Dr. Chapa’s Clinical Pearls.
846 episodes - English - Latest episode: 11 days ago - ★★★★★ - 252 ratingsRelevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! Welcome...to Clinical Pearls.
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Episodes
OB Pyelo FAKE NEWS
October 02, 2023 19:55 - 48 minutes - 44.4 MBThe ACOG released Clinical Consensus #4 in August 2023, covering Urinary Track Infections in Pregnancy. Urinary tract infection (UTI) is one of the more common perinatal complications, affecting approximately 8% of pregnancies. These infections represent a spectrum, from asymptomatic bacteriuria, to symptomatic acute cystitis, to the most serious, pyelonephritis. In this episode we will summarize some the key points from this monograph, and we will tackle 3 common myths/misperceptions related...
Advanced Paternal Age? YES
September 30, 2023 02:49 - 43 minutes - 40.3 MBThe age at which couples have children in the United States continues to increase. While it is well documented and known that maternal age directly impacts fetal and child outcomes, less attention has been given to advanced paternal age (APA). Medical and Genetic commentaries have stated that limited APA principles have been advocated for or disseminated into the medical communities and the general population. There may be considerations for the development and application of a couple-centere...
Beyfortus PASSIVE Immunity into! For Katie!! ❤️❤️❤️
September 28, 2023 14:44 - 4 minutes - 3.95 MBA quick clarification about Beyfortus neonatal protection against RSV. Thank you Katie for bringing this to my attention! What a wonderful podcast community we have. ❤️❤️❤️
Beyfortus PASSIVE Immunity info! For Katie!! ❤️❤️❤️
September 28, 2023 14:44 - 4 minutes - 3.95 MBA quick clarification about Beyfortus neonatal protection against RSV. Thank you Katie for bringing this to my attention! What a wonderful podcast community we have. ❤️❤️❤️
“The College” Clinical PA: Maternal RSV Vaccine Guidance
September 28, 2023 00:22 - 16 minutes - 15.4 MBWe have been following this developing story on the Maternal RSV vaccine, Abrysvo. In the recent podcast, we stated that we would let you know when the ACOG releases its “Practice Advisory”, which is its clinical guidance update. This is now out! In this episode will provide the summary, high-yield points regarding this vaccine’s use in pregnancy. Can this be co-administered with other vaccines? What did ACOG say about the preterm birth “numerical imbalance” among study trial participants who...
LDA in Preg: The SAGA Continues
September 26, 2023 22:42 - 39 minutes - 35.8 MBLow Dose Aspirin has been a routine aspect of preeclampsia prevention since first mentioned by the ACOG’s Hypertension in Pregnancy Task Force report, back in November 2013. Since that time, there has been several revisions of the criteria of who qualifies for low-dose aspirin in pregnancy. Nonetheless, there are calls and expert opinions challenging this “risk factor based” approach, favoring a more universal adoption. Additionally, the DOSE of low-dose aspirin has also come under recent cri...
OB Mental Health Meds: “The College” Data Review.
September 25, 2023 00:59 - 47 minutes - 43.8 MBAccording to the CDC’s press release from September 2022, the leading underlying causes of pregnancy-related death include mental health conditions (including deaths to suicide and overdose/poisoning related to substance use disorder), accounting for 23% of cases. The top 2 perinatal, mental health conditions are anxiety and depression. And, although much more rare with an incidence of 1–2/1,000, postpartum psychosis is a major cause of self-harm an infant harm. In this episode, we will revie...
ASX Postmenopausal ES Thickness: Bx?
September 22, 2023 00:58 - 18 minutes - 17.1 MBIt’s pretty standard of an evaluation… TVUS for postmenopausal bleeding. It’s well accepted that an endometrial thickness of 4 mm (5 mm in some studies) should trigger further endometrial tissue analysis in women with postmenopausal bleeding. But is there a cut-off endometrial thickness at which endometrial tissue should be evaluated in a postmenopausal patient WITHOUT bleeding, where this was found incidentally? There is definitely an evidence-based recommendation, and we will cover that in ...
ASX Postmenopausal ES Thickness: Bx? (
September 22, 2023 00:58 - 18 minutes - 17.1 MBIt’s pretty standard of an evaluation… TVUS for postmenopausal bleeding. It’s well accepted that an endometrial thickness of 4 mm (5 mm in some studies) should trigger further endometrial tissue analysis in women with postmenopausal bleeding. But is there a cut-off endometrial thickness at which endometrial tissue should be evaluated in a postmenopausal patient WITHOUT bleeding, where this was found incidentally? There is definitely an evidence-based recommendation, and we will cover that in ...
