Dr. Chapa’s Clinical Pearls. PP Ibuprofen with HDP? “NEW info”.
Feb 12, 2025
The podcast dives into the evolving landscape of postpartum pain management using ibuprofen, revisiting past guidelines from ACOG. A new study highlights safety for patients with hypertensive disorders of pregnancy, revealing no significant impact on blood pressure. Discrepancies in fetal surveillance guidelines also come under scrutiny, reflecting the challenges faced by clinicians. The hosts emphasize the importance of understanding study timelines and offer insights on effective communication in medical practices, all while valuing listener feedback.
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Ibuprofen Study Insight
- A recent study in AJOG investigated ibuprofen's effect on postpartum hypertension, but patient recruitment was from 2017-2019.
- ACOG already approved postpartum ibuprofen use in 2020 if no renal issues exist.
Interpreting Research
- Always check a study's recruitment dates to interpret results properly.
- Medical knowledge evolves, so recent data matters.
Oligohydramnios Discrepancy
- ACOG has discrepancies about oligohydramnios in two publications.
- Practice Bulletin 229 includes 2 cm, while Committee Opinion 831 defines it as under 2 cm.