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PODCAST

Dr. Chapa’s OBGYN Clinical Pearls

Dr. Chapa’s Clinical Pearls

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! Welcome...to Clinical Pearls.

science

All Episodes

00:14:25

🚨🚨Emergency BC🚨🚨: Part 1

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/09/10

Despite its use for decades, misinformation and misperceptions about emergency contraception still persist. Are all options the same? What is their efficacy? Does bodyweight affect EC’s ability to prevent pregnancy? And what about medical contraindications to birth control use? In the session, which is Part 1, we will dive into the facts regarding emergency contraception.

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00:13:05

ACOG’s MLoC Program (Jan 2022)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/09/05

The US is ranked 65th among industrialized nations for maternal morbidity and mortality outcomes. That is unacceptable! Maternal levels of care initially began in Texas. Now, there is a plan to make this nationwide. With the goal of reducing maternal mortality and morbidity in the United States, ACOG has partnered with The Joint Commission on the development of a new Maternal Levels of Care (MLC) Verification program, effective January 1, 2022. This session, we will review what this program will

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00:11:20

OB Monoclonal Antibody Use

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/09/01

Available mAbs are directed against a large number of antigens and used for the treatment of immunologic diseases, reversal of drug effects, and cancer therapy. Now of course they are also being used against COVID-19. As these are IgG based, is the use of monoclonal antibodies allowed in pregnancy? What is the ACOG/SMFM position statement? In this session, we will review the latest data regarding monoclonal antibody use in the OB patient.

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00:06:15

Prophylactic TXA for Prevention of PPH.

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/29

Tranexamic Acid’s use in obstetrics skyrocketed in 2017 after the release of the WOMEN trial. At that time, the ACOG endorsed TXA for use with diagnosed PPH, not for its prevention. Does TXA prophylaxis reduce postpartum hemorrhage? Does it matter whether it is used at vaginal birth or cesarean? Data moves fast and we will highlight those new answers here.

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00:13:13

ACOG PostPartum MultiModal Pain Control (Sept 2021...

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/25

(Part 2) In this session, we will wrap up our summary review of the ACOG September 2021 Clinical Consensus bulletin on postpartum pain management. What are “ultra rapid metabolizers” of opioid medication? How does that affect our prescriptions for postpartum pain control? In this session we will answer these questions and more! ⚕️⚕️⚕️⚕️

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00:15:12

ACOG PostPartum MultiModal Pain Control (Sept 2021...

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/22

Uncontrolled postpartum pain can lead to postpartum depression, impaired maternal-child bonding, and even chronic pain syndromes. Uncontrolled postpartum pain can also lead, in some individuals, to a form of PTSD. In this session, we will review the September 2021 Clinical Consensus statement from the ACOG on using a “MultiModal Stepwise Approach” to Postpartum pain management. Do NSAIDS increase blood pressure? When are TAP blocks recommended? We will answer these questions and more in this

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00:16:09

Primary Amenorrhea

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/18

The diagnostic algorithm for primary amenorrhea is extremely logical once one understands this pathophysiology. While some patients presenting with primary amenorrhea are indeed genetic females, some are actually 46XY. Do you remember the difference between Swyer syndrome and androgen insensitivity (AIS)? In this session, we will present an easy to follow diagnostic algorithm for primary amenorrhea based on ASRM guidelines. We will also provide high-yield facts contrasting Swyer syndrome with

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00:14:43

CDC STI RX UPDATES 2021

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/15

At the end of July 2021, the CDC updated its treatment guidelines for sexually transmitted infections. Changes were made to recommended treatments for chlamydia, gonorrhea, trichomoniasis, and PID. There’s also new updated information regarding mycoplasma genitalium. In this session, we will provide a summary review of the key take-home changes made by the CDC.

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00:11:11

New PTB Prevention Bulletin: ACOG Aug 2021 (PB 234)....

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/04

In 2003, the ACOG/SMFM endorsed IM progesterone for PTB prevention. But new data has called this into question (PROLONG trial). In this session, we will review the PROLONG data and compare it to the newly released EPPPIC study. What does the ACOG now recommend? We will answer these questions and more in this session.

