Dr. Chapa’s OBGYN Clinical Pearls

Latest Episodes:

Sickle Cell in Pregnancy: Part 1 Jan 10, 2019

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Sickle cell disease is the most common inherited condition worldwide. Sickle cell disease carries unique maternal and fetal risks during pregnancy. In this episode, which is part 1, we will review preconception care, medication use in pregnancy, and review specific obstetrical complications associated with the condition. (Reference: CDC, SMFM, RCOG data).

ACOG Emphasizes Interpregnancy Care: OB Care Consensus #8 Jan 08, 2019

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The interpregnancy interval provides an ideal opportunity to discuss interventions which can maximize maternal as well as neonatal outcomes. Do you know at which interpregnancy interval adverse neonatal outcomes are highest? Is interpregnancy interval associated with higher TOLAC risk? In this session, we will summarize the ACOG obstetric care consensus report (#8) from January 2019.

Pitocin! From Discovery to Modern Day Use. Jan 06, 2019

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At what gestational age does the uterus become responsive to oxytocin? Can Pitocin result in hypertension or HYPOtension?...And who was Sir Henry Dale? In this podcast, we will review the origins, development, pharmacology, and potential adverse affects of synthetic oxytocin.

Peripartum Cardiomyopathy (Part 2) Jan 03, 2019

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Is Digoxin routinely used for peripartum cardiomyopathy? Can women who had peripartum cardiomyopathy take oral contraceptive pills? In this episode, which, is part 2, we will answer these questions as well as cover the workup, management, and prognosis of peripartum cardiomyopathy (Reference: Obstet Gynecol. Jan 2019).

Peripartum Cardiomyopathy (Part 1) Jan 02, 2019

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(Part 1): Peripartum cardiomyopathy occurs in about 1 in 2,000 births in the United States. Although relatively rare, it can be devastating to the mother. In this session we will summarize the January 2019 clinical expert series on peripartum cardiomyopathy from Dr. Gary Cunningham, et al (Obstet Gynecol. Jan 2019).

How “Blowing Smoke Up Someone’s A$$” went from medical treatment to a modern colloquial phrase. Dec 30, 2018

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Did you know the common, modern-day, colloquial expression about “blowing smoke up someone’s A$$” actually has a medical origin? Yep... it was a real therapy! In this podcast, we will review the bizarre practice, that made its way into modern vernacular.

Gestational HTN and PreEclampsia UPDATE: ACOG PB 202 Dec 28, 2018

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In 2013, the ACOG released a comprehensive review on hypertensive disorders in pregnancy. In January 2019, the College re-visits gestational hypertension and preeclampsia and gives important updates. In this podcast, we will review 2 very clinically applicable aspects of intrapartum care for patients with gestational hypertension and preeclampsia. Who should get magnesium sulfate? And what’s the data on epidural use in these patients? Let’s find out what the ACOG has to say.

Beer 🍻 and Breastfeeding? What’s the data on alcohol use during lactation? Dec 25, 2018

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Alcohol use during pregnancy is well studied with well stated warnings. But what about alcohol use during breastfeeding? What’s the data on that? In the session, we will review alcohol intake by the mother during breastfeeding and take a look at some accepted recommendations.

Our Holiday Message to you! Dec 24, 2018

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Our BEST Holiday wishes to you!

ACOG UPDATE (Part 2): Chronic Hypertension in Pregnancy. Dec 24, 2018

Show notes

This is part 2 of our review of the ACOG practice bulletin #203. In this session, we will review low-dose aspirin for preeclampsia prevention, as well as target blood pressure goals for medical management of chronic hypertension in pregnancy. We will end this podcast with a quick word about NSAIDS for postpartum pain control in hypertensive patients.

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