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PODCAST

Dr. Chapa"s OBGYN No Spin Podcast

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! PLUS...we believe that medical education should be delivered without any SPIN...Welcome, to Dr. Chapa"s OBGYN No Spin Podcast! (Note: our Legacy podcast, Clinical Pearls, will no longer have new episodes uploaded through

education medicine

All Episodes

23:07

TXA for ENG Implant Bleeding?

Dr. Chapa"s OBGYN No Spin Podcast ·

2026/01/16

The ENG implant has data placing it as the most reversible, hormonal contraceptive agent available with a typical use failure rate of 0.05%. Unfavorable bleeding patterns, such as frequent or prolonged bleeding, affect approximately 40% of ENG implant users within the first 3 months but typically improve over time. Nonetheless, it is the main reason for patient discontinuation. In the past, various medications have shown to have at least some short-term reduction in bothersome breakthrough bleeding

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33:03

Does Uterine Incision-to-Delivery Interval Matter?

Dr. Chapa"s OBGYN No Spin Podcast ·

2026/01/13

It’s a controversial topic: the impact of uterine incision (hysterectomy) on the neonate delivery interval (also called the U-D interval). Does it matter? Just to be clear, we’re talking about time from uterine entry to fetal extraction, not skin incision to fetal extraction. Past publications have produced conflicting results, often limited by small sample sizes, heterogeneous indications for delivery, and reliance on surrogate markers (like apgar scores) rather than clinical morbidity. But a new

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37:09

cfDNA: Jan 2026 Practice Advisory

Dr. Chapa"s OBGYN No Spin Podcast ·

2026/01/10

In January 2026, the ACOG released its Practice Advisory on Screening for fetal Chromosomal Abnormalities. This comes after its Nov 2025 endorsement of the SMFM’s Consult Series #74, “Cell-free DNA screening for aneuploidies: Updated guidance”. In this episode we will review the key parts of this PA. Is screening for microdeletions recommended? PLUS, we will focus on cfDNA for sex chromosomal abnormalities. Should screening for sex chromosomal abnormalities (SCAs) be an “opt in” or “opt out” process

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33:46

TOLAC, PIT, and Internals: The Latest

Dr. Chapa"s OBGYN No Spin Podcast ·

2026/01/08

Uterine rupture or dehiscence associated with TOLAC results in the most significant increase in the likelihood of additional maternal and neonatal morbidity. It should be noted that the terms “uterine rupture” and “uterine dehiscence” are not consistently distinguished from each other in the literature and often are used interchangeably. Furthermore, the reported incidence of uterine rupture varies in part because some studies have grouped true, catastrophic uterine rupture together with

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27:50

The 2025 Big Baby Trial

Dr. Chapa"s OBGYN No Spin Podcast ·

2026/01/05

Currently, as of today’s date, neither the ACOG nor SMFM currently support routine early induction of labor for suspected fetal macrosomia, instead recommending individualized counseling and reserving elective cesarean for extreme estimated fetal weights. However, a 2025 multicenter, open-label, randomized controlled trial was published in the Lancet comparing induction of labor versus standard care in pregnant women with fetuses suspected to be large for gestational age. The study used a

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26:15

Brain Zapping at Home Now Approved!

Dr. Chapa"s OBGYN No Spin Podcast ·

2026/01/02

In mid-December 2025, the FDA approved an at home device that aims to treat depression by sending electric current into a part of the brain (the prefrontal cortex) known to regulate mood. This has been available in the UK since 2019 but it is new to the US. The manufacturer has stated that over 55,000 patients have used the device across Europe, the UK, Switzerland, and Hong Kong. How does this work? Is there data to support this new therapy? In this episode, we will summarize three consecutive

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32:00

New Data on VO-CPP (PeVD) Therapy

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/30

While endometriosis is highly associated with Chronic Pelvic Pian (CPP), some women may suffer from a different primary or coexistent secondary etiology: pelvic vascular congestion, called vascular origin (VO)- CPP. Although controversial as an entity, there have been diagnostic algorithms published (via pelvic ultrasound. MRI, or venography) for this condition. Approximately 10-40% of chronic pelvic pain cases may be attributed to pelvic vascular congestion (now termed pelvic venous disorder),

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1:14

Emily's Thanks For You

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/28

A brief THANK YOU before the 2025 end.

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24:10

FHT Baseline Change (110-160) in Labor: Danger, or...

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/27

In 2002, the National Institute of Child Health and Human Development (NICHD) proposed the 3-Tier fetal heart rate (FHR) classification system that was subsequently adopted by many organizations, categorizing tracings into three groups: Category I (normal), Category II (indeterminate), and Category III (abnormal). Recently, our podcast team received an interesting question form one of our podcast family members: “If there is a change in the fetal heart rate tracing intrapartum, but it is still in

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19:29

PFM Question: IAI WITHOUT Fever?