OB SMORGESBOARD: A Cornucopia of Info.
September 20, 2023 16:33 - 30 minutes - 27.7 MBWelcome to our “OB Smorgasburg” episode, where we have a CORNUCOPIA of topics. Well, maybe not a full cornucopia… But a mini-cornucopia. In this episode, we will address 2 recent publications that really are my “pet peeves“ about medical data! One is from the US Preventive Service Task Force, and the other has to do with “timed intercourse”. You have to listen to this! Then we will get into new data regarding the association of 1 abnormal glucose value on the 3 hour GTT with adverse neonatal ...
Weekly Labs for HDP (OB HTN)?
September 18, 2023 00:38 - 28 minutes - 26 MBUniversal, weekly (surveillance) laboratory screening for expectant management of Hypertensive Disorders in Pregnancy has been routine practice since the release of the ACOG’s Hypertension in Pregnancy executive summary in November of 2013. This plan of care was also recommended in the ACOG Practice Bulletin 222 focused on Gestational Hypertension and Preeclmapsia. But does this actually help prevent maternal morbidity? Does routine weekly lab surveillance, detect worsening disease over clini...
The “Neglected” STI
September 17, 2023 00:55 - 37 minutes - 34 MBTrichomoniasis has been found in every continent and climate without showing any significant seasonal variability. According to the CDC, trichomoniasis is estimated to be the most prevalent nonviral STI worldwide, affecting approximately 2.6 million persons in the United States. Conditions shown to be associated with T vaginalis infection include: Increased risk of HIV acquisition and transmission, increased prevalence of other sexually transmitted infections, adverse outcomes of pregnancy (e...
Continue Metformin in PCOS Pregnancies?
September 15, 2023 14:55 - 35 minutes - 32.9 MBPolycystic ovary syndrome (PCOS) is the most common endocrinopathy affecting reproductive-aged women, with a prevalence between 10 to 13%. PCOS has a large component of Insulin Resistance at its core. This is not only a metabolic complication in gynecology, but also has adverse implications for pregnancy. Since metformin is a staple of PCOS care, not only for infertility but also for the metabolic syndrome in adults, a common question is what to do with that medication once conception occurs....
OCPs + NSAIDS= VTE?
September 13, 2023 02:40 - 23 minutes - 21.4 MBNSAIDs have been shown to be associated with development of VTEs. This data is not new, but is more than 10 years old. Of course, hormonal contraception is also known to potentially increase the risk of VTE depending on the amount of estrogen in the combination product as well as the type of progestin used. So, a reasonable question to ask is whether the use of these two medications TOGETHER synergistically increase the risk of VTE. A recent publication in BMJ (06 Sept 2023) provided some con...
Single- or Double-Layer Closure at CS?
September 12, 2023 03:53 - 36 minutes - 33.4 MBOptimal uterine closure remains one of the most studied and controversial aspects of cesarean delivery. Traditionally, a single-layer locking hysterotomy closure has been taught and passes down. Is this evidence based? Is there any advantage to doing a double-layer myometrial closure? We’ll get down to the data in this episode.
CS Ut Closure: Decidua or No Decidua?
September 10, 2023 13:29 - 39 minutes - 36.5 MBA uterine niche is a reservoir-like pouch in the anterior uterine isthmus located at the site of a previous CS scar. First published and describe din 1961, there have been a variety of publications looking at "best practice" at cesarean hysterotomy closure to try to minimize its occurrence. This defect has been linked to abnormal placentation in subsequent pregnancies, CS scar ectopic pregnancies, abnormal uterine bleeding, and dysmenorrhea. While the complete pathogenesis of the niche defect...
SLE in OB: SMFM Info
September 08, 2023 03:04 - 37 minutes - 34.3 MBSLE can affect people of all ages, including children. However, women of childbearing ages—15 to 44 years—are at greatest risk of developing SLE. Women of all ages are affected far more than men (estimates range from 4 to 12 women for every 1 man). Are you familiar with the 2019 updated diagnostic criteria for SLE? What are some specific concerns regarding this condition in pregnancy? Do patients with anti-SSA/SSB antibodies need serial fetal echocardiograms? And do these patients need early ...
