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Dr. Chapa’s Clinical Pearls.

Dr. Chapa’s Clinical Pearls

Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! Welcome...to Clinical Pearls.

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Top 10 Dr. Chapa’s Clinical Pearls. Episodes

Best episodes ranked by Goodpods Users most listened

Obesity in Pregnancy (ABOG MOC Review)

Dr. Chapa’s Clinical Pearls.

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02/04/23 • 26 min

Obesity is the most common health problem in women of reproductive age. Over the last 2 decades, the rates of obesity have increased resulting in a range of complications in pregnancy and in overall health. Does obesity in pregnancy contribute to preterm birth? What about congenital anomalies? Are obese women more likely or less likely to breastfeed? In this episode, we will review the publication from the New England Journal of Medicine (July 2022) reviewing that data on the subject, which is also on the ABOG MOC list for 2023 (February list).
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02/04/23 • 26 min

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Winning Against Placenta Accreta Spectrum

Dr. Chapa’s Clinical Pearls.

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02/01/23 • 27 min

The first case of placenta accreta listed on PubMed was reported in 1927 by Dr D.S. Forster out of Montreal. That was 1 case in 8000 deliveries! Now, according to the National Accreta Foundation, PAS occurs in 1 in 272 pregnancies. How did we get to this rate? In this episode we will highlight data from ACOG, SMFM, and the National Accreta Foundation. We will highlight key ultrasound markers, patient risk stratification, and review what a PAS Care Center is. This is how we win the battle against PAS.
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02/01/23 • 27 min

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01/29/23 • 14 min

Delayed cord clamping (DCC) provides vital placental transfusion to newborns and is endorsed by ACOG, SMFM, March of Dimes, and the ACNM. However, DCC in nonvigorous newborns may not be provided owing to a perceived need for immediate resuscitation. Umbilical cord milking, in late-term and full-term neonates, is an alternative in these cases. In December 2020, the ACOG’s Committee Opinion stated a lack of outcomes data for umbilical cord milking in nonvigorous newborns. This Level 1 data has now arrived (February 2023). In this episode, we will summarize the key findings from this soon-to-be released publication from the AJOG on umbilical cord milking in nonvigorous newborns born at >/= 35 weeks.
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01/29/23 • 14 min

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IUD Use After Ectopic?

Dr. Chapa’s Clinical Pearls.

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01/27/23 • 18 min

Historically, IUDs where considered contraindicated in a patient with a prior ectopic pregnancy. This was due to concerns that IUDs may be causative of tubal gestations. Is this true? Are IUDs contraindicated with a past history of ectopic pregnancy? In this episode we will review the data from the CHOICE project, the CDC (US), and the Royal College of OBGYN (UK). We will also summarize key findings from a May 2022 Green Journal publication that investigated this very issue, and we will explain why some IUSs may be MORE protective (52mg vs 13.5mg) against ectopic than others (Thank you Jessica W. for this timely and clinically relevant podcast topic suggestion).
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01/27/23 • 18 min

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Epidurals=Autism? New 2023 Data.

Dr. Chapa’s Clinical Pearls.

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01/25/23 • 12 min

A 2020 publication from JAMA Pediatrics reported that labor epidural analgesia may be associated with an up to 37% increased risk of offspring autism spectrum disorder. The ASA has rejected those results based on methodologic limitations of the study, the lack of biological plausibility. But some remain fearful of labor epidurals because of that publication. In February 2023, a new publication in AJOG will help put this matter to rest with the largest population-based analysis done to date. In this episode, we will highlight and summarize the key findings of this landmark study, and better understand whether or not Labor epidurals are tied to offspring ASD/ADHD.
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01/25/23 • 12 min

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PRP Ovarian “Rejuvenation”

Dr. Chapa’s Clinical Pearls.

