Dr. Chapa’s OBGYN Clinical Pearls

On July 26, 2020, the AAP updated its guidance regarding infant separation from a COVID19 positive mother in the immediate postpartum interval. In this session, we will review this updated recommendation.

Your patient is a 22 yo female who has tested positive for SARS-CoV2. Will you keep her on her estrogen containing birth control? In this podcast, we will cover the ACOG response to this clinical dilemma as well as provide updated information from a soon to be released commentary in ENDOCRINOLOGY.

Yes, information keeps changing! That is why medical education is so important. In this session, we will review the ACOG updated recommendations for both healthcare providers and patients regarding COVID-19 management. These guidelines were released July 27, 2020.

⭐️Feb 11, 1990. ⭐️ It was a worldwide sports event. It has been called one of the greatest upsets in sports history. This brief recap of the Douglas-Tyson match has a powerful lesson applicable to today’s stressful times. Let this brief episode encourage you and motivate you on your life’s adventure. 🙂

Given the perceived safety of aspirin during pregnancy, there have even been increasing calls to administer aspirin universally to all pregnant women. However, there are no population-based studies addressing whether there is a bleeding risk with aspirin administration during pregnancy. In this session, we will review a recently accepted manuscript (July 2020) in AJOG which will soon be in print which is a population based study from Sweden. Are there risks with aspirin use in pregnancy? Lets analyze the data.

In August 2020, the ACOG will release a new Committee Opinion (809) reviewing the HPV vaccination. How many doses are required by age? Can the vaccine be given during pregnancy? What about breast-feeding? We will answer these questions and more in this episode.

CS deliveries are the most frequently performed inpatient surgeries in the US. The ERAS pathway for planned cesarean deliveries does not include preadmission CHG cloths because of the lack of evidence from randomized, controlled trials. In July 2020, the AJOG published the STRIPES RCT to see whether use of these cloths resulted in decreased SSI. We will cover this in this episode.

Pregnancy is a co-adaptive, quasi-symbiotic state. There are a variety of maternal physiological and anatomical adaptations which must not be interpreted as pathological. In this session we will review these vital changes as well as the fetal circulatory system and provide a quick review of fetal acid base status.

On January 1, 2021, the Joint Commission will release new standards for maternal safety at discharge from the hospital. Discharge teaching and postpartum follow up planning will be part of this mandate with a focus on patients with hypertensive disorders. To prepare everyone for this, the SMFM is releasing a new statement and checklist for postpartum discharge of hypertensive patients. In this session, we will review and summarize this new (July 2020) special statement which is scheduled to be in print in the American Journal of Obstetrics and Gynecology.

COVID19 can have varied clinical manifestations. In pregnancy, new data has highlighted its potential to cause a “preeclampsia like syndrome“. This, together with the increased thrombotic state of COVID-19, elevates the risk for VTE above that of pregnancy alone. Can TXA be used for PPH in these cases? In this podcast we will review these 2 high risk clinical manifestations of COVID-19 in pregnancy.