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00:11:52

New PTB Prevention Bulletin: ACOG Aug 2021 (PB 234)....

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/08/01

The last time ACOG released a practice bulletin on the prevention of preterm birth was in 2012. In August 2021, the ACOG will release a new practice bulletin addressing prediction and prevention of preterm birth. In this session, we will summarize transvaginal ultrasound for cervical length screening. Is there a “reassuring“ cervical length using TRANSABDOMINAL ultrasound? When should these be done? And what about all the new progesterone data? Listen to find out.

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00:11:28

NSGU (Lipschütz ulcers): Painful sores in virginal...

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/27

Non-sexually acquired genital ulceration (NSGU) is painful ulceration of the external genitalia, usually in adolescents, unrelated to sexual activity. In this session, we will review the likely ideology, the clinical presentation, its diagnostic criteria, and the management approach for this condition.

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00:07:11

Stop BF After Covid Vaccine? Yes or No?

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/23

There is a whirlwind of false/misleading information on social media regarding the COVID-19 vaccines. Some social media posts state that breast-feeding should be STOPPED after this vaccine. Is that evidence-based? What does the Academy of Breast-Feeding Medicine recommend? In this session, we will review a recent report from JAMA Pediatrics (July 2021) which provides some much needed clarification on breast-feeding after COVID-19 (mRNA) vaccination.

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00:16:27

Cholestasis of Pregnancy: SMFM Consult #53 (2021)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/19

Our understanding of Intrahepatic Cholestasis of Pregnancy has changed just over the last 5 years. What is the best laboratory test to help diagnose this condition? At what level of total serum bile acids is the risk of fetal death greatest? What does the SMFM say about induction of labor for these patients? In this episode, we will highlight and summarize the latest clinical brief on ICP from the SMFM (2021). This is SMFM consult series # 53.

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00:01:30

Why we do this!

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/12

Thank you for sharing your message! And, most importantly, congratulations on your board certification! Hope this makes someone else smile, as it did for me.

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00:11:21

Atypical Breast Hyperplasia

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/09

Atypical Breast Hyperplasia may present either as Atypical Ductal Hyperplasia or Atypical Lobular Hyperplasia. Which of these two is considered the more “pre-malignant”? Is surgical excision necessary for all atypical breast hyperplasia? Who qualifies for tamoxifen? And, how does breast tomosynthesis fit into the management scheme? We will dive into these questions and more in this session.

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00:09:38

Perinatal Fe Deficiency Facts

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/05

Correction of iron deficiency anemia in pregnancy is not just about fixing a low “H & H”. Iron deficiency during pregnancy is associated with real adverse maternal and neonatal outcomes. What is the best way to take oral iron supplementation? What about IV iron? Does “intramuscular” iron injection have a place in practice? Let’s cover these questions and more in this session.

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00:13:18

Nifedipine tocolysis? No (July 2021 Green Journal)

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/07/01

Nifedipine is one of the most common medications used for tocolysis. However, does it actually improve neonatal outcomes? What about tocolysis in general? In this session we will review a new randomized trial from Parkland, published in July 2021 in Obstetrics Gynecology (Green Journal).

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00:09:21

Ad-Hoc Med Translators: Take Caution.

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/27

According to the latest US Census Bureau report analyzing the use of languages in the United States, over 20% of Americans speak a language other than English at home. Of this population, greater than 24% report that they do not speak English well or do not speak English at all. With a US population of more than 300 million, this makes over 70 million people with limited English proficiency. In this session, we will review best practices for using medical translation with our patients and why using

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00:08:29

GO MOMs! A New NIH Study for GDM

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/23

Our understanding of gestational diabetes has changed over the last two decades, and more changes are sure to come! The traditional screen between 24 to 28 weeks may actually be too late. Enter the “GO MOMs” study. This NIH study, starting now, aims to answer the persistent unknowns regarding maternal blood levels during gestation. Listen to how this remarkable study may impact our screening, diagnosis, and management of gestational diabetes in the very near future.

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00:10:01

LEEP or CKC? Part 2

Dr. Chapa’s OBGYN Clinical Pearls ·

2021/06/20

Welcome back! In this session, we will review the contraindications for LEEP and the specific indications for CKC.

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1,102 results

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