Dr. Chapa’s Clinical Pearls. Podcast
1) 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 two separat...Show More
2) 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 measurement of head cir...Show More
3) OB Cough Induced Rib Fracture? YEP. It’s a Thing.
Stress fractures are common injuries in athletes and military recruits, that’s’ understandable- based on the physical forces placed on the long bones. A stress fracture can be defined as a partial or ...Show More
4) When ZMAX if OUT for CS: Alternative?
We have learned a lot about extended spectrum coverage of prophylactic antibiotics for cesarean section. The landmark C/SOAP trial randomized 2,013 women undergoing nonelective cesarean delivery to az...Show More
5) Another Pub on Hysterotomy Closure
We have covered the subject of whether to include the decidual (innermost) layer when closing the uterine incision during cesarean section (CS) on at least 2 episodes. The most recent was in September...Show More
6) New Data on MVP or AFI For Poly
As OB healthcare providers, we have several pieces of guidance regarding determination of amniotic fluid volume antepartum. The SMFM has Consult Series #46 (2018), which describes the management of po...Show More
7) “Expression of Concern” Over a Green Journal Article
Back in March of 2025, the green journal (obstetrics andgynecology) published A systematic review and meta-analysis on 2 medications (non-hormonal) and their efficacy in menopausal hot flash relief pe...Show More
8) FDA’s ENG Label Change: What To Know
Implanon (etonogestrel implant) first received FDA approval in 2006, followed by the improved, radiopaque version, Nexplanon, approved by the FDA in 2010, which is now the only contraceptive implant a...Show More
9) Does Ursodiol Reduce Adverse Outcomes in ICP?
Ursodiol (ursodeoxycholic acid) is a prescription bile acid medication used to dissolve cholesterol gallstones, prevent gallstones during rapid weight loss, and treat liver diseases like primary bilia...Show More
10) New CC #11: Positive HCG in the Non-OB/Non-Gyn CA Patient
HCG is a heterodimeric glycoprotein typically produced by trophoblastic tissue. However, there are occasions where a serum HCG is obtained that remains low level POSITIVE, yet the patient is not pregn...Show More