Dr. Chapa’s Clinical Pearls. Podcast
1) TXA for ENG Implant Bleeding?
The ENG implant has data placing it as the most reversible, hormonal contraceptive agent available with a typical use failure rate of 0.05%. Unfavorable bleeding patterns, such as frequent or prolonge...Show More
2) Does Uterine Incision-to-Delivery Interval Matter?
It’s a controversial topic: the impact of uterine incision (hysterectomy) on the neonate delivery interval (also called the U-D interval). Does it matter? Just to be clear, we’re talking about time fr...Show More
3) cfDNA: Jan 2026 Practice Advisory
In January 2026, the ACOG released its Practice Advisory on Screening for fetal Chromosomal Abnormalities. This comes after its Nov 2025 endorsement of the SMFM’s Consult Series #74, “Cell-free DNA sc...Show More
4) TOLAC, PIT, and Internals: The Latest
Uterine rupture or dehiscence associated with TOLAC results in the most significant increase in the likelihood of additional maternal and neonatal morbidity. It should be noted that the terms “uterine...Show More
5) The 2025 Big Baby Trial
Currently, as of today’s date, neither the ACOG nor SMFM currently support routine early induction of labor for suspected fetal macrosomia, instead recommending individualized counseling and reserving...Show More
6) Brain Zapping at Home Now Approved!
In mid-December 2025, the FDA approved an at home devicethat aims to treat depression by sending electric current into a part of the brain (the prefrontal cortex) known to regulate mood. This has been...Show More
7) New Data on VO-CPP (PeVD) Therapy
While endometriosis is highly associated with Chronic Pelvic Pian (CPP), some women may suffer from a different primary or coexistent secondary etiology: pelvic vascular congestion, called vascular or...Show More
8) Emily's Thanks to You
A brief THANK YOU prior to 2025 end.
9) FHT Baseline Change (110-160) in Labor: Danger, or Disregard?
In 2002, the National Institute of Child Health and Human Development (NICHD) proposed the 3-Tier fetal heart rate (FHR) classification system that was subsequently adopted by many organizations, cate...Show More
10) PFM Question: IAI WITHOUT Fever?
Podcast Family, in our immediate past episode we tackled the discrepancy that is often found between a clinical diagnosis of intra-amniotic infection/chorioamnionitis and histological chorioamnionitis...Show More