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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.

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All Episodes

00:13:56

OB Aspirin Risks? New AJOG Data.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/27

Given the perceived safety of aspirin during pregnancy, there have even been increasing calls to administer aspirin universally to all pregnant women. However, there are no population-based studies addressing whether there is a bleeding risk with aspirin administration during pregnancy. In this session, we will review a recently accepted manuscript (July 2020) in AJOG which will soon be in print which is a population based study from Sweden. Are there risks with aspirin use in

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00:11:20

HPV Vaccines: AUG 2020 ACOG CO

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/24

In August 2020, the ACOG will release a new Committee Opinion (809) reviewing the HPV vaccination. How many doses are required by age? Can the vaccine be given during pregnancy? What about breast-feeding? We will answer these questions and more in this episode.

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00:11:51

Chlorhexidine Wipes Pre-CS? The STRIPES Trial.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/23

CS deliveries are the most frequently performed inpatient surgeries in the US. The ERAS pathway for planned cesarean deliveries does not include preadmission CHG cloths because of the lack of evidence from randomized, controlled trials. In July 2020, the AJOG published the STRIPES RCT to see whether use of these cloths resulted in decreased SSI. We will cover this in this episode.

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00:16:08

Maternal-Fetal Physiology.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/21

Pregnancy is a co-adaptive, quasi-symbiotic state. There are a variety of maternal physiological and anatomical adaptations which must not be interpreted as pathological. In this session we will review these vital changes as well as the fetal circulatory system and provide a quick review of fetal acid base status.

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00:07:27

SMFM Checklist for PIH PP Discharge (Ahead of Print)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/17

On January 1, 2021, the Joint Commission will release new standards for maternal safety at discharge from the hospital. Discharge teaching and postpartum follow up planning will be part of this mandate with a focus on patients with hypertensive disorders. To prepare everyone for this, the SMFM is releasing a new statement and checklist for postpartum discharge of hypertensive patients. In this session, we will review and summarize this new (July 2020) special statement which is scheduled to be in

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00:17:13

COVID19, Preeclampsia, and Clots.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/14

COVID19 can have varied clinical manifestations. In pregnancy, new data has highlighted its potential to cause a “preeclampsia like syndrome“. This, together with the increased thrombotic state of COVID-19, elevates the risk for VTE above that of pregnancy alone. Can TXA be used for PPH in these cases? In this podcast we will review these 2 high risk clinical manifestations of COVID-19 in pregnancy.

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00:13:27

Tamoxifen for Nexplanon Bleeding? A New RCT.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/12

LARCS are endorsed by the ACOG due to the high efficacy. However, unpredictable bleeding can affect continuation rates. A new RCT has evaluated the use of tamoxifen to control and prevent future abnormal bleeding with etonogestrel implant use. Does this work? What is the MOA? In this session, we will summarize this new publication (published ahead of print) in Obstetrics and Gynecology.

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00:09:29

Cesarean’s AMAZING History (Part 2)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/10

Did you know that silver wire helped to dramatically reduce maternal mortality at cesarean section? And what does the Goodyear Rubber Company have to do with surgical techniques? In this episode we will wrap up our walk through history reviewing CS’s AMAZING History.

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00:16:39

Cesarean’s AMAZING History (Part 1)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/09

What does a pig gelder, a woman dressed as a man, and the Queen of England all have in common? The answer: ALL CONTRIBUTED TO CS’s history! The history of C-section has been called the combination of “death, deceit, and germs“. In this historical review (Part 1), we will take a look at the origin of this all too frequent abdominal surgery.

