Dr. Chapa’s OBGYN Clinical Pearls

Latest Episodes:

Multifetal Gestations Jun 23, 2018

Show notes

Multifetal gestations are either dizygotic or monozygotic. The rate of monozygotic twins tends to be constant worldwide. Twin and triplet pregnancies are at risk of certain maternal and fetal complications. In this session, we will cover the ACOG practice bulletin on multifetal gestations as well as the SMFM bulletin on the topic.

Non-obstetrical surgical conditions in pregnancy Jun 21, 2018

Show notes

In this session we will cover general surgery comditiond in pregnancy. The three most common non-obstetrical surgical conditions in pregnancy are: appendicitis, gallbladder disease, and acute intestinal obstruction. In this session, we will cover the diagnostic evaluation and treatment of these non-obstetrical surgical conditions.

Cell free DNA for fetal aneuploidy screening Jun 20, 2018

Show notes

Cell free DNA screening evaluates short segments of DNA in a maternal serum and can be used to screen for fetal aneuploidy, fetal RH type, and sex chromosome abnormalities. In this session, we will review the data on cell free DNA screening from the ACOG practice bulletin number 163.

Spontaneous abortion (Early Preg Loss) Jun 10, 2018

Show notes

In this session, we will cover data from the ACOG practice bulletin number 150, on early pregnancy loss. We will cover etiology, diagnosis, and the three types of management: expectant management, medical management, and surgical management. We will end a podcast with a quick review of the different categories of spontaneous abortion (threatened, inevitable/incomplete, missed, blighted, septic).

Prenatal (Antepartum) Care: Part 3 Jun 09, 2018

Show notes

In this final session, we will review RhoGAM use, GBS screening, and the ACOG update on vaccinations in pregnancy (Tdap).

Prenatal (Antepartum) Care: Part 2 Jun 09, 2018

Show notes

This is part 2 of our 3 part series on antepartum care. In this session, we will cover ultrasound use, screens for aneuploidy, screening for inherited genetic conditions, and gestational diabetes screening.

Antepartum (Prenatal) Care: Part 1 Jun 08, 2018

Show notes

In this session, we will review the ACOG guidelines regarding specific screening tests, monitoring, and interventions during routine prenatal/antepartum care. This is part 1 of the podcast set.

Preconception Care Jun 08, 2018

Show notes

In this session, we will review guidelines for pre-conception care based on the ACOG current commentary.

The Obsolete Friedman Curve Jun 05, 2018

Show notes

1955, Emmanuel Friedman described the labor progress of 500 nulliparous wowen. That curve became the standard for labor management for 60 years. However, in 2014, the ACOG revised the definitions of the active phase of labor and re-defined the second stage of labor. In this session, we will review these labor guidelines.

Mechanism of normal labor: the passenger and the pelvis Jun 03, 2018

Show notes

In this session, we will cover specifics of the mechanisms of labor. We will cover details on the fetus (lie, attitude, presentation, and position) and attributes of the maternal pelvis. We will cover the powers of labor (uterine contractions strength and the revised Friedman curve) in another session.

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