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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

00:14:17

Macrosomia (ACOG PB 216)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/06/03

Medical information moves fast. Although the increased morbidity with fetal macrosomia has long been known, the ACOG has revised his practice bulletin on the subject (January 2020). In this session, we will review this updated practice bulletin. What’s the new data on exercise and fetal birthweight? Is operative vaginal delivery contraindicated in macrosomic infants? What about TOLAC with a suspected macrosomic infant? Let’s cover these topics, and more, in this session.

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00:07:40

🚨NEW DATA🚨: N95 Masks for 2nd Stage of Labor? (AJOG...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/28

Multiple societies and experts have weighed in on whether 2nd stage of labor warrants universal use of respirators (e.g., N95 masks) vs surgical masks. The ACOG/SMFM has petitioned the CDC for clarity on this issue. In May 2020, the AJOG published a new “clinical perspective“ in MFM which is pushing for use of 1 mask over the other. We will highlight this new development in this session.

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00:08:35

Universal SARS-CoV2 Screening in L&D? ACOG EPub Summary

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/25

Some experts have called for universal screening of all patients admitted to labor and delivery. The foundation of this opinion is to decrease exposure to healthcare workers and identification of asymptomatic women for the prevention of horizontal newborn transmission. However, there are some potential negative implications of this proposal. In this podcast, we will review a soon to be released editorial (Torri Metz, MD) from Obstetrics & Gynecology (the Green Journal) on the pros/cons of universal

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00:13:50

Placental Examination: The When, Whys & Whats.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/24

Examination (macroscopic and microscopic) of the placenta can give valuable insights into the intrauterine environment. The College of American Pathologists has issued guidelines about when to submit a placenta for histological examination. In this session, we will review the “what, when, and whys“ of histological placental referral. We will also review abnormal umbilical cord insertion and it’s link to adverse obstetrical/neonatal outcomes. SHOUTOUT TO LAUREN (our podcast listener) for the podcast

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00:01:21

Thyroid & Pregnancy: June 2020 ACOG PB 223

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/22

Does the ACOG endorse universal screening for thyroid disease in pregnancy? What about treating subclinical hyperthyroidism or subclinical hypothyroidism? And what about those pesky anti-thyroid autoantibodies? In this podcast, we will highlight the June 2020 ACOG Practice Bulletin (223) covering thyroid disease in pregnancy.

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00:10:49

Antenatal Steroids Developmental Harms? Editorial on...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/20

The benefit of antenatal corticosteroids in preterm infants was first reported in 1972, but it took 20 years for widespread adoption. Now, antenatal steroids are recommended by the ACOG up to 36 weeks and 6 days. However, a new study (JAMA May 2020) has raised concerns about steroid exposure in utero and possible behavioral and mental diagnoses in children up to age 5. These outcomes were significant for infants who were born full term. In this podcast, we will highlight this new study and summarize

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00:05:54

Is Breastfeeding OK with COVID19?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/17

Information can be confusing regarding COVID-19. The WHO, CDC, ACOG, AAP all have slightly different recommendations based upon what topic you’re looking at. Is a patient with COVID-19 allowed to breast-feed? In this episode, we will review the CDC/AAP recommendations for breast-feeding regarding a patient under investigation or confirmed positive case.

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00:12:29

Sexual Assault Post-exposure Prophylaxis.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/11

Sexual assault/rape is a devastating occurrence for all victims. Post exposure infectious disease prophylaxis has been expanded to include hepatitis B and HPV vaccinations. In this session, we will review the medical/vaccine regimens as post exposure prophylaxis after assault. We will also cover HIV prophylaxis. Are 3 anti-retroviral medications more effective than 2 for HIV prevention? The answer is in this podcast!

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00:17:13

OB “Bed Rest” is DANGEROUS: SMFM Series #50 (AJOG EPUB)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/09

The ACOG/SMFM does not recommend bedrest in pregnancy for the prevention of preterm birth for women at risk, nor in multiple gestation, or management of hypertensive disorders. Does bedrest actually RAISE PTB risk? In this session, we will summarize updated information about the real physiological, psychological, and possibly OB adverse effects of bedrest in pregnancy. (NEW SMFM Consult Series #50).

