Dr. Chapa’s OBGYN Clinical Pearls

About the show

Latest episodes

• ASRM RPL “UPDATE” 2026

  October 5, 2026 · 24 min

  In June 2026, the ASRM released its updated guidance on recurrent pregnancy loss. This is the most updated guidance in over a decade and includes a decision tree algorithm that starts with a pivotal test. In this episode we will review…

• New Data on CHC with MwA

  October 2, 2026 · 25 min

  Currently, the CDC U.S. Medical Eligibility Criteria (USMEC) rate CHCs as category 4 (unacceptable health risk) for migraine with aura, versus category 2 for migraine without aura; ACOG similarly recommends avoiding estrogen-containing…

• Neg Trich on VP3 but Positive NAAT? Why?

  September 29, 2026 · 11 min

  A growing body of research reveals the link between STIs andthe pathogens that cause most cases of vaginitis. Over 90% of vaginitis cases result from BV, yeast, or trich- alone or in combination. But, a recent 2024 study from Schwebke et…

• cfDNA Reflex Testing for Autosomal Recessive Fetal Conditions

  September 26, 2026 · 26 min

  An important clinical advantage of cfDNA screening for autosomal recessive conditions is its ability to provide meaningful fetal risk assessment in general-risk pregnancies at an early gestational age, even when partner carrier testing is…

• ENTG New Removal Guidance (SGP Article in Press)

  September 23, 2026 · 27 min

  Welcome back to the show, everyone! Today,we are diving deep into one of the most effective, set-it-and-forget-it contraceptive options available: the Nexplanon implant. With a failure rate of about 0.05%, it is apowerhouse of birth…

• Retest GDM Late 3rd Tri for LGA or Poly? (OCT 2026 Data)

  September 20, 2026 · 28 min

  Picture this common, late-gestation conundrum: You’re reviewing a 34-week sono. The mid-pregnancy 24-to-28-week glucose screen was completely normal. But now, the sonogram pops up with an estimated fetal weight of over 90%, or maybe a MVP…

• Routine pp Hgb?

  September 17, 2026 · 13 min

  Today we’re diving into a lab order that almost every ob-gyn, midwife, and labor-and-delivery nurse were traditionally trained to do: the routine Postpartum Day 1 Hemoglobin and hematocrit. For decades, checking a patient’s H&H after…

• General Anesthesia and PP Mood Disorders

  September 15, 2026 · 25 min

  If you’ve been following health and medical headlines over the past few weeks, you’ve likely seen a renewed and urgent conversation around postpartum depression—a condition that affects millions of new mothers worldwide, often with…