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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

00:07:56

😳SEX Headaches😳: Yes...it’s a thing!

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/22

Yes...it’s a real diagnosis. Sexual headaches may be PRIMARY (without other etiology) or secondary (due to a more serious issue). Primary sexual headaches are divided into 2 types: orgasmic, and pre-orgasmic. In this episode, we will review the data from the International Headache Association regarding sex headaches.

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00:03:55

How Committed are YOU? A life lesson from Julie Moss.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/19

If you have never heard the story of Julie Moss (1982), start listening to this episode! This is an example of not just being interested in a project/work activity/hobby, but is an example of being PASSIONATELY committed. Let’s quickly review her story, now.

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00:12:33

ERCP in Pregnancy

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/18

Surgery for biliary tract disease is among the top 3 reasons for non-obstetrical surgery during pregnancy (1:1500 to 1:10,000 pregnancies). What is the data on ERCP during pregnancy? Is radiation exposure a concern? What does ACOG recommend regarding intraoperative fetal monitoring? In this podcast, we will cover the ACOG, and AGA recommendations for this procedure in pregnancy.

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00:08:24

Do Hurricanes Cause Labor?

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/17

💥Hurricanes💥! No… Not the traditional and historic drink from New Orleans! 🍹🍹We’re talking about the intense, devastating, natural weather phenomena⚡️⚡️🌊💨🌪. We are in hurricane season! Do hurricanes cause women to enter labor, or affect pregnancy outcome? Is it an “old wives tale”, or is it true? Let’s examine the evidence....now.

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00:08:31

Fetal Kick Counts: Tradition VS Truths; The AFFIRM...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/14

Stillbirth is a pervasive problem worldwide. Maternal perception of reduced fetal movement has been identified as a potential strategy for stillbirth prevention. But is the strategy evidence-based? In this episode, we will review the 2018 randomized trial, the AFFIRM study (Lancet).

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00:07:42

Don’t Steam the V! The V is not a teapot. Here are...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/12

Vaginal steaming has become a cult phenomenon since 2010. But this “alternative“ practice has some real potential risks. Where did this even come from? Why is it done? And what are the potential morbidities? This podcast will cover these questions, as well as a recent (August 2019) case report highlighting the harms of this practice.

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00:08:53

OCPs/HRT in BRCA Carriers: What’s the Evidence?

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/11

Because of the increased risk for breast cancer, BRCA mutation carriers may have concerns about taking oral contraceptives or using hormone replacement therapy after a premenopausal prophylactic bilateral salpingo-oophorectomy (removal of the ovaries and fallopian tubes). Here, we review the current literature about hormone use by BRCA mutation carriers.

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00:09:44

Endometriosis and adverse OB outcomes.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/09

Women with endometriosis may represent a unique population of women at greater risk for adverse outcomes across pregnancy and birth. In this session, we will summarize the soon to be in print publication by Farland et al in Obstetrics and Gynecology. Information from the study may be helpful in counseling women with endometriosis when when they conceive.

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00:09:29

OB Outcomes per Advancing Weeks of Term Gestation.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/08

Is 39 weeks the “sweet spot” for delivery? Neonatal and maternal adverse outcomes have been studied through increasing gestational ages from 37 weeks onward. In this episode, we will summarize the Aug 2019 publication by Chen et al, from Obstetrics and Gynecology. We will also review and apply the findings from the 2018 ARRIVE publication.

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00:07:09

ALERT: Methylene Blue- A Potential Cause of Serotonin...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/07

Healthcare professionals and patients may not realize that methylene blue has monoamine oxidase inhibitor (MAOI) properties. Methylene blue should generally not be given to patients taking serotonergic drugs. When should patients stop taking SSRIs prior to methylene blue use? When should they be restarted? In this session, we will review the MOA of this common dye utilized in surgery and review ways to prevent a possible lethal reaction.

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00:10:33

Opioid Use in Pregnancy: Methadone and Buprenorphine...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/06

Opioid use in pregnancy is a real issue! This podcast will review 2 pharmacotherapies for opioid dependency in pregnancy. We will end the session with a “rapid fire” side-by-side comparison of these 2 agents.

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00:12:45

Chronic Kidney Disease in Pregnancy.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/04

Chronic kidney disease can affect anywhere from 0.1 to 4% of all pregnancies. Pre-existing renal disease can have severe consequences for a pregnancy. Should low-dose aspirin be used in these patients? If so, at what dose? What about calcium supplementation? Are immunosuppressive agents safe to use? In this podcast we will cover the June 2019 ACOG “clinical expert series” monograph on chronic kidney disease in pregnancy.

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00:13:45

Depression/Anxiety Meds in Pregnancy.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/08/02

Depression/anxiety can affect up to 20% of women during pregnancy. These 2 psychological conditions have adverse pregnancy outcomes in and of themselves. But what about medication use? Do SSRIs need to be tapered at end of pregnancy to reduce neonatal withdrawal? Are SSRIs linked to “Neonatal Persistent Pulmonary Hypertension”? What about other meds? This episode will review the ACOG/SMFM data on the subject.

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00:07:09

Can SEX induce Labor?

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/31

For decades, women have been told that having intercourse/orgasms late in pregnancy can hasten the onset of labor. But is this a myth, or is this true? While it is well established that sexual intercourse/orgasms can trigger the onset of contractions, are those contractions enough to result in cervical change? Let’s take a look at the data.

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00:08:53

Adnexal Torsion in Adolescents: New ACOG Opinion (Aug...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/27

Thirty percent of all cases of adnexal torsion occur in females younger than 20 years. In this episode, we will review the latest committee opinion from the ACOG on clinical presentation, use of diagnostic tests, and surgical management of adnexa torsion in adolescents. Here’s your quick test: 1. Do Doppler studies confirm a diagnosis? 2. What are the findings on CT or MRI? 3. Is cystectomy preferred over oophorectomy, or is another management option indicated? Answers...are...here!

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00:12:32

NEW ERAS Post CS Guidelines

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/23

This Enhanced Recovery After Surgery Society guideline was created to support the most common surgical procedure in the industrialized healthcare world, the cesarean delivery. In this section, we will highlight THREE new recommendations that CHANGE how we “traditionally” care for the postop CS Patient: Refeeding as soon as 2 hours postpartum, elimination of the postop urinary cath...and even new data on the use of heparin for postop CS patients!

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00:09:23

Interpregnancy Intervals and OB Outcomes.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/20

Short interpregnancy intervals, as well as long intervals between pregnancies, are associated with some potential adverse obstetrical outcomes. What does the data show? What are the unique considerations that go into patient counseling regarding spacing of pregnancies? In this episode, we will review the SMFM data on interpregnancy intervals.

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00:08:44

SLYND! The new, novel drospirenone oral BC pill.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/17

How much do you know about the recently approved novel BC pill, SLYND? Do you know it’s efficacy? What are the contraindications? In this session, we will bring you up to speed on this new novel drosperinone only oral BC pill. (No financial disclosures).

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00:08:30

How bad do you want it?

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/16

DISCLOSURE: Not for the PC! Not for those who lack determination, or GRIT. This is the antidote for mediocrity. Just a little motivation to KEEP YOU FOCUSED! Now... go-and-get-it!

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00:09:59

Recurrent Preg Loss (Part 2).

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/07/14

Part 2: In this session, we will wrap up our discussion on recurrent pregnancy loss by focusing on 3 controversial areas: 1. Immunological therapy, 2. thrombophilia testing, and 3. Progesterone supplementation. (Data referenced from ACOG, RCOG, ASRM).

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1,104 results

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