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01/22/23 • 24 min

Platelet Rich Plasma (PRP) therapy is a HOT and TRENDY item right now. PRP use was initiated in sports medicine in the 1970s. It has since expanded into many medical specialty fields, and now it is being heralded as the new hope for diminished ovarian reserve for those desiring pregnancy...even in menopause! Can injecting the ovaries with PRP really rejuvenate the ovary? We’ll examine the evidence as it sits as of January 2023.
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01/22/23 • 24 min

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Routine OB Urine Dips per Visits?

Dr. Chapa’s Clinical Pearls.

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01/19/23 • 17 min

Routine, repetitive urine dipsticks (meaning at each prenatal visit) were introduced into prenatal care back in the 1960s and 70s. The idea was to act as an early screen for bacteriuria (ASB), proteinuria as a screen for preeclampsia, and glycosuria as a screen for GDM. That was based more on expert opinion rather than clinical trials. The utility of urine dipstick testing in pregnant women has been debated for years, with studies suggesting minimal use in asymptomatic patients. Urine dips as still integrated into clinical practice mainly out of tradition...But is this evidence-based now? And if it is NOT evidence-based to do this with every visit and with every patient, when SHOULD it be done? What does ACOG have to say? Well, turns out ACOG says a lot- so you’ll want to stay tuned until the end of the episode as we cover that and a lot more.
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01/19/23 • 17 min

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IUDs Don’t Cause Abortion

Dr. Chapa’s Clinical Pearls.

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01/17/23 • 21 min

Paragard, Mirena, and Liletta IUDs are the most effective types of emergency contraception. Data from the 1980s, now seemingly forgotten, showed that IUDs work primarily on inhibition of fertilization rather than implantation effects. Nonetheless, misperceptions regarding the IUDs mechanisms of action persist, with some websites stating IUDs are abortive agents. Do IUDs cause abortion? Let’s examine the evidence.
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01/17/23 • 21 min

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The Placenta Menu? Placentophagy Reviewed.

Dr. Chapa’s Clinical Pearls.

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01/15/23 • 20 min

“Placentophagy” is not a new concept. Most non-human mammals eat their placentas after giving birth but humans, historically, have not. Is there evidence to support this practice? Where did this idea come from? How did Rolling Stone magazine help launch this phenomenon back in the 1970s? Is Kim Kardashian onto something cutting edge by advocating for Placental encapsulation? In this episode we will walk through history and learn some pretty remarkable things about this practice. Grab your favorite placental snack, and start listening! 🍽️🍴🍴
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01/15/23 • 20 min

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TVUS ES in AA Women (ABOG MOC Review)

Dr. Chapa’s Clinical Pearls.

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02/06/23 • 23 min

Endometrial cancer is the fourth most common cancer in the US and is increasing in incidence each year. Heartbreakingly, despite postmenopausal bleeding presenting as the main symptom in all patients with endometrial cancer, there is a large racial disparity in endometrial cancer mortality in African-American women compared to White women. The 2 largest factors contributing to this are advanced stage of diagnosis and histological cancer type. In this episode, we will review the ABOG MOC article under “Health Equity and Patient Safety” for Q1 2023. Does transvaginal ultrasound perform the same in African-American women as it does in white women? Why or why not? Let’s get to the data in this episode.
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02/06/23 • 23 min

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FAQ

How many episodes does Dr. Chapa’s Clinical Pearls. have?

Dr. Chapa’s Clinical Pearls. currently has 768 episodes available.

What topics does Dr. Chapa’s Clinical Pearls. cover?

The podcast is about Podcasts and Science.

What is the most popular episode on Dr. Chapa’s Clinical Pearls.?

The episode title 'Obesity in Pregnancy (ABOG MOC Review)' is the most popular.

What is the average episode length on Dr. Chapa’s Clinical Pearls.?

The average episode length on Dr. Chapa’s Clinical Pearls. is 16 minutes.

How often are episodes of Dr. Chapa’s Clinical Pearls. released?

Episodes of Dr. Chapa’s Clinical Pearls. are typically released every 2 days, 8 hours.

When was the first episode of Dr. Chapa’s Clinical Pearls.?

The first episode of Dr. Chapa’s Clinical Pearls. was released on Mar 17, 2018.

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