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Dr. Chapa's OBGYN No Spin Podcast

Todo

Dr. Chapa's OBGYN No Spin Podcast

Hector Chapa

40 to 40.6 EGA as Best Delivery timing?

June 30, 2026 6:00am 23 min

In 2018, the ARIVE trial was published in the NEJM revealing that induction of labor at 39 weeks reduced cesarean deliveries and gestational hypertension/preeclampsia in low-risk nulliparous women who had labor induced, ...

“New” Data: CS Skin Incision To Delivery Interval (AJOG-MFM)

June 27, 2026 6:00am 20 min

If you practice obstetrics, you already know that our entire world is ruled by a stopwatch. Think about it: we are obsessed with time. We wait exactly 60 or 120 minutes for a gestational diabetes challenge. We stare at a...

More Steroid Stuff (July 2026)

June 24, 2026 6:00am 15 min

Think about the last time you had to time something perfectly. Maybe it taking that perfect swing at the baseball, or catching a flight after a commute, or making a high-stakes decision. In the world of high-risk pregnan...

MOPP & PP BP Control

June 21, 2026 6:00am 18 min

More than 60% of maternal deaths occur during the postpartum period, and hypertensive disorders of pregnancy are a major, preventable driver of that statistic. For too long, the transition from labor and delivery to home...

Peripartum Cardiomyopathy (PPCM): When the Left Heart Falters

June 18, 2026 6:00am 29 min

Welcome back to the show, everybody! Today, we are diving deep into the intersection of maternal-fetal medicine and cardiology. We’re tackling a condition that keeps every OB/GYN, MFM, and cardiologist up at night: Perip...

The “20-minute” Rule for VAVD: 2026 Data

June 15, 2026 6:00am 23 min

Podcast Family, in this episode we will focus on the “20-minute rule” for vacuum assisted vaginal delivery. This is an important aspect of neonatal safety and is a vital part of procedure documentation. Documentation for...

2026 Lp(a), AHA, and OBG: What Now?

June 12, 2026 6:00am 26 min

The March 2026 ACC/AHA Guideline on the Management of Dyslipidemia made a major pivot regarding Lipoprotein(a) by establishing a formal recommendation for universal screening in adults. This 2026 guideline, published in ...

CS: UT in or UT out? New July 2026 Data

June 10, 2026 6:00am 15 min

Hey everyone, thanks for tuning in. If you’ve spent any time in the OR during a cesarean delivery, you know that the choice between uterine exteriorization and in situ repair usually comes down to how you were trained or...

SHOCKING: ACSs INCREASE Risk in Twins? (Listen in)

June 07, 2026 7:02pm 16 min

In the ACOG PB 231, Multifetal Gestations Twin Triplet and Higher-Order Multifetal Pregnancies, it states, “based on the improved outcomes reported in singleton gestations, the National Institutes of Health recommends th...

5mm v 1-cm Fascial Closure at CS: MINI EPISODE

June 06, 2026 1:32pm 3 min

Historically we were taught as surgeons that 1-centimeter bites that between suture throws on a Pfannenstiel (low transverse) fascial closure was enough to prevent hernia formation and optimize facial healing. But is thi...

NIPT CONFIRM Test SPECIAL GUEST: Blurring the Line between Screening & Confirmation of Fetal Aneuploidy

June 05, 2026 11:57am 23 min

Today, we are talking about a true paradigm shift in prenatal genetics. For decades, we’ve relied on cell-free DNA for screening, but when it came to definitive confirmation of fetal aneuploidy, we’ve had to counsel our ...

OB, ED, and STDs: Gaps Noted!

June 03, 2026 6:00am 14 min

Back in June 2024, we highlighted surprising data from JAMA Network Open regarding adolescent care in the ED. Because many adolescents use the ED as their primary care provider, it’s a good opportunity for them to have c...

QUICKIE: When to Best Deliver with a Uterine WINDOW

June 02, 2026 1:30pm 2 min

It's a QUICKY: IMPROMPTU episode in clinic today..

Treat Non-Severe PreE with BP Meds?

May 31, 2026 6:00am 15 min

Welcome back, everyone. Today we're diving into one of the most hotly debated topics in obstetrics- should we be treating preeclampsia without severe features with antihypertensive medications during expectant management...

The WILDCARD: LUS Window on Prenatal Sono, TOLAC?

May 28, 2026 6:00am 17 min

The American College of Obstetricians and Gynecologists (ACOG) does not recommend routine ultrasound measurement of the lower uterine segment (LUS) thickness as part of the evaluation for trial of labor after cesarean de...

Home Self-Check Urine Protein for gHTN?

May 26, 2026 6:00am 17 min

Should patients check their own urine protein at home when they have a gestational hypertension DX? After all, home-based BP monitoring is an established part of HDP care. Is there data on home urine protein dipstick tes...

Is OB HPBM “Evidence-Based”? BUMP1&2 vs SMFM Special Statement

May 24, 2026 6:00am 24 min

The vast majority of the time, “community standard of care” reflects evidence-based recommendations. This means that both the predominance of clinical data and what is clinically practice align one with another period bu...

Patient Self-Titration of Insulin for GDM?

May 21, 2026 6:00am 26 min

Outside of pregnancy, guidelines emphasize diabetes self-management education and support to facilitate informed decision making, self-care behaviors, problem solving, and active collaboration with health care profession...

VOMIT Trial: Mirtazapine vs Ondansetron for HG

May 18, 2026 10:07am 22 min

Hyperemesis gravidarum (HG) represents the most severe end of the nausea and vomiting of pregnancy spectrum. It has a reported incidence of approximately 0.3–3% of pregnancies and is the most common cause of hospitalizat...

The “Half-Cm” Cervical Exam: Is that a thing? (With our PGY1 Guest)

May 15, 2026 6:00am 11 min

Cervical exams can be tricky for the novice practitioner. Think about this: it’s a blind exam, we measure that distance using only two fingers, through a layer of tissue, sometimes with a patient moving up on the bed as ...

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