Dr. Chapa’s OBGYN Clinical Pearls

In this session, we will review the pathophysiology of human papillomavirus infections. We will also cover HPV immunization, and contrast primary screening for cervical cancer ACOG recommendations with the recommendations of the US preventative services task force.

In this session, we will review the ACOG committee opinion (592) on sexual assault as well as the CDC algorithm for post exposure prophylaxis following sexual assault.

In this session, we will cover polycystic ovarian syndrome. Although the etiology is not clearly understood, there are set diagnostic criteria for PCOS. Management of the condition depends on the patient's desire for immediate fertility as well as consideration of metabolic derangements.

Hyperprolactinemia may be physiological, pharmacological, or pathological. In this session, we will review possible causes of, and workup for, an elevated prolactin. Information taken from the American Society of Reproductive Medicine.

In this session, we will review the diagnostic algorithm for primary amenorrhea based on the American Society of Reproductive Medicine (ASRM). Primary amenorrhea is much less common than secondary amenorrhea. Primary amenorrhea occurs in less in <1% of adolescent gynecology.

This is a brief review of the ACOG committee opinion number 700, Methods for Establishing the Due Date. We will review discrepancies between first, second, and third trimester ultrasound and the last menstrual period.

Tranexamic acid is ACOG endorsed for the treatment of established postpartum hemorrhage. Postpartum hemorrhage is now defined as greater or equal to 1000mls estimated blood loss regardless of mode of delivery. In this brief session, we will review the dosing regimen for TXA for established PPH.

In this session, we will cover the May 2018 new Committee Opinion from the ACOG on optimizing postpartum care. The postpartum interval, referred to as "the 4th Trimester", can pose unique health challanges to the mother. In an effort to better identify and treat postpartum complications, the ACOG has released new guidelines reviewed here.

In this session, we will cover cholelithiasis and cholecystitis in pregnancy. Data taken from the society of maternal fetal medicine and the American College of OB/GYN.

In this session, we will review the ACOG committee opinion number 692 and the medical protocols for management of acute-onset, severe hypertension during pregnancy and postpartum period.