Dr. Chapa’s OBGYN Clinical Pearls

In this session, we will review guidelines for pre-conception care based on the ACOG current commentary.

1955, Emmanuel Friedman described the labor progress of 500 nulliparous wowen. That curve became the standard for labor management for 60 years. However, in 2014, the ACOG revised the definitions of the active phase of labor and re-defined the second stage of labor. In this session, we will review these labor guidelines.

This podcast covers the mechanisms of normal labor, focusing on the fetus (lie, attitude, presentation, and position) and the maternal pelvis. It explores assessing fetal lie, attitude, and presentation during labor. It discusses the various presentations and positions of the fetus, as well as the management of brow and face presentations. Lastly, it provides a detailed explanation of engagement, the types of maternal pelvis, and the cardinal movements of labor.

In this session, we will review intimate partner violence which was presented in the American College of OB/GYN committee opinion #518.

In this session we will cover the maternal physiological changes which occurr during pregnancy.

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.