Dr. Chapa's OBGYN No Spin Podcast
Episodes
FHT Baseline Change (110-160) in Labor: Danger, or Disregard?
27 Dec 2025
Contributed by Lukas
In 2002, the National Institute of Child Health and Human Development (NICHD) proposed the 3-Tier fetal heart rate (FHR) classification system that wa...
PFM Question: IAI WITHOUT Fever?
24 Dec 2025
Contributed by Lukas
Podcast Family, in our immediate past episode we tackled the discrepancy that is often found between a clinical diagnosis of intra-amniotic infection/...
Chorio Paradox: When Clinical & Path DX Don’t Agree
22 Dec 2025
Contributed by Lukas
Welcome to "Labor & Delivery Debrief," the podcast where we tackle your toughest questions about childbirth and maternal health. Today, we're divi...
WARNING: DepoP and Meningiomas
18 Dec 2025
Contributed by Lukas
Depo-Provera was approved in 1992 by U.S. regulators. About 1 in 4 sexually active women in the United States have used the shot at some point, accord...
Lube It Up For Baby Delivery?
17 Dec 2025
Contributed by Lukas
The second stage of labor, characterized by active pushing and the descent of the fetal head, can be a challenging and prolonged phase for both mother...
The 2 New FDA Approved GC Meds
15 Dec 2025
Contributed by Lukas
Within the last few days, there has been breaking news regarding the war on gonorrhea. (zoliflodacin) was FDA approved on December 13, 2025, and Bluje...
Delayed Cord Clamping UPDATE (With Med Student Guest Host)
13 Dec 2025
Contributed by Lukas
It’s so interesting to see how medical evidence evolves, and changes, over time. The result of course is that clinical practice evolves and changes ...
Continue Metformin in 1st T for PCOS?
11 Dec 2025
Contributed by Lukas
Podcast Family, we have covered PCOS on this show many times in the past; and yet- again, there is new information! A new publication from AJOG (Gray ...
No OB Hep C RX: Time For Change
08 Dec 2025
Contributed by Lukas
Major health organizations, including the CDC and ACOG, recommend universal Hepatitis C Virus (HCV) screening for all pregnant women during each pregn...
Freebirth, Wildbirth, and the Price of Autonomy
07 Dec 2025
Contributed by Lukas
Welcome to the no spin podcast. In today's episode, we're tackling a subject that's gaining traction but carries significant risks: the freebirth and ...
ACS Update on Self Collected VAGINAL HPV Tests
05 Dec 2025
Contributed by Lukas
In 2024, the ASCCP updated their guidance to include Dual Stain technology as part of primary HPV cervical cancer screening. Now, on December 4, 2025,...
The Reverse Løvset Maneuver For SD
03 Dec 2025
Contributed by Lukas
In the original Løvset maneuver (described for breech presentations), the fetus is rotated in one direction to facilitate arm delivery. For shoulder ...
Titrated Oral MISO Solution For Labor Augmentation?
01 Dec 2025
Contributed by Lukas
Misoprostol, as an E1 prostaglandin, is primarily used in obstetrics for cervical ripening (when the Bishop Score is under 6) and/or for labor INDUCTI...
IUD, Cytology, and Actinomyces: Management.
30 Nov 2025
Contributed by Lukas
Actinomyces species are considered part of the normal vaginal and urogenital tract flora. The percentage of Pap smears containing Actinomyces-like org...
LDA for Unexplained Recurrent SABs?
26 Nov 2025
Contributed by Lukas
Recurrent pregnancy loss (RPL) affects approximately 5% of couples and is an emotional burden on those affected. There is some evidence that vaginal p...
Change Gloves After Placenta at CS? Yes, and No.
24 Nov 2025
Contributed by Lukas
Having data is sometimes different than having clinically applicable data. This is exactly the issue with the proposed plan to reduce surgical site in...
Refresher of Genetic MD
21 Nov 2025
Contributed by Lukas
Muscular dystrophy (MD) is a group of genetic diseases that affect about 16 to 25 per 100,000 people in the US, with the most common childhood form be...
Use GA at CS Electively? Maybe, Maybe.
19 Nov 2025
Contributed by Lukas
Regional anesthesia, typically with a spinal or epidural, has long been favored for cesarean births due in part to concerns about the effects that gen...
