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Dr. Chapa’s ObGyn Pearls.

Anchor FM

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers!

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers!
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Location:

United States

Networks:

Anchor FM

Description:

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers!

Language:

English


Episodes

Umbilical Artery Dopplers

1/16/2019
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Umbilical Artery Doppler studies are a valuable tool to assess vital well-being in the growth restricted fetus. What are the indices that are evaluated? What is the management when abnormal results are noted? In this session, we will review fetal doppler umbilical artery velocimetry. Clinical management based upon findings will also be discussed. Dated taken from SMFM Clinical Briefs and ACOG practice bulletin 145.

Duration:00:09:30

Sickle Cell in Pregnancy: Part 2

1/12/2019
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In this episode, which is part 2, we will cover the role of “prophylactic” red blood cell transfusion during pregnancy. We will also cover the medical management of sickle cell crisis, and wrap up the episode with notes on intrapartum and postpartum care.

Duration:00:10:26

Sickle Cell in Pregnancy: Part 1

1/10/2019
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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).

Duration:00:10:20

ACOG Emphasizes Interpregnancy Care: OB Care Consensus #8

1/8/2019
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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.

Duration:00:09:06

Pitocin! From Discovery to Modern Day Use.

1/6/2019
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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.

Duration:00:10:49

Peripartum Cardiomyopathy (Part 2)

1/3/2019
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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).

Duration:00:09:39

Peripartum Cardiomyopathy (Part 1)

1/2/2019
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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).

Duration:00:09:27

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

12/31/2018
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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.

Duration:00:08:04

Gestational HTN and PreEclampsia UPDATE: ACOG PB 202

12/28/2018
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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.

Duration:00:12:28

Beer 🍻 and Breastfeeding? What’s the data on alcohol use during lactation?

12/26/2018
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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.

Duration:00:11:49

Our Holiday Message to you!

12/24/2018
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Our BEST Holiday wishes to you!

Duration:00:00:54

ACOG UPDATE (Part 2): Chronic Hypertension in Pregnancy.

12/24/2018
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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.

Duration:00:10:16

ACOG UPDATE! AHA and Chronic Hypertension in Pregnancy.

12/23/2018
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Recent recommendations from the American College of Cardiology (ACC) and the American Heart Association (AHA) have changed the criteria for diagnosing hypertension in adults. In January 2019, the ACOG will release Practice Bulletin #203 addressing these changes, and provide renewed guidance for management of chronic hypertension in pregnancy. This is PART 1, of a 2-Part review of PB#203.

Duration:00:09:38

SCABIES!....In Pregnancy.

12/22/2018
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OK, so your pregnant patient comes to you with persistent itching between the fingers and toes and you suspect scabies. Which medication is safe to use in pregnancy? This is a brief review of scabies in pregnancy and its accepted medical treatments.

Duration:00:08:37

Is vaginal estrogen safe? New data from the Nurses’ Health Study!

12/21/2018
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Genitourinary syndrome of menopause causes a significant disruption in quality of life for many menopausal women. The ACOG and NAMS endorse vaginal estrogen to relieve local symptoms. However, the FDA has a current Black Box warning on vaginal estrogen. This podcast will cover brand new data from the Nurses Health Study, released December 20, 2018 in the journal, Menopause.

Duration:00:10:29

“Weed”, Sperm, and Epigenetics: A Cautionary Note!

12/20/2018
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As legal access to marijuana continues expanding across the US, more researchers are studying the effects of tetrahydrocannabinol, (THC), in teens, adults and pregnant women. New research from Duke Health suggests men in their child-bearing years should also consider how THC could impact their sperm and possibly the children they conceive during periods of Marijuana use. This is a tale of marijuana, sperm, and epigenetics! Data for this podcast came from the recently published study from...

Duration:00:11:18

Hello! From our 3rd Year ObGyn Med Students!

12/20/2018
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Just something fun to break up the monotony.

Duration:00:01:48

Vulvar Lichen Planus

12/19/2018
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Lichen Planus is a chronic inflammatory mucocutaneous disorder that can affect the mouth, vulva, vagina, and anus. Wickham’s Striae are characteristic of mucosal involvement. Biopsy is often needed to confirm the diagnosis and rule out other neoplastic conditions. The more afflicting type of Lichen Planus is erosive lichen planus. In this session, we will review the presentation, pathophysiology, diagnosis, and treatment of vulvar Lichen Planus. (Reference: ACOG expert series CME edition on...

Duration:00:06:47

Vulvar Lichen Simplex Chronicus (2018 Update)

12/19/2018
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Vulvar Lichen Simplex Chronicus is a non-scarring, chronic inflammatory disease of the skin characterized by intense itching. 65% to 75% of patients have a history of allergic conditions including asthma or childhood dermatitis. In this session, we will review the presentation, diagnosis, and medical care of vulvar Lichen Simplex Chronicus. (Reference: ACOG clinical expert series, CME edition, “Diagnosis and Treatment of Vulvar Dermatosis“ ; 2018)

Duration:00:05:55

Vulvar Lichen Sclerosus (2018 Update)

12/18/2018
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Vulvar Lichen Sclerosus is a chronic inflammatory vulvar dermatosis. There is an association between this condition and various systemic autoimmune conditions (e.g., thyroid dysfunction, vitiligo). Additionally, patients with this condition have a 4-5% risk of vulvar cancer in the future! In this session, we will discuss the pathophysiology, diagnosis, and management options for this condition. (Reference: CME Series on “Diagnosis and Treatment of Vulvar Dermatosis”, 2018; Obstet Gynecol)

Duration:00:08:54