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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

00:14:30

Lasix for PP PreEclampsia

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/09/22

One theory behind elevated post-partum blood pressure is that there is a large volume of sodium mobilized into the intravascular compartment in the post-partum period. Loop diuretics have been suggested as methods to accelerate post-partum blood pressure recovery due to their ability to mobilize sodium and fluid excretions. Is there level I data on the use of furosemide for postpartum preeclampsia/hypertension management? Does the use of Lasix affect serum magnesium levels? In this session, we will

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00:10:27

WES and Stillbirth

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/09/19

Stillbirths occur in approximately 6/1000 pregnancies in the US. Currently, the ACOG recommends placental histological analysis and fetal chromosomal study in these cases. However, as up to 50% (or more) of cases are left “unexplained“, more investigation/options are needed. On September 17, 2020, a new publication in the NEJM adds valuable insights as to how whole exon sequencing may help provide a genetic cause in an otherwise unexplained stillbirth. In this podcast, we will review this

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00:14:22

Advanced Paternal Age

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/09/14

Advanced Maternal Age (AMA) has long been associated with adverse obstetrical outcomes. However, is the same true for Advanced Paternal Age (APA)? What is the specific characteristic mutation associated with APA? What does paternal age have to do with chromosomal telomere length and how is that related to cancer in the child? In this podcast, we will review Data from the American College of Medical Genetics regarding APA. This information will be helpful in giving prenatal counseling to couples who

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00:12:38

The Jada System: Vacuum-Pressure Uterine Tamponade...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/09/10

Postpartum hemorrhage is a leading cause of maternal mortality even in the United States. In September 2020, a new device to help treat postpartum hemorrhage was FDA cleared (The Jada System). This is a novel device that uses vacuum pressure for uterine cavity collapse/myometrial compression. In the session, we will review this new data which was published ahead of print September 10, 2020 in Obstetrics Gynecology (Green Journal).

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00:16:40

The Deeply Impacted Fetal Head

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/09/07

A prolonged second stage of labor, or failed vaginal vacuum extraction, can lead to a deeply impacted fetal head. Is the “push“ technique better than the “pull“ technique? Have you heard of the Patwardhan method? What is a C-section SPOON? And is the “Fetal pillow” actually helpful? In this podcast we will review each of these techniques in detail.

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00:06:22

Isolated Echogenic Intracardiac Focus (EIF).

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/09/03

An EIF is a small echogenic area appearing within the fetal cardiac ventricle that has a sonographic brightness equivalent to that of bone. What are the clinical implications of an isolated EIF? Are structural malformations of the heart more common with EIF? What specific workup is required? In this session, we will review the SMFM management of this ultrasound finding.

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00:15:11

Life After Preeclampsia: Long-Term Issues.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/31

A woman in her 20s with preeclampsia has a worse cardiovascular prognosis at 10 years compared to a woman in her 40s without previous preeclampsia. Additionally, preeclampsia is linked to other future maladaptive conditions (even dementia and renal disease) which have severe life impact. In this session, we will review the data on preeclampsia as a risk factor for future morbidity.

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00:22:34

Prevention of Neonatal IVH?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/26

Intraventricular hemorrhage (IVH) is the most common type of intracranial hemorrhage in the neonate and is the most serious. Which antepartum therapy is proven to reduce IVH severity? Does Mag Sulfate reduce IVH? How is umbilical cord “milking” related to IVH? In this session we will cover this in detail and highlight professional societal guidelines.

