Dr. Chapa’s OBGYN Clinical Pearls
Dr. Chapa’s Clinical Pearls
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2026 Lp(a), AHA, and OBG: What Now?
The March 2026 ACC/AHA Guideline on the Management of Dyslipidemia made a major pivot regarding Lipoprotein(a) by establishing a formal recommendation for universal screening in adults. This 2026…
CS: UT in or UT out? New July 2026 Data
Hey everyone, thanks for tuning in. If you’ve spent any time in the OR during a cesarean delivery, you know that the choice between uterine exteriorization and in situ repair usually comes down to…
SHOCKING: ACSs INCREASE Risk in Twins? (Listen in)
In the ACOG PB 231, Multifetal Gestations Twin Triplet and Higher-Order Multifetal Pregnancies, it states, “based on the improved outcomes reported in singleton gestations, the National Institutes of…
5mm v 1-cm Fascial Closure at CS: MINI EPISODE
Historically we were taught as surgeons that 1-centimeter bites that between suture throws on a Pfannenstiel (low transverse) fascial closure was enough to prevent hernia formation and optimize…
NIPT CONFIRM Test SPECIAL GUEST: Blurring the Line between Screening & Confirmation of Fetal Aneuploidy
Today, we are talking about a true paradigm shift in prenatal genetics. For decades, we’ve relied on cell-free DNA for screening, but when it came to definitive confirmation of fetal aneuploidy,…
OB, ED, and STDs: Gaps Noted!
Back in June 2024, we highlighted surprising data from JAMA Network Open regarding adolescent care in the ED. Because many adolescents use the ED as their primary care provider, it’s a good…
When to Best Deliver With a Uterine "Window"
It's a QUICKY: IMPROMPTU episode in clinic today..
Treat Non-Severe PreE with BP Meds?
Welcome back, everyone. Today we're diving into one of the most hotly debated topics in obstetrics- should we be treating preeclampsia without severe features with antihypertensive medications during…
The WILDCARD: LUS Window on Prenatal Sono, TOLAC?
The American College of Obstetricians and Gynecologists (ACOG) does not recommend routine ultrasound measurement of the lower uterine segment (LUS) thickness as part of the evaluation for trial of…
Home Self-Check Urine Protein for gHTN?
Should patients check their own urine protein at home when they have a gestational hypertension DX? After all, home-based BP monitoring is an established part of HDP care. Is there data on home urine…
Is OB HPBM “Evidence-Based”? BUMP1&2 vs SMFM Special Statement
The vast majority of the time, “community standard of care” reflects evidence-based recommendations. This means that both the predominance of clinical data and what is clinically practice align one…
Patient Self-Titration of Insulin for GDM?
Outside of pregnancy, guidelines emphasize diabetes self-management education and support to facilitate informed decision making, self-care behaviors, problem solving, and active collaboration with…
VOMIT Trial: Mirtazapine vs Ondansetron for HG
Hyperemesis gravidarum (HG) represents the most severe end of the nausea and vomiting of pregnancy spectrum. It has a reported incidence of approximately 0.3–3% of pregnancies and is the most common…
The “Half-Cm” Cervical Exam: Is that a thing? (With our PGY1 Guest)
Cervical exams can be tricky for the novice practitioner. Think about this: it’s a blind exam, we measure that distance using only two fingers, through a layer of tissue, sometimes with a patient…
PMOS: The “New” PCOS (5/12/26)!
Oh, What’s in a Name? Irving F. Stein and Michael L. Leventhal first described the syndrome, originally known as Stein-Leventhal syndrome, in 1935, in the AJOG. They published a case series of seven…
BOGO! (With Hanna, PGY1)
As I have said many times before, some podcast ideas come from REAL clinic encounters. In this episode, Dr Hanna V, our dedicated PGY1 on our call team, and I will answer TWO real questions which…
Hantavirus & Pregancy FAQ
Hantavirus was first discovered in the early 1950s near the Hantaan River in South Korea. The US has seen this before: the 1993 Four Corners outbreak was the first recognition of the virus in the…
Do Unintended Uterine Extensions Increase Rupture?
Uterine hysterotomy unintended extensions happen. For sure. This has been analyzed over many years, and it is still making news. Look at this mini-timeline: Back in 2018, authors published…
Weird cfDNA Results and ISSUES: May 2026 Data
Genome-wide noninvasive prenatal testing (GW-NIPT) was introduced in 2015 and became widely available in 2019. Nonetheless, we are still learning more about this important prenatal screening test. In…
GLP1 Periconception Exposure and OB Outcomes
There is no denying it, you know of one or MORE individuals or patients currently on a GLP1 agent. Although not FDA approved for PCOS as a stand-alone diagnosis, there is growing evidence supporting…
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Dr. Chapa’s OBGYN Clinical Pearls has published 1152 episodes since March 2018, covering topics in Science.
Dr. Chapa’s OBGYN Clinical Pearls is currently highly active with new episodes every few days. Average episode length is 21m.
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