across the world. During Ramadan, Muslims abstain ...
Vaginal Seeding…AGAIN?
13 Mar 2025
Contributed by Lukas
Infants born by vaginal birth are exposed to maternal vaginal bacteria, which are one of the contributing influences on the subsequent development of ...
Introducing: MIUDELLA®
10 Mar 2025
Contributed by Lukas
On Feb 24, 2025, the FDA granted approval for MIUDELLA®, a hormone-free, low-dose copper IUD developed by US manufacturer Sebela Women's Health I...
Treat MEN for BV Protection in Women?
07 Mar 2025
Contributed by Lukas
BV is a vaginal dysbiosis resulting from replacement of normal hydrogen peroxide and lactic-acid producing Lactobacillus species in the vagina with ...
Danny vs Dave Thomas!! (Editorial Correction to SMA Episode)
06 Mar 2025
Contributed by Lukas
Thank you to our GREAT podcast family members who fixed by history regarding "Hollyweird" ! And thank you DANNY Thomas for your legacy at SJ...
Breakthrough in Prenatal SMA Therapy
06 Mar 2025
Contributed by Lukas
Screening for spinal muscular atrophy (SMA) should be offered to all women who are considering pregnancy or are currently pregnant. SMA is an autosoma...
Vit D and PTB (“New” Feb 2025 Data?)
03 Mar 2025
Contributed by Lukas
Vitamin D gets a lot of attention, and it should, mainly for its known role in bone stability. However, vitamin D has significant additional roles in ...
ASA Desensitization in Pregnancy
28 Feb 2025
Contributed by Lukas
According to published estimates, the prevalence of an NSAID allergy (hypersensitivity) in the general population is estimated to be between 0.5% and ...
MEASLES 101! What to Know.
24 Feb 2025
Contributed by Lukas
Its BACK. While the current outbreak is in western Texas and Eastern NM, it is expected to spread to other States. Measles is an acute viral respirato...
TOLAC: IOL or Wait? (March 2025 Data)
22 Feb 2025
Contributed by Lukas
The ACOG's PB 205 (2019; reaffirmed Aug 2024) states that "when compared with spontaneous labor, induced labor is associated with a lower likelihood o...
Funic Presentations at Term: CS or Not? Timing?
20 Feb 2025
Contributed by Lukas
Funic presentation, the umbilical cord presenting as the leading feal component seen on ultrasound, may be a transient phenomenon and is usually consi...
Excessive Maternal Wt Gain (gwg) = Stillbirth?
17 Feb 2025
Contributed by Lukas
One in five women in the U.S. have a BMI of 30 or more at the START of pregnancy. Around 1 in 5 women gain more than 40 pounds during pregnancy, which...
PUR and Peppermint Oil?
15 Feb 2025
Contributed by Lukas
Estimates of Postpartum Urinary Retention (PUR) incidence vary widely from 1.5% to 17.9%, with undiagnosed cases making the true incidence difficult t...