Celiac Disease and Fertility/Pregnancy
September 06, 2023 00:27 - 45 minutes - 41.3 MBCeliac disease is an autoimmune disorder of the small intestine. Celiac disease is the only autoimmune disorder with a single clearly identified environmental trigger...DIET. Although the exact mechanism of the disease development is unknown, celiac disease appears to form after gluten intake from a complex interplay of environmental, immune, and genetic factors. What is Tropical Sprue and how is this different than Tropical Sprue? Does this lead to infertility? How is this linked to a specif...
Probiotics for the Vag? Yea or Nay?
September 04, 2023 02:52 - 42 minutes - 38.7 MBProbiotics may be good for your gut, but does your vagina need them too? Probiotics are in everything from fermented drinks to pills and powders, and in many cases, are being advertised as a way of improving your vaginal health. Is that evidence based? Do oral probiotics help support a healthy vaginal microbiome? What about vaginal probiotics? Can vaginal probiotics augment BV therapy? The answer may surprise you. So…Grab your kombucha and take a seat… We’re going to cover this and much more,...
Cough Medicine as Antidepressant?
August 31, 2023 18:45 - 20 minutes - 19 MBWe recently provided some additional information regarding the recently approved medication for postpartum depression, Zoranalone. One of the benefits of this medication is it’s rapid mechanism of action. Although not yet approved for major depressive disorder outside of the perinatal interval, there is a separate medication, which was FDA approved last year, which is ultra-fast acting for depression. Oddly enough, one of its main ingredients is a traditional cough suppressant. Have you heard...
MI Dose? Zuranolone for MDD? “Shoulder Shrug”? Your questions answered.
August 29, 2023 22:19 - 28 minutes - 25.7 MBAs a true testament that we read each one of our Podcast Facebook messages, this is a “You asked, We answered” episode regarding 3 main recent topics: 1. dose of oral MI for PCOS, 2. Zoranalone for Major Depressive Disorder, and 3. the “shoulder shrug” maneuver for shoulder dystocia. 👍👍👍👍
Inositol for PCOS? Yes.
August 28, 2023 19:32 - 46 minutes - 42.3 MBPolycystic ovary syndrome (PCOS) is the most common endocrine disorder and one of the most frequent causes of infertility in women. It affects 5–20% of women of childbearing age. The pathogenesis of PCOS is still not fully understood; however, insulin resistance (IR) is known to have a central role in its pathogenesis. According to a cross-sectional study, IR is present in 75% of lean and 95% of overweight women with PCOS. This IR seems to have something else behind it: an imbalance in the ra...
UPDATED Recs: Hep B in Pregnancy (Sept 2023).
August 27, 2023 02:25 - 33 minutes - 30.8 MBIn 1990, the ACOG released the “Perinatal Hepatitis B Prevention Program“. OB healthcare workers have doing universal screening for Hepatitis B using HBsAg in each pregnancy, ever since. However, there is a new guidance being released in September 2023 from the ACOG. This new guidance aligns with the national Hep B screening and testing recommendations from the CDC released March 2023. Are you familiar with the “Hep B triple screen”? Is antiviral therapy recommended for Hep B in pregnancy? Wh...
OCPs and Varicose Veins: Risky or Not?
August 24, 2023 19:23 - 35 minutes - 32.3 MBOK, OK…we all get that past history of DVT related to hormonal exposure is a true and persistent contraindication for estrogen birth control. We get that. But what about the incidental presence of lower extremity varicose veins? Are varicose veins a contraindication to estrogen containing birth control? After all, some data has linked superficial varicose veins to the development of DVT. That must mean that estrogen containing BC is contraindicated due to the additional risk of clot formation...
New FDA Approved OB RSV Vaccine? Nuances and Cautionary Notes!
August 22, 2023 18:17 - 19 minutes - 18.3 MBOn August 21, 2023, the FDA approved a new RSV vaccine for maternal use, ideally in the late third trimester. However, there are some nuances and some cautionary notes here! In this episode, we will review the phase 3 data, which fostered the FDA approval and review the nuances to this study. Are we ready for mass incorporation of the maternal RSV vaccine into clinical practice? The answer quite simply is… “No”. We will explain why in this episode.
