Dr. Chapa’s OBGYN Clinical Pearls

Latest Episodes:

Skin to Skin Neonatal Contact: What’s the Big Deal? May 08, 2019

Show notes

Skin to Skin neonatal contact is endorsed/recommended by the AAP, AWHONN, the CDCP, and the WHO. What’s the data behind his practice? Are there any potential risks or safety concerns? And… What about C-Section deliveries? In this episode (PART 1) we will provide an introductory overview and discuss the data behind neonatal, post-birth, skin to skin contact.

Osteoporosis May 06, 2019

Show notes

Researchers estimate that approximately 10.2 million Americans have osteoporosis, and an additional 43 million have low bone density. Equally stark are the ramifications of these numbers. About 1 out of every 2 Caucasian women will experience an osteoporosis-related fracture at some point in their lifetime. In April 2019, the FDA approved a new dual action medication for osteoporosis therapy in postmenopausal women considered at high risk of fracture. This new medication is Evenity. In this episode, we will review the pathophysiology, diagnosis of, and treatment updates osteoporosis.

The “HYSTerical” Origins of Vibrators! May 05, 2019

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“Hysteria” referred to a constellation of psychological and physical ailments occurring only in women. It was thought to have its origin in the uterus. This can be traced back to ancient Egypt, the Greeks, and even the Roman era. Even the first FEMALE physician in Europe, Trota of Salerno (11th Century AD) propagated the theory. Ancient treatments for hysteria included “genital massage“ in order to release “unused materials” from the female body! Hence the origins of what persists today... the VIBRATOR.

The Non-Fundal IUD. What’s to do?! May 02, 2019

Show notes

Hey, we have all been there at one time or another: The ultrasound report shows an IUD/IUS in the endometrial cavity but it is NOT in the fundal location. What do we do? The answer lies mainly in the TYPE of IUD used! LNG-IUS devices seem to NOT be affected by low lying locations. The data on COPPER Ts, however, is still not clear....but risk of pregnancy is likely quite low. In this session, we will review the evidence regarding management of the non-fundal IUD.

Why PLACEBO pills in Birth Control Pills? The Surprising History. May 01, 2019

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What do Mexican Yams, menses, and the Pope have in common? The answer: the Birth Control Pill! In this session, we will review the interesting and slightly strange history of the oral contraceptive pill and the notion behind “withdrawal” monthly bleeding.

46XY Females: AIS vs Swyer Syndrome Apr 30, 2019

Show notes

Both Androgen Insensitivity Syndrome (AIS) and Swyer Syndrone (Pure Gonadal Dysgenesis) are characterized by phenotypical females who are genetic males (46XY). However, The 2 conditions are very different pathogenically and have different clinical implications. For example, AIS patients can not become pregnant; however, Swyer patients may become pregnant after therapy. In this session, we will review the pathogenesis and clinical implications of these 2 46XY conditions.

MEASLES!! ACOG Practice Advisory. Apr 27, 2019

Show notes

The US is currently experiencing the greatest number of reported cases of measles, also known as rubeola, since the disease was eliminated in 2000. Outbreaks have been confirmed in 22 states. When measles occurs in late pregnancy, congenital infection is possible with variable expression and increased risk of subacute sclerosing panencephalitis. In this session, we will review the April 2019 ACOG practice advisory on management of pregnant and reproductive-age women during a measles outbreak. We will also cover 2 CDC approved algorithms for management of individuals: 1. Exposed to measles, and 2. Presenting with symptoms of measles.

Female Ejaculation and “Squirting”: HEY...YOU ASKED!! Apr 23, 2019

Show notes

In the late 1950s, two researchers (Masters and Johnson) began breakthrough research on human sexuality. Since then, “sexologists” have expanded our understanding of the female sexual response including concepts like female ejaculation and even, “squirting”. Yes… We will cover this data!

LIKE...What NOT to say! Apr 18, 2019

Show notes

I’m sorry… I had to release this pent-up frustration regarding a common occurrence! LoL. “Like... I really hope you, like, enjoy this session”.

Fetal Echogenic Bowel Apr 18, 2019

Show notes

Fetal Echogenic bowel is a non-specific finding observed during 0.2 to 1.8% of routine second trimester ultrasound. Possible causes include primary gastrointestinal pathology, aneuploidy, cystic fibrosis, and congenital viral infection. However, most fetuses with this finding, especially when isolated, have no detectable abnormality. In this session, we will review the SMFM algorithm for management of isolated echogenic bowel diagnosed on second trimester ultrasound. (SMFM Brief, isolated fetal echogenic bowel).

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