Dr. Chapa’s OBGYN Clinical Pearls

science

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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Exploring Encompass RNA PreE (At-Home) Test

Podcast family, we have to be careful what we ask for…Because we might just get it! We have been asking for new ways to predict preeclampsia for close to two …

Apr 04, 2026 · 19m

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OPS vs RRS: April 2026 AJOG

Words matter, and equally as important, our actions matter. Sometimes the words opportunistic salpingectomy (OPS or OS) are used interchangeably with risk-reducing salpingectomy (RRS). However, these are two completely different …

Apr 01, 2026 · 23m

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Vaginal GSpot Injection: Again?

Platelet-rich plasma (PRP) injections do not have formal FDA approval for specific clinical indications. PRP is regulated as an autologous blood product and is used "off-label" in clinical practice. However, …

Mar 29, 2026 · 18m

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TWOFER! (Quickie #4): A. Placental Grading, B. GBS discordant Results

Podcast family, welcome to Quickie #4. This one will be fun: A. Medicine changes, and changes fast. I trained with and learned the Grannum grading placental system (grades 0-III based …

Mar 25, 2026 · 21m

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The Problem of Proving Pregnancy too Promptly

Well, it's no doubt we live in a culture of immediate gratification. When we need to know something, we must know it immediately! This even applies to couples seeking pregnancy …

Mar 22, 2026 · 18m

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AMAZING! Lauren's Lesson: You Go Girl!

What an AMAZING lesson, Podcast Family, in this impromptu episode, we will hear from one of my former medical students, now BOARD-CERTIFIED OBGYN...and an incredible OB case she just had. …

Mar 21, 2026 · 5m

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Quickie #3: The iPhone AI Fetal Movement Detector?

Podcast family we've all heard the rumors that oursmartphones are “LISTENING TO US”. Well, some of that is actually true, and trust me I'm not a conspiracy theorist. Our smartphones …

Mar 19, 2026 · 18m

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What’s Best Analgesia for ECV?

Neuraxial analgesia (epidural or spinal) combined withtocolytic therapy is the pain control method that best increases the success rate of external cephalic version (ECV), according to the ACOG’s PB 221. …

Mar 16, 2026 · 22m

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Does BMI Affect Vag Miso Cervical Ripening? (IMPROVE Subanalysis)

The ACOG 2025 guideline specifically recommends either oral or vaginal misoprostol for cervical ripening; it does not include buccal administration among its endorsed routes. With the rising rates of both …

Mar 12, 2026 · 18m

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Quickie #2: Can a Virgin Get BV?

In this quickie episode, we will answer a question from one of our podcast family members: “Can a virgin get BV?”. It’s a complicated question, that needs explanation. PLUS, we …

Mar 11, 2026 · 14m

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Best ZMax Regimen for PPROM?

For preterm prelabor rupture of membranes, the standard protocol for latency augmentation has remained IV amoxicillin and erythromycin for 2 days, followed by oral amoxicillin and erythromycin for 5 additional …

Mar 08, 2026 · 27m

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QUICKIE: AC v EFW for FGR Care

Well podcast family welcome to the first installment of what will be a periodic recurrence, of our episode called, “QUICKIE”. These are meant to be quick snippet episodes to give …

Mar 07, 2026 · 9m

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Can Oral Probiotics Reduce Recurrent sPTB?

Probiotics. They are often marketed as the end of all and be all for all our health issues. And they CAN do some real good. There is NO DOUBT a …

Mar 05, 2026 · 31m

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Believe in Bed Rest for PTB? The AWARE Study

Neither the ACOG nor SMFM recommend strict bed rest for preterm birth prevention, or nor preeclampsia. Yet tradition often conflicts with evidence. A prior 2009 survey of MFM specialists, published …

Mar 02, 2026 · 18m

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Pregnancy and the Brain

A study published in Nature Communications, published Feb 19, 2026, found that “pregnancy physically alters a woman’s brain, with a second pregnancy bringing even more profound effects.” The researchers “performed …

Feb 27, 2026 · 23m

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Hyst + BSO for BRCA Risk Reduction?

Approximately 5–10% of all breast cancers are hereditary, and among those, BRCA1 and BRCA2 mutations are responsible for about 60% of cases. Yet, overall, only about 1-2% of all breast …

Feb 24, 2026 · 26m

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New Data: Screen Maternal Ferritin with Prenatal Care?

The ACOG states that, “Iron deficiency anemia during pregnancy has been associated with an increased risk of low birth weight, preterm delivery, and perinatal mortality and should be treated with …

Feb 21, 2026 · 22m

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Alex’s Input: Aspirin’s Awkward Acumen

We recently covered an SMFM abstract that was presented at the annual Pregnancy Meeting held in early February 2026. The authors were from my Alma Mater, UT Southwestern/Parkland Hospital. This …

Feb 18, 2026 · 19m

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More Support for 162mg LDA Universal Use in OB

Well, even though low dose aspirin has been recommended for the reduction of preeclampsia risk for many years, 2 controversies persist: 1. who should get it, and 2. the dose …

Feb 16, 2026 · 22m

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GDM vs “Early” GDM vs PrePreg DM: A Proposal

As BMIs and weights increase across the US population, there have been increased calls for universal screening for existing DM at entrance to prenatal care, if under 20 weeks. Others, …

Feb 13, 2026 · 28m

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HPV? Check Your Pad.

There has been a shift in cervical cancer screening from primary cytology based to HPV based. Even HPV screening has had its evolution from physician collected samples to patient self-collection, …

Feb 10, 2026 · 18m

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You Ask, We Answer!

Well podcast family, we are back with another installment of our “You ask, We answer” edition. We've got 2 fascinating and real-world clinical conundrums in this episode, both suggested by …

Feb 08, 2026 · 27m

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Understanding Fetal Microcephaly

Fetal Microcephaly has an incidence of 2 to 12 in10,000 births in the USA and can be diagnosed prenatally via ultrasound (in second or early third trimester) or postnatally via …

Feb 05, 2026 · 29m

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