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/24

Podcast Family, in our immediate past episode we tackled the discrepancy that is often found between a clinical diagnosis of intra-amniotic infection/chorioamnionitis and histological chorioamnionitis. From that episode, we received a fantastic question from one of our podcast family members (PFM): Can a patient have IAI without fever? That question is really deep and highlights a gap in the current diagnostic scheme/ criteria from the ACOG. Listen in for details!1. ACOG CO 7122. Sukumaran

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23:36

Chorio Paradox: When Clinical & Path DX Don’t Agree

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/22

Welcome to "Labor & Delivery Debrief," the podcast where we tackle your toughest questions about childbirth and maternal health. Today, we're diving deep into a fascinating and critical topic sent in by one of our listeners, Sarah. Sarah asks: "Is it possible for a clinical diagnosis of chorioamnionitis to not be confirmed by placental histology? And if so, how is that possible?" This is a fantastic question that touches on the complexities of intrapartum clinical diagnosis of intraamniotic

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20:33

WARNING: DepoP and Meningiomas

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/18

Depo-Provera was approved in 1992 by U.S. regulators. About 1 in 4 sexually active women in the United States have used the shot at some point, according to the U.S. Centers for Disease Control and Prevention (CDC). Meningiomas are common intracranial tumors with a female predominance. In fact, they are the most common primary brain tumor in women, with an incidence of approximately 12.76 per 100,000 in the general female population. The vast majority of these tumors are benign (World Health

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19:11

Lube It Up For Baby Delivery?

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/17

The second stage of labor, characterized by active pushing and the descent of the fetal head, can be a challenging and prolonged phase for both mother and baby. Various interventions have been explored to optimize this stage, and one such technique involves the application of vaginal lubricants. The rationale behind this approach is to reduce friction between the fetal head and the birth canal, potentially leading to smoother and faster delivery. Does this seemingly simple technique work? Does the

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13:50

The 2 New FDA Approved GC Meds

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/15

Within the last few days, there has been breaking news regarding the war on gonorrhea. (zoliflodacin) was FDA approved on December 13, 2025, and Blujepa (gepotidacin) was FDA approved on December 11, 2025.These new oral treatments are particularly important given the global rise in gonococcal drug resistance and the convenience they offer over injectable options, potentially improving patient adherence and public health outcomes. Listen in for details.1. FDA News Release. FDA Approves Two Oral

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16:24

Delayed Cord Clamping UPDATE (With Med Student Guest...

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/13

It’s so interesting to see how medical evidence evolves, and changes, over time. The result of course is that clinical practice evolves and changes as well. The story of umbilical cord management at time of delivery highlights this very issue very well. The ACOG first recommended delayed cord clamping (DCC) in 2012, for preterm infants, as data showed marked improvement in neonatal outcomes in that population. In this episode, we will briefly walk through the timeline from 2012 to the latest update

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24:38

Continue Metformin in 1st T for PCOS?

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/11

Podcast Family, we have covered PCOS on this show many times in the past; and yet- again, there is new information! A new publication from AJOG (Gray journal) describes a new meta-analysis on preconception/continued metformin use in the first trimester. Is this helpful? How does this contrast with the 2023 international guidance update on PCOS? Listen in for details. 1. ASRM: Recommendations from the 2023 International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary

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22:25

No OB Hep C RX: Time For Change

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/08

Major health organizations, including the CDC and ACOG, recommend universal Hepatitis C Virus (HCV) screening for all pregnant women during each pregnancy and at time of delivery. Ideally, pregnant women should be screened for hepatitis C virus infection at the first prenatal visit of each pregnancy. If the antibody screen result is positive, hepatitis C virus RNA polymerase chain reaction testing is done to confirm the diagnosis. The risk of perinatal transmission of HCV is up to 9%, with at least

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19:58

Freebirth, Wildbirth, and the Price of Autonomy

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/07

Welcome to the no spin podcast. In today's episode, we're tackling a subject that's gaining traction but carries significant risks: the freebirth and wildbirth movement. We'll explore the rising trends of unassisted childbirth, where individuals choose to forgo professional medical care during labor and delivery- or during the prenatal period altogether, and the potential devastating outcomes associated with these practices. Join us as we unpack the motivations behind these choices, the lack of

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18:22

ACS Update on Self Collected VAGINAL HPV Tests

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/05

In 2024, the ASCCP updated their guidance to include Dual Stain technology as part of primary HPV cervical cancer screening. Now, on December 4, 2025, the ACS has updated their guidance regarding patient self-collection of vaginal specimens for primary HPV screening. This is fascinating and proves medicine moves fast! Should a negative self-collection test result have a repeat screen in 1, 3 or 5 years, or later? Listen in for details.1. Self-collected vaginal specimens for human papillomavirus

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31:15

The Reverse Løvset Maneuver For SD

Dr. Chapa"s OBGYN No Spin Podcast ·

2025/12/03

In the original Løvset maneuver (described for breech presentations), the fetus is rotated in one direction to facilitate arm delivery. For shoulder dystocia, the reverse Løvset applies rotation in the opposite direction—specifically rotating the posterior shoulder toward a "belly down" position through up to 180 degrees of rotation. These maneuvers were first described by Norwegian obstetrician Jørgen Løvset in the 1940s. Now, in the current November 2025 AJOG, this maneuver is back in the

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