Dr. Chapa’s OBGYN Clinical Pearls

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.

In this session, we will highlight the ACOG Task Force Report on Hypertension in Pregnancy.

In this session we will cover the vast cardiovascular changes which occur in the maternal compartment during pregnancy.

Learn about the complications and management of Pyelonephritis in pregnancy. Discusses symptoms, diagnosis, factors contributing to UTIs in pregnant women, and treatment options including hospitalization and IV antibiotics.

In this session, part two, we will cover medical management of renal stones in pregnancy. We will also cover temporary methods of ureter decompression as well as uteroscopic stone removal.

Exploring the challenges of diagnosing and treating kidney stones during pregnancy, reasons behind the higher risk of kidney stones in pregnant women, imaging modalities used to diagnose renal stones in pregnant women, value of ultrasound and other diagnostic tests in pregnant women with hydronephrosis, and first-line treatment for kidney stones in pregnancy.