Dr. Chapa's OBGYN No Spin Podcast
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.
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...