EIN-AEH: New Clinical Consensus (Sept 2023)
August 21, 2023 17:39 - 41 minutes - 37.8 MBIn 2015, the ACOG released its Committee Opinion on "Endometrial Intraepithelial Hyperplasia", or EIN (CO 631). EIN is of clinical significance because it is often a precursor lesion to adenocarcinoma of the endometrium. Making the distinction between hyperplasia and true precancerous lesions or true neoplasia is super important because their differing cancer risks must be matched with an appropriate intervention to avoid under/overtreatment. As is our podcast tagline, "medicine moves fast"; ...
Vital Tips for Shoulder Dystocia: Understanding the Maneuvers
August 18, 2023 19:40 - 36 minutes - 33 MBRecently, a horrific and unimaginable birth event made national (USA) news. A case of shoulder dystocia resulted in an extremely morbid and rarely witnessed complication. On August 16, 2023, an extremely important review article was released (ahead of print) in the American Journal of ObGyn. This article summarizes important key aspects and tips for the proper performance of rescue maneuvers for shoulder dystocia, with the aim of keeping both the mother and the baby safe. In this episode, we ...
Add Cox2 Inhibitor to Plan B? New Data.
August 17, 2023 16:34 - 26 minutes - 24.1 MBAccess to effective oral emergency contraception is vital, now more than ever. While use of either levonorgestrel or ulipristal is endorsed by the ACOG, pharmacodynamic and clinical data does show that ulipristal has the efficacy advantage. Although the process of ovulation is directed by the LH surge, it is also put into action by prostaglandin resulting from COX2 activity. So, can the addition of a COX2 inhibitor increase the efficacy of Plan B when taken as a combo? A new study published 2...
Persistent Genital Arousal Disorder: It’s a Real Thing! (Genito-Pelvic Dysesthesia)
August 16, 2023 11:41 - 38 minutes - 34.8 MBPersistent genital arousal disorder (PGAD), now called Genito-Pelvic Dysesthesia, was first described by Leiblum and Nathan in 2001 in a five-patient case series. This is now a well-recognized pelvic floor/genital abnormality with a consensus statement being released in 2019 by the International Society for the Study of Women's Sexual Health. Are you familiar with this condition? It is a source of severe emotional and mental hardship for those affected. In this episode, we will summarize the ...
Recurrent AB? STOP Checking This! (ALIFE2 Data)
August 14, 2023 22:06 - 25 minutes - 22.9 MBThe definition of recurrent pregnancy loss (RPL) in the US is 2 or more consecutive failed clinical pregnancies documented by ultrasound or histopathology, while, in the United Kingdom, the definition is as having 3 or more consecutive early pregnancy losses. Up to 50 percent of cases of recurrent pregnancy loss lack a clear etiology. Where do we stand, in 2023, in regards to our understanding of the effects of inherited thrombophilias on recurrent pregnancy losses? Do they cause recurrent AB...
Does Perineal Massage Prevent SVD Lacs? New Data.
August 12, 2023 20:53 - 36 minutes - 33.7 MBPerineal trauma after vaginal birth is common, with approximately 9 of 10 women being affected. Second-degree perineal tears are twice as likely to occur in primiparous births, with a incidence of 40%! Obstetrical lacerations of all degrees can lead to significant physical and even psychological morbidity, and have been identified as an independent risk factor for sexual dysfunction- which could last up to 18 months after delivery. Can perineal massage help reduce the rate of obstetrical trau...
Understanding ZURZUVAE™ (zuranolone): The First Oral Med for PPD
August 10, 2023 14:28 - 20 minutes - 19.2 MBIn 2019, brexanolone, better known as Zulresso, became the first postpartum depression (PPD) drug to receive FDA approval. While we have previously discussed this IV medication for PPD in other episodes, there is now a novel oral version of this antidepressant which has made the news as of last week (ie, early august 2023). That medication was known as SAGE 217 during the clinical trials, but it is now known as zuranolone (ZURZUVAE™). YEP.. in the first week of August 2023, the US Food and Dr...
Brand New TXA at CS Data: Shout out to KC et al!
August 08, 2023 03:50 - 14 minutes - 13.2 MBIn our most recent episode on vaginal prep at C-section, we referenced a parallel topic where individual data pieces seem to be contradictory: prophylactic TXA at time of cesarean section. In that past episode, we referenced a systematic review and meta-analysis that showed prophylactic TXA was indeed beneficial. Well… we are going to build on that data regarding prophylactic TXA in this quick/targeted episode that we call our NEW DATA BLURB. In this episode, we will highlight a fantastic, br...