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00:13:50

CMA in Recurrent Preg Loss: Revised Workup Algorithm.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/21

Recurrent pregnancy loss affects between 3 and 5% of reproductive age couples. Traditionally, the category of “unexplained“ pregnancy loss made up 25% of cases. However, use of Chromosomal MicroArray analysis (CMA) has dropped the category of unexplained to approximately 10%. In this session, we will review the traditional and updated algorithm for recurrent pregnancy loss using CMA for the products of conception (source: Clinical Opinions in ObGyn, published ahead of print)

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00:16:29

Vit D and Pregnancy.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/18

There is biological plausibility for vitamin D to play a role in pregnancy outcomes, given the presence of receptors in gestational tissues. Data has progressed since the ACOG committee opinion regarding vitamin D supplementation in pregnancy released in 2011. Does low maternal vitamin D actually affect maternal outcomes? In the session we will review the latest data from “Current Opinions in OB/GYN” regarding vitamin D supplementation in pregnancy, focusing on preeclampsia risk and GDM.

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00:12:25

Cell Free DNA: ACOG PB #226 EPub

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/15

On August 12, 2020, the ACOG released a revised practice bulletin (226) on screening for fetal aneuploidy. In this session we will focus on cell free DNA genetic screening. How should we counsel younger women on this screening tool? Can cell free DNA be used after an abnormal QUAD screen? How is cell free DNA related to maternal malignancy? We will answer these questions and more in this session.

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00:11:29

Tubo-Ovarian Abscess

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/14

TOAs are typically considered the end result of severe PID. However, not all cases are PID related. TOAs may also be a harbinger of genital tract malignancy in a subgroup of patients. In this session, we will review the presentation, work-up, and management of TOAs and we will end with who may be at greater risk of genital tract cancer with them.

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00:02:51

No “Stirrups” in Gynecology: Chelsea’s Reminder.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/13

Fantastic! As healthcare professionals, we have to remember to use “patient centered“ terms when possible. This is a brief commentary describing a very important issue as a follow up to today’s educational podcast released just hours ago.

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00:12:59

Candy Cane or Boot Footrests at Gyn Surgery: New Data

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/12

It is the age old question at Gyn Surgery… Candy Cane leg holders or Boot support? Is it just physician preference? In August 2020, a new RCT published in the journal Obstetrics & Gynecology addresses this issue. However, as we will discuss, the study raises more questions than answers.

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00:14:02

SMFM Aug 2020: VTE Prevention After CS.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/09

VTE is a major cause of maternal morbidity and mortality in pregnancy, particularly in postpartum after a cesarean birth. In August 2020, the SMFM released consult series No. 51 on the prevention of VTE. What is the first-line pharmacological agent desired? Should prophylaxis be for 10 days, 2 weeks, or 6 weeks? What about risks of use? We will cover these questions and more, here..

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00:10:47

OB Generic Carrier Screening

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/06

Maternal genetic carrier screening is endorsed by the ACOG. Should this be ethnicity-based or should this be “pan-ethnic” screening of disorders? What are the 2 main genetic disorders that should be universally screened for? In this episode, we will cover the ACOG Committee Opinions 690 and 691.

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00:05:06

AAP Update: Mother-Infant Separation and COVID19

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/04

On July 26, 2020, the AAP updated its guidance regarding infant separation from a COVID19 positive mother in the immediate postpartum interval. In this session, we will review this updated recommendation.

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00:12:00

COVID19 and OCPs: Safe?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/08/03

Your patient is a 22 yo female who has tested positive for SARS-CoV2. Will you keep her on her estrogen containing birth control? In this podcast, we will cover the ACOG response to this clinical dilemma as well as provide updated information from a soon to be released commentary in ENDOCRINOLOGY.

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00:12:19

Updated ACOG COVID19 Info (July 29, 2020 Update)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/30

Yes, information keeps changing! That is why medical education is so important. In this session, we will review the ACOG updated recommendations for both healthcare providers and patients regarding COVID-19 management. These guidelines were released July 27, 2020.

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00:06:31

🥊 What Can Boxer Buster Douglas Teach Us? ALOT! 👏🥊👏

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/28

⭐️Feb 11, 1990. ⭐️ It was a worldwide sports event. It has been called one of the greatest upsets in sports history. This brief recap of the Douglas-Tyson match has a powerful lesson applicable to today’s stressful times. Let this brief episode encourage you and motivate you on your life’s adventure. 🙂

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1,102 results

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