Dr. Chapa’s OBGYN Clinical Pearls

Pyelonephritis Affects up to 2% of women in pregnancy. Complications can include preterm labor, preterm rupture of membranes, Urosepsis, and ARDS. In this podcast, we will cover the clinical presentation, work up, and management of "Pyelo" in pregnancy. Data taken from the American College of OB/GYN.

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.

Nephrolithiasis in pregnancy can be a diagnostic dilemma. However, most patients present with classic flank pain radiating to the groin, with or without nausea, and hematuria. In this session, part 1, we will cover incidence, presentation, diagnostic testing, and expectant management of kidney stones in pregnancy. Part 2 will cover medical management and surgical intervention.

This is PART 2 of our HSV in pregnancy podcast. We will cover specifics on pregnancy management, both antepartum and intrapartum. Data is taken from the ACOG practice bulletin and data from the society of maternal fetal medicine.

HSV in Pregnancy: Part 1. This session will cover the classification, diagnosis, and general principles of vertical transmission of Herpes Simplex Viral infections. Part 2 will cover specific points on pregnancy management.

Hepatitis B management in pregnancy has had some changes. The Society for Maternal Fetal Medicine recommends the use of Tenofovir when maternal viral loads are > 6-8 Log 10 copies/ml. C-section is not recommended solely for the prevention of vertical transmission of hepatitis B. All infants delivered to hepatitis B surface antigen positive mothers should receive dual immunoprophylaxis with Hepatit...

We present data from the Society of Maternal Fetal Medicine regarding the medical management, intrapartum, and postpartum care of the hepatitis C virus-positive woman.

In this episode we will cover hepatitis C infection in pregnancy. This is part one of a two-part series based on the Society for Maternal Fetal Medicine's (Consult Series 43) most recent update on hepatitis C management in pregnancy.

Attempts to minimize risks of prematurity balanced with the risks of a postmature fetus, are central to the management of the poorly dated pregnancy. We will cover the committee opinion 688 from March 2017 from the American College of OB/GYN.

A quick review on the science, indications, and utilization of the KB test in pregnancy.

A clinical review and synopsis of the practice bulletin from February 2018 from the American College of OB/GYN on gestational diabetes.