Vag E2 After Breast CA: Nah or Yeah?
August 07, 2023 02:23 - 40 minutes - 37.5 MBWith improvements in the screening & treatment of Breast Ca, the number of female survivors continues to rise, with a reported 5-year survival rate of up to 90%. However, several of the systemic treatments for breast cancer, including endocrine therapy, chemotherapy, and radiotherapy, can result in a new or worsened hypoestrogenic state. Up to 70% of postmenopausal women will develop symptoms of genitourinary syndrome of menopause (GSM). With an estimated 3.8 million breast cancer survivors i...
To Vag Prep or Not to Prep: That is the Question (Aug 2023 Data)
August 04, 2023 23:28 - 25 minutes - 23.1 MBCS is the most important risk factor for postpartum infection with a 20-fold increase compared to the vaginal delivery route. For post-cesarean section metritis, infection is considered to be primary due to ascending bacteria from the vagina. Although antibiotic prophylaxis is thought to reduce postoperative infections, it has little effect on bacterial colonization of the vagina. Over the past 20 years, multiple randomized clinical trials have investigated the effect of preoperative vaginal ...
VTE Med Prophylaxis After SVD?
August 04, 2023 01:21 - 41 minutes - 37.7 MBVenous thromboembolic events (VTE) are among the top three causes of maternal death in developed countries and prevention with thromboprophylaxis has been identified as the most readily implementable means of reducing maternal mortality from VTE. Most guidelines address VTE prophylaxis after cesarean section, and/or in those with thrombophilias- not after vaginal delivery alone. The ACOG does not directly address inpatient pharmacologic thromboprophylaxis during antepartum admission nor after...
Kratom & Pregnancy
August 01, 2023 22:46 - 37 minutes - 34.2 MBWe are still in an opioid crisis state in the US. Have you heard of Kratom? It is likely at your neighborhood health food store or even on the counter at your local gas station. A derivative of the coffee plant, Kratom is making national headlines. Whether Kratom, a legal, widely available herbal supplement, should be classified as an opioid is contentious. Although the US Food and Drug Administration has recently addressed this controversy, Kratom continues to be marketed as an over the coun...
The “Rule of 55” For HDP: A Critical Review of a New Meta-Analysis
July 30, 2023 19:22 - 42 minutes - 39.1 MBIn 2019, the ACOG released CO 767 discussing “Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period”. currently, 3 meds are recommended for the treatment of emergent hypertension in pregnancy: oral nifedipine, IV, labetalol, and IV hydralazine. But which one is “better” at normalizing blood pressure? A new meta-analysis, published on July 24, 2023, provides one answer. However, this meta-analysis did not take into account the most crucial factor dete...
NEW HPV Vaccine ADVISORY: Use After CIN2+ Therapy (PRACTICE ADVISORY; July 2023)
July 28, 2023 23:02 - 23 minutes - 21.2 MBWe have learned so much about the natural progression of HPV induced cervical abnormalities. In 2019/2020, the ASCCP published its updated guidance using a “risk-based” algorithm for management of cervical intraepithelial neoplasia. Traditionally, HPV vaccination was considered ineffective once cervical dysplasia already was present. But recent data has proven this concept incorrect! In this episode, we’re going to summarize a brand new ACOG practice advisory released today, on July 28, 2023,...
Amniotic Fluid Injections? 😳💉💉💉
July 26, 2023 14:58 - 34 minutes - 31.2 MBThere are, indeed, FDA indicated applications for purified, amniotic membrane (wound healing). Is there also a role for the use of purified amniotic fluid as a “regenerative medicine” treatment option? Can amniotic fluid injections help repair osteoarthritis and aching joints? Can it be used as EYE DROPS for dry eyes? The subject is trendy on certain social media channels and on certain websites. But this concept of injecting amniotic fluid into various body locations has landed one Texas hea...
HS in Pregnancy
July 25, 2023 01:43 - 40 minutes - 36.8 MBSkin conditions can't affect pregnancy outcomes, right? After all, the skin is just the skin. WRONG! As a chronic inflammatory disease, hidradenitis suppurativa (HS) exemplifies the link between integumentary and comorbid systemic disease through shared inflammatory pathways. Patients have double the comorbidity burden compared with the general population, and hidradenitis suppurativa has independent associations with several individual comorbid diseases. During pregnancy, HS also is associat...
