Dr. Chapa’s OBGYN Clinical Pearls

Latest Episodes:

Migraine with Aura and Estrogen Containing Birth Control: What’s the Data on Risk? Nov 09, 2018

Show notes

Traditionally, migraines with aura were considered contraindicated for estrogen containing birth control. However, that recommendation was made in the 1960s and 1970s when the dose of estrogen in birth control pills was much higher than dosages used today. The risk of stroke is directly related to the amount of estrogen in birth control, and recent clinical opinions have suggested that ultra-low dose combination contraception is allowable. In this podcast, we will review the latest data and clinical opinions regarding the use of estrogen-containing birth control in patients with migraine with aura.

Opthalmia Neonatorum Nov 03, 2018

Show notes

Neonatal opthalmia refers to conjunctivitis of any cause occurring within the first 4 weeks of newborn life. Gonorrhea now accounts for less than 1% of the condition, however chlamydia is responsible for 2% to 40% of cases. Ocular prophylaxis is not effective against chlamydial conjunctivitis. In this podcast we will review this potentially devastating newborn ocular condition.

Asymptomatic microscopic hematuria in women Oct 29, 2018

Show notes

In this podcast, we will cover the combined committee opinion from the ACOG and AUGS regarding asymptomatic microscopic hematuria in women. The ACOG deviates from the American Urological Association recommendation for evaluation of asymptomatic microscopic hematuria in women over age 35, as the risk of any urological malignancy is very low. Data taken from the ACOG committee opinion 703, June 2017.

“The Savior of Women”: Ignaz Semmelweis Oct 26, 2018

Show notes

In this brief historical profile, we will cover the inspiring tale of Dr. Ignaz Semmelweis. The story begins in the year 1846. Dr. Semmelweis was the first to investigate childbed fever and proposed handwashing as a way to prevent maternal death. His story is one of research, revelation, and an untimely tragic end.

Marijuana use in pregnancy and while breast-feeding Oct 23, 2018

Show notes

In this podcast, we will review the new clinical expert series from the ACOG on marijuana use in pregnancy and while breast-feeding. This clinical expert series will be slated to be published in the November 2018 edition of Obstetrics & Gynecology (Metz et al).

Framed, or Famed? LoL. It’s OK to laugh at yourself at times. Oct 20, 2018

Show notes

A personal message regarding our last podcast to our listeners. 😁

How a famed surgeon changed the field of obstetrics: William Hallstead, postpartum hemorrhage, and brave genius. Oct 20, 2018

Show notes

This is a quick historical perspective of an ingenious approach to a deadly obstetrical problem in history. Dr. William Halstead, the father of modern surgery, is credited with performing the first blood transfusion following postpartum hemorrhage in the United States. However, it was British obstetrician James Blundell that first described blood transfusion to prevent death from postpartum bleeding. Let’s take a look at this amazing historical story.

Thrombocytopenia in pregnancy Oct 18, 2018

Show notes

Thrombocytopenia in pregnancy is defined as a maternal platelet count less than 150,000. In this podcast, we will review the ACOG practice bulletin number 166 reviewing gestational thrombocytopenia, as well as the two most common immune mediated thrombocytopenic conditions: ITP, and fetal-neonatal alloimmune thrombocytopenia.

Intrapartum Care of the HIV Positive Patient Oct 08, 2018

Show notes

There have been significant changes – and advancement – in the interparty management of the HIV infected patient. In this session, we will quickly review the intrapartum management of the HIV infected patient based on the IDSA guidelines.

Acute Fatty Liver of Pregnancy Sep 26, 2018

Show notes

Acute fatty liver of pregnancy is a rare but potentially life-threatening condition which usually presents in the 36th week of pregnancy. In this podcast we will cover the ACG (Am. Coll Gastro) clinical guidelines regarding acute fatty liver disease in pregnancy.

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