Dr. Chapa’s OBGYN Clinical Pearls

Persistent nausea and vomiting in pregnancy is a terrible condition! It affects quality-of-life, and impacts the mother’s overall psychological well-being. What is the role of helicobacter pylori infection in this condition? Is there a link? Let’s look at the data.

It has long been held that maternal perception of fetal movement may protect against stillbirth. However, the 2018 AFFIRM trial called the tradition into question. Related to that is the traditional recommendation to drink “sugary” drinks to increase fetal movements. Is this evidence-based? In this episode, we will review the AFFIRM trial and review sugary intake to increase fetal movement.

Left...Right...Left...Right...Left! I just recently completed my military boot camp experience! That was an adventure. In this session, we will cover 3 brief “life lessons“ that I learned during my Texas Military Forces Boot Camp! This information will truly help you every single day! Hooah!!

Sexual intimacy is an important part of a couples’ relationship. On June 21, 2019, the FDA approved a new novel medication for hypoactive sexual desire disorder in women. The medication, Vylessi, is a melanocortin receptor activator, which is different then the previously approved medication for the same condition, Addyi. In this episode, we will review the MOA and data behind this new medication.

🌞🌞IT IS SUMMER!! 👏👏 Are sunscreens safe to use during pregnancy? What does ACOG say? In this session, we will review the ACOG practice statement as well as provide some SUN-SAFE 🌞🌞tips for pregnant women during summertime!👍👍

Turmeric is an edible root used in cooking. It’s powdered into a bright yellow spice popular in Asian cuisine. Turmeric also has a history of medicinal use. It contains an active compound, curcumin, that has antioxidant and anti-inflammatory properties. Research has found that curcumin has the potential to improve a number of health conditions — including depression. This includes mild depression and even major depressive disorder (MDD). In this podcast, we will review the data as it applies to major depression as well as postpartum depression. ( NOTE: Although this podcast provides a summary of the supplement CURCUMEN, this podcast does not represent a paid endorsement for this or any other supplemental product).

Just a brief hiatus!

What is the mechanism by which elevated hemoglobin A-1C causes birth defects? Is there a “cut off“ level for this affect? Let’s look at the data.

Maternal cardiac arrest… a devastating condition! Techniques for maternal resuscitation have changed, even from when I was a resident. 30° left lateral tilt is no longer recommended by the American heart Association during CPR. Manual left uterine displacement is preferred! We’ll talk about this, as well as cover the basics of maternal cardiac resuscitation in this session. (Reference: AHA Scientific statement on cardiac arrest in pregnancy).

Weight gain is commonly cited as a side effect of combination oral contraception, and is amount the top reasons for pill discontinuation. Do birth control pills make women gain weight? Where did this perception come from? What does the data show? In this session we will review systematic reviews and the Cochran database regarding this subject.