AHA BP Cutoffs Helpful in Pregnancy? (Aug 2023 Data)
July 23, 2023 22:39 - 40 minutes - 37 MBIn Feb 2023, the USPSTF recommended that clinicians “screen for hypertensive disorders of pregnancy”. Specifically, they stated that “measuring blood pressure at each prenatal visit is the best approach”. Mind blowing I know. 😳😊 But sarcasm aside, a new publication- set to be released next month in AJOG (Slade LJ et al; Aug 2023)- validates this recommendation…not that it needed validation, for frequent BP monitoring during pregnancy. This has to do with the “sensitivity” of BP results in pr...
BV RX to Prevent PTB?
July 22, 2023 08:52 - 36 minutes - 33.5 MBOn April 5,2023 the U.S. FDA withdrew its approval of Makena and generic forms of 17-a hydroxyprogesterone caproate for the prevention of recurrent preterm birth. Having the only medication which had been FDA approved for the prevention of preterm birth taken away, has left clinicians investigating other possible strategies that can cause a dent in preterm birth rate. As Bacterial vaginosis (BV) is the most common vaginal abnormality in reproductive age women, naturally the spotlight would fa...
Up, Up, and AWAY!😊👋😊👋😊
July 14, 2023 13:25 - 1 minute - 1.52 MBFYI. We just released our episode for today, July 14, 2023, and will be out until July 23!
Does Walking Induce Labor? 🚶♀️🚶♀️🤰
July 14, 2023 13:15 - 34 minutes - 31.5 MBIts hard to be pregnancy in the late third trimester, especially in a HOT state like TEXAS in the summer. Pregnant individuals will try just about anything "to just get this baby to come out already!" Historically, walking, spicy foods, and SEX have been "employed" to get the labor process going. Does it work? In this episode we will look at the data examining whether labor can induce spontaneous labor. Is this a myth or a real thing? What about CURB WALKING?! That works, right? Lots to cover...
False Positive “Confirmation” Syphilis Test?
July 13, 2023 03:00 - 33 minutes - 30.3 MBThere’s no such thing as a “false positive syphilis confirmation test”, is there? After all… It’s right there in the name, CONFIRMATION test! Well, not all positive confirmation tests are true positives, especially when that test is the FTA-ABS. Yes, it’s true, the specificity for this is very good between 95 to 98%. But there are cases of BFPs (Biologic False Positives), which have been reported and published in the literature. This is why putting the test results in clinical context is very...
The Bandl Band
July 11, 2023 05:10 - 33 minutes - 30.9 MBThe Bandl Constriction Ring. It is real. It exists. Its true incidence is unclear as it lacks uniform reporting when found at time of cesarean. As labor guideline are more permissive of slowed labor progress, some fear that the incidence of Bandl's Band may rise. What is this ring? What is the pathophysiology of this abnormal uterine response? Can ultrasound detect this labor abnormality? In this episode we will cover the fascinating and controversial history of the Bandl Band and review some...
How the Sausage is Made! 🤣😊😳
July 10, 2023 00:05 - 5 minutes - 5.15 MBJust a little description of what happens “behind the scenes“! Enjoy. 😊😊❤️❤️😩😩
Early GDM RX New Data: 👎😕🙁😔
July 09, 2023 22:06 - 30 minutes - 27.6 MBGestational diabetes (GDM) is a risk factor for adverse perinatal outcomes. Currently, the ACOG recommends early screening for GDM for women “at risk”. However, other experts disagree with this approach. On October 6, 2022 we released a podcast episode called “Early GDM Screening: Evidence-based?”. In that episode we covered the controversy regarding early GDM screening, in other words- screening under 24 weeks. We have been following this story and debate for over 2 years now; we first relea...
Brand NEW Consensus Statement on OSA in Pregnancy (July 6, 2023)
July 06, 2023 23:55 - 25 minutes - 23.4 MBWell, Well, Well, this is very interesting. Back in May 10, 2023, we released an episode on "OSA (Obstructive Sleep Apnea) in Pregnancy: Time to Screen?". In that episode, we summarized the impressive data on OSA in pregnancy and its association with some adverse perinatal sequelae. Spring forward to July 6, 2023, the ACOG has now released a brand new Consensus Statement on OSA in pregnancy. This statement is a joint guideline from the Society of Anesthesia and Sleep Medicine and the Society ...