Dr. Chapa’s OBGYN Clinical Pearls

What Defines “Refractory” HTN for Preterm sPreE Delivery?

The ACOG PB 222 states, “In women with preeclampsia with severe features at less than 34 0/7 weeks of gestation, with stable maternal and fetal condition, expectant manag

The Cerebellum (TCD) as EGA Referee

So, here is a not uncommon situation: A new OB patient presents for initial prenatal care at 28 weeks by “sure LMP” but her ultrasound EGA is just over 3 weeks behind. Si

Parkland Universal LDA (162mg) Preg Study

Today we are diving into a topic that is incredibly close to my heart—one that has the potential to fundamentally change how we approach prenatal care and protect pregnan

“Resolved” Early FGR: Now What?

Today, we are tackling a massive grey area in obstetrics/maternal-fetal medicine: What happens after early fetal growth restriction resolves? When a baby bounces back on

New CPG on OB CERCLAGE (Sept 2026)

The word CERCLAGE comes from the French word, cercle, meaning "hooping" or "encirclement". Cerclage was traditionally reserved for cervical insufficiency but is now a rec

New CPU on OPS!

As of August 20th, 2026, the ACOG has released an updated Clinical Practice Update on opportunistic salpingectomy. Here’s why this matters so much: we now know that the v

Vag Miso vs Vag Dino: New Meta-analysis (Aug 2026)

ACOG recommends the use of oral or vaginal misoprostol, vaginal dinoprostone (either gel or insert), or mechanical methods for cervical ripening. Plus, it states, “Combin

Estrogen’s Protection Against Breast CA: The Underappreciated Data

Today, we are taking a deep dive into a medical truth thatsounds completely counterintuitive, almost upside down, based on everything you think you know about women's hea

SC v IV Insulin Intrapartum

Historically, continuous intravenous (IV) insulin infusions were established as the standard of care for pregestational diabetes (Type 1 and Type 2 DM) during labor to pr

Intro to REVI EXTEND IMPLANT (Not a sponsor)

Urge urinary incontinence (UUI) places a significant emotional and physical burden on women affected. Sacral neuromodulation has been and remains a well-established impla

The QBL Paradox: Precision vs. Performance in OB Hemorrhage

Today, we are taking a deep dive into an intervention that almost every labor and delivery unit in North America has adopted over the last decade: Quantitative Blood Loss

Routine US for RPOC After 2nd Trimester Loss?

Today, we’re stepping into one of the most clinicallydelicate and emotionally heavy scenarios you can encounter in women's healthcare: a mid-pregnancy loss, say right aro

A Mechanic’s Vision: The OdonAssist™ Device (Not Ready for US Approval)

Today, I want to tell you a story that sounds like it was completely made up for a movie script, but it’s 100% real. Imagine an automotive mechanic in Argentina. He has z

When Data Gaps Exist: OB HSV Suppression?

ACOG first recommended antiviral suppressive therapy at 36 weeks of gestation for women with a history of genital herpes in 2007, with the publication of Practice Bulleti

(MIPI) Multidose Ibuprofen Prior to IUD?

Today, we’re diving straight into a topic that hits close to home for millions of patients and providers alike: IUD insertion pain, and more importantly, how we can actua

Ferritin at iOB: Told Ya! (Aug 2026 Data)

Podcast family, we pride ourselves on this show on being avant-garde and forward thinking on the topics we choose. For example, on February the 20th, 2026, we released an

IUDs Cause Uterine Adhesions & Infertility?

If you’ve scrolled through your feeds recently, you’ve probably seen the video that’s causing a stir: a prominent infertility doctor sharing her “Hot Take” personal obser

Rescue ACS with PPROM?

Antenatal corticosteroids are a MAJOR win in the management of preterm labor. An initial course of antenatal corticosteroids has been shown to reduce morbidity and mortal

Bakri Shortened In-Utero Time: An RCT (July 2026)

The Bakri Postpartum Balloon was described and first used clinically in 1999 by Dr. Younes N. Bakri (Georgia, USA). It is intended to treat postpartum hemorrhage (PPH). I

COCs Lead to Binge Eating?

Gonadal hormones have a complicated influence on appetite. Estradiol generally suppresses appetite, whereas progesterone opposes estradiol's action such that their combin