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00:10:54

Pregnant & Prone for Resp Support

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/05

Prone positioning during invasive mechanical ventilation improves oxygenation, as shown in large randomized clinical trials of patients with ARDS. In an RCT that included 466 patients with moderate and severe ARDS, prone positioning for at least 16 hours per day with protective mechanical ventilation reduced 90-day mortality. Is prone positioning for respiratory support possible in pregnancy? In this session we will cover the beneficial effect of probe positioning and summarize an article (EPUB)

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00:14:14

Fetal Gastroschisis.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/02

Gastroschisis occurs in about 1 in 1800 births in the US. Does this abdominal wall herniation usually occur to the right or left of the umbilical cord? Is this condition tied to chromosomal/genetic syndrome? What about antepartum fetal surveillance? Is a cesarean birth required? In this episode, we will review the SMFM and CDC data regarding management of gastroschisis.

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00:14:05

Female Circumcision: ACOG/WHO Response

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/07/02

Female genital mutilation (FGM) is also known as female circumcision. The ACOG and the World Health Organization have issued public statements condemning the practice. What is this procedure? What are the 4 different types of female genital cutting? In this session we will review these answers as well as the immediate and long-term complications of FGM. We will also review the WHO international response to this unnecessary medical practice.

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00:06:27

Polyhydramnios Part 2: SMFM Review, Intrapartum Care

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/28

Is labor affected by polyhydramnios? What is the suggested manner of performing artificial rupture of membranes in this setting? In this session, we will wrap up our discussion of polyhydramnios with a quick summary on intrapartum care.

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00:15:01

Polyhydramnios Part 1 (SMFM #46)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/26

Polyhydramnios can be mild, moderate, or severe. Is deepest vertical pocket (DVP) or AFI preferred for amniotic fluid assessment? Is antepartum Indocin a valid treatment option? What about antepartum fetal surveillance? In this session, which is Part 1, we will review the SMFM guidance regarding polyhydramnios.

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00:15:28

Placenta Accreta Spectrum

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/22

Placenta accreta spectrum, formally known as morbidly adherent placenta, refers to a range of pathologic adherence of the placenta (accreta, increta, and percreta). There is significant risk of maternal morbidity and mortality including risk of blood transfusion, life-threatening hemorrhage, and hysterectomy. In this session, we will review the obstetric care consensus by the ACOG and SMFM regarding this condition (obstetric care consensus # 7).

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00:07:15

Oriahnn for Fibroids HMB (New Med Approval)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/20

On May 29, 2020, the U.S. FDA approved an novel oral drug, Oriahnn, for HMB use to fibroids. This medication (elagolix, estradiol, and norethindrone acetate) is the first oral medication designed specifically for Fibroid HMB. In this session, we will review this new medication. (No financial disclosures to report).

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00:16:00

Female Sexual Dysfunction (Part2): Therapies.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/15

In this session, we will conclude our summary of the new ACOG clinical expert series, “Female Sexual Dysfunction“. This episode will focus on specific treatments of each of the 4 different DSM5 categories of female sexual dysfunction.

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00:16:37

Female Sexual Dysfunction (Part1): New ACOG Clinical...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/13

Human sexual response is a highly individual and emotional process. Sexual dysfunction is common among women and leads to personal distress. The ACOG has released a new “clinical expert series“ which currently is published ahead of print. In this session (Part 1), we will review the prevalence, risk factors, and DSM5 categories of female sexual dysfunction.

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00:13:28

Fetal-Neonatal Alloimmune Thrombocytopenia

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/10

Unlike fetal thrombocytopenia resulting from maternal ITP, fetal- neonatal alloimmune thrombocytopenia may occur earlier in gestation and can lead to in-utero fetal intracranial hemorrhage. The condition can be severe. In this podcast, we will review the presentation, diagnosis, and management of this potentially lethal fetal acquired condition. (ACOG Data 2019).

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00:10:10

New Data: Maternal O2 in labor (not helpful!). AJOG...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/07

On June 1, 2020, the American Journal of Obstetrics and Gynecology released a new publication with surprising results related to maternal oxygen use in labor for Category II fetal heart rate tracings. Although we have covered this in some form in previous episodes, we will provide new up-to-date information on this subject.

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1,102 results

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