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00:09:59

CVS/Amnio and Microarray Analysis.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/05

Advances in 1st trimester aneuploidy screening have increased the need for early prenatal diagnostic testing. There are only 2 prenatal diagnostic tests : CVS and amniocentesis. In this podcast, we will review these procedures and rates of potential complications. We will also summarize the difference between microarray chromosomal analysis and conventional karyotype.

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00:07:27

Remdesivir for COVID-19

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/05/03

On May 1, 2020, the FDA authorized the emergency use of Remdesivir for COVID-19. This was based on a preliminary analysis of an NIH clinical trial. However, information is still lacking on safety and efficacy in a larger study population. In this session, we will review the known mechanism of action of this novel antiviral medication and limitations of data.

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00:09:59

Tobacco/Nicotine & Pregnancy (ACOG May 2020 CO 807)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/27

In May 2020, the ACOG will release a new committee opinion regarding tobacco/nicotine use during pregnancy. What are the risks of nicotine use during pregnancy? Are medications to assist smoking cessation in pregnancy endorsed by the ACOG? In this session, we will highlight and summarize this new committee opinion.

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00:07:37

BV screening before hysterectomy?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/25

In 2018, the ACOG stated that screening for bacterial vaginosis before gynecological procedures “can be considered“ as a way to reduce infection. However, in March 2020, a new expert review was published in the AJOG making a much stronger recommendation. In this session, we will review the publication from March 2020 from the American Journal of ObGyn highlighting this stronger recommendation to screen for bacterial vaginosis before gynecological procedures.

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00:12:37

Seizure Disorders in Reproductive Women (ACOG May...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/24

Women with seizure disorders often have altered menstrual function, with or without anti-seizure medications. One anti-seizure medication has even been linked to the development of PCOS. Seizure disorders in reproductive age women can also influence contraceptive choice. Do you know what makes Lamotrigine unique? In this session, we will summarize the upcoming May 2020 ACOG committee opinion (806) focusing on gynecological care of reproductive age women with seizure disorders.

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00:12:16

OB Exercise Revised Guidelines (April 2010, ACOG CO 804)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/19

Data on exercise during pregnancy and the postpartum period has evolved. For example, once considered relatively contraindicated, jogging during pregnancy is not prohibited. Does exercise cause preterm birth? What about exercise in women with pre-existing diabetes or hypertension? In this session we will cover the April 2020 committee opinion clarifying myths/misperceptions regarding exercise in the pregnant and postpartum patient.

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00:06:50

Maternal O2 Harmful in Labor

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/16

Maternal oxygen administration in labor has been used as a traditional tool for intrauterine fetal resuscitation. However, excluding times of maternal hypoxemia, the practice could actually be detrimental to fetal well-being. In this session, we will review data from the SMFM annual meeting from February 2020.

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00:08:10

Against The Odds: Lessons Learned From Helen Keller

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/14

Being deaf and blind in the late 1800s (and a female!) was a prime recipe for failure and poverty. However, one young woman beat incredible odds to change American history. During these uncertain times of COVID19, we can still learn from Ms. Helen Keller, and her proven formula for overcoming life’s challenges: self-motivation, and personal encouragement.

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00:09:48

Elmiron and Ocular Maculopathy: New Med Toxicity?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/12

Elmiron (pentosan polysulfate sodium) is the only oral FDA approved medication for interstitial cystitis/painful bladder syndrome. Initially approved in the late 1990s, recent evidence (within two years) has described a new medication associated ocular pathology: retinal maculopathy. In the journal Obstetrics and Gynecology, a new commentary will soon be released on this topic. In this podcast, we will review the data to date regarding this newfound medication concern.

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00:10:47

Surgical Procedures and COVID-19 (AAGL)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/09

The AAGL and the RCOG have released position statements regarding the use of laparoscopy during this viral pandemic. Can surgical plume from energy devices transmit infection? Is laparotomy safer for the OR team? In this podcast we will highlight and summarize the position statements of these professional societies regarding non-elective surgical procedures during this viral pandemic.

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00:12:38

ARDS in Pregnancy (SMFM Review)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/09

ARDS in pregnancy carries an increased rate of maternal and perinatal mortality. Specific respiratory physiological changes make care of the pregnant ARDS patient more complex than in the non-pregnant individual. Is temporary hypocapnia or hypercapnia more favorable? What about ventilation pressures? We will review maternal respiratory changes and ARDS care in this session (Source: SMFM Critical Care in Obstetrics).

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1,102 results

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