Lido Patches After CS? Maybe.
18 Nov 2025
Contributed by Lukas
The US has no shortage of lidocaine patch television commercials. Topical lidocaine has a role for local, topical, minor aches and pains. What about l...
More Measles Material
17 Nov 2025
Contributed by Lukas
Podcast Family, we have covered the subject of Measles previously on this show (links below). Those episodes were a preview of what has now been relea...
Self-Hypnosis For Hot Flash Relief.
12 Nov 2025
Contributed by Lukas
The term "hypnosis" was first described in 1843 by Scottish surgeon James Braid, who published the book Neurypnology. He coined the term "hypnosis" fr...
That’s So Random!
12 Nov 2025
Contributed by Lukas
Well, from time to time we cover RANDOM tidbits of information which cover RANDOM questions and/or RANDOM patient care issues that we encounter. In th...
HISTORY MADE: New HRT News TODAY (11/10/25)
10 Nov 2025
Contributed by Lukas
On August 15, 2025, we reviewed the data from an FDA expert panel calling on the FDA to remove the exiting Black Box warning on commercial HRT options...
A BMI-Based Labor Curve?
09 Nov 2025
Contributed by Lukas
The ACOG acknowledges that maternal obesity affects labor curves and recommends allowing more time for cervical dilation before diagnosing labor arres...
Use Antibiotics at 2nd Degree OB Lac Repair?
06 Nov 2025
Contributed by Lukas
Do you routinely order prophylactic antibiotics at time of second-degree laceration repair? Is there data for that? While the use of prophylactic anti...
“New” PCOS Info: 4 Types (AGAIN)
05 Nov 2025
Contributed by Lukas
On March 29, 2023, we released an episode titled, “The 4 PCOS Phenotypes”. That was in 2023! Now, on 29 October 2025, in the journal Nature Medici...
Folic Acid Update: Patients on Epilepsy Meds Do NOT Need More
02 Nov 2025
Contributed by Lukas
Taking folic acid prior to conception and during pregnancy can help protect the unborn baby from developing abnormalities. Supplements are particularl...
Whole Blood for PPH!
31 Oct 2025
Contributed by Lukas
Back on August 9, 2024, we released an episode (link in the show notes) reviewing the renewed interest in transfusing whole blood for PPH rather than ...
New Med For Hot Flashes
30 Oct 2025
Contributed by Lukas
Elinzanetant, sold under the brand name Lynkuet, received approval from the U.S. Food and Drug Administration (FDA) on October 24, 2025, for the treat...
Vaginal Vit C For BV? AGAIN!
27 Oct 2025
Contributed by Lukas
On January 18, 2020, we released an episode called “Vaginal Vit C for BV? Yep, it’s DATA”. That was 5 years ago! Now, in the Green Journal, a ne...
AFLP vs Preeclampsia With Severe Features/HELLP
24 Oct 2025
Contributed by Lukas
Here is a real-world clinical case with a tricky differential: Our team recently readmitted a patient 6 days postpartum/post C-section (which was done...
Does IV Pitocin Increase Abruption Risk?
21 Oct 2025
Contributed by Lukas
I was recently asked to OPINE on the labor management for a patient who was receiving IV Pitocin for augmentation, who experienced a placental abrupti...
Does Oral PCN Affect OB GBS Culture Result?
19 Oct 2025
Contributed by Lukas
Current guidelines recommend universal collection of a vaginal-rectal swab for GBS colonization at 36-37 weeks and 6 days for the identification of pa...
New CPU: Male RX for BV (10/16/25
17 Oct 2025
Contributed by Lukas
On March 7, 2025, we released an episode summarizing key aspects of a NEJM publication regarding male partner therapy for women with recurrent BV. Alt...
Perform PFMT Antepartum?
15 Oct 2025
Contributed by Lukas
Podcast family, as we have said on many previous occasions, we get episode suggestions from either real-world patient encounters, from things that are...
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.
11 Sep 2025
Contributed by Lukas
As stated in this message, we are delaying today's recording. We will resume as soon as possible. Remembering Charlie Kirk.
Eric's Encounters: Suppl. to Our Last 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 Cancer During Pregnancy (New Data)
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 genitalium: An Overlooke...
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 channels...
New ICP Proposed Schema
10 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...