Best PCN Podcasts (2025)

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"A History of Philadelphia Sandwiches" with Mike Madaio 56:33

Play Pause

15h ago56:33

56:33

Philadelphia boasts some of the most delicious original sandwiches and passionate sandwich aficionados. From the classic cheesesteak to the delectable roast pork, the city's cultural and ethnic diversity has resulted in many of America's most established meals between bread. pcntv.com/donate pcntv.com/membership-signup pcntv.com…

1
Does Oral PCN Affect OB GBS Culture Result? 29:27

3d ago29:27

29:27

Current guidelines recommend universal collection of a vaginal-rectal swab for GBS colonization at 36-37 weeks and 6 days for the identification of patients who require intrapartum IV antibiotic coverage to prevent early onset neonatal GBS infection/sepsis. Recently, we had a patient in clinic whose GBS culture at 36 weeks was negative. Good right?…

1
AFLP vs Preeclampsia with Severe/HELLP 30:28

4h ago30:28

30:28

Here is a real-world clinical case with a tricky differential: Our team recently readmitted a patient 6 days postpartum/post C-section (which was done for ICP and fetal macrosomia at close to 4500 grams, with A2GDM). She had elevated blood pressures, a frontal headache, some midepigastric pain/RUQ discomfort. Pretty clear picture right: sounds like…

1
Does IV Pitocin Increase Abruption Risk? 16:01

1d ago16:01

16:01

I was recently asked to OPINE on the labor management for a patient who was receiving IV Pitocin for augmentation, who experienced a placental abruption. One physician stated that in "his opinion", Pitocin increased the risk of placental abruption intrapartum, a point which the original treating physician refuted. So, I was asked to be the "referee…

1
New CPU: Male RX for BV (10/16/25) 26:31

6d ago26:31

26:31

On March 7, 2025, we released an episode summarizing key aspects of a NEJM publication regarding male partner therapy for women with recurrent BV. Although that study had limitations, the results were very surprising. Now, on 10/16/25 (7 months later), the ACOG has a new Clinical Practice Update (CPU) on this very issue. In this episode we will bri…

1
Perform PFMT Antepartum? 33:04

8d ago33:04

33:04

Podcast family, as we have said on many previous occasions, we get episode suggestions from either real-world patient encounters, from things that are hot in press, and/or from podcasts family member suggestions. Recently, one of our podcast family members asked me about the utility ofperforming pelvic floor muscle therapy (PFMT) antepartum. Is thi…

1
Extended Release Nifedipine Intrapartum For Severe HTN 28:49

9d ago28:49

28:49

In the 09/1/2018 Society for Academic Specialists in General Obstetrics and Gynecology’s (SASGOG’s) Pearls of Exxcellence publication, “Management of Preeclampsia at Term”, it states: “If hypertension management requires acute IV treatment, it is often prudent to initiate oral labetalol or EXTENDED-release nifedipine to maintain blood pressures bel…

1
Fetal Gastroschisis 27:27

11d ago27:27

27:27

Fetal gastroschisis is a congenital defect of the abdominal wall, typically located to the right of a normally inserted umbilical cord, through which the fetal intestines and sometimes other abdominal organs herniate directly into the amniotic cavity. This condition is usually isolated, not associated with other major anomalies, and is reliably dia…

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“New” CPU on Zuranolone? “NOTHING” . 22:32

12d ago22:32

22:32

On October 9, 2025, the ACOG released a clinical practice update (CPU) regarding Zouranolone and brexanolone. As postpartum depression is an area of continued research and need for therapeutics, any new clinical practice update on the subject is welcome. So what's new in this update?! Well…the answer will surprise you. Listen in for details on the …

1
What Did You say?! 24:20

16d ago24:20

24:20

1
SCIENCE CHANGES: New Data on HPV Vaccination Peri-Leep/Cone 30:34

17d ago30:34

30:34

In July 2023, the ACOG released a Practice Advisory stating, “Based on data on the benefit of adjunct HPV vaccination, ACOG recommends adherence to the current Centers for Disease Control and Prevention (CDC) recommendations for vaccinations of individuals aged 9–26 years, and to consider adjuvant HPV vaccination for immunocompetent previously unva…

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AUDIO?!! FIXED! 1:43

19d ago1:43

1:43

FYI

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Elevated msAFP but Normal Fetal Anatomy: What Now? 26:42

20d ago26:42

26:42

A breakthrough discovery in the 1970s was the determination of alpha-fetoprotein levels in the serum of pregnant women to detect fetuses with neural tube defects. In the case of high AFP values in maternal serum, amniocentesis was performed to determine the levels of AFP and acetylcholinesterase (AChE) in the amniotic fluid to confirm the diagnosis…

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Fetal Dextrogastria 18:09

21d ago18:09

18:09

The only structure of fetal gastrointestinal tract (GIT) which is seen on routine second trimester anomaly scan is the fetal stomach. Under normal conditions, the fetal stomach "bubble" is seen on the left side of the fetal abdomen. This is a normal finding on an ultrasound and indicates the stomach's normal position. There are two functions of the…

1
"City of Brotherly Blood" with Mike Stack 59:39

24d ago59:39

59:39

Mike Stack was born to power and followed his father and grandfather into the ring of fire of Philadelphia politics. He was groomed for office, and was running in his early 20s. This is the story about all those Mike encountered in the often bloody, city of brotherly love. pcntv.com/donate pcntv.com/membership-signup pcntv.com…

1
Surprising C-Section Data 22:17

25d ago22:17

22:17

Did you know that C-Section birth is referenced in Shakespeare’s Macbeth? Cesarean Section is the most common laparotomy in the world, and yest we are still learning surprising facts about it. This episode we will summarize 2publications which have recently been released. One is from the American Journal of Perinatology (September 2025 ) and the ot…

1
Bell’s Palsy in Pregnancy 29:40

27d ago29:40

29:40

Just today in clinic, we had a patient, who was well into her third trimester, come to her regular scheduled appointment with new onset left-sided facial droop. Yeah, that’s concerning! A complete history and physical was performed and the diagnosis was made of Bell’s palsy. This is not a rare event and it can be extremely stressful for the affecte…

1
"The Weather Gods Curse the Gettysburg Campaign" with Jeffrey Harding and Jon Nese 59:06

29d ago59:06

59:06

As the nation's future hung in the balance, the Weather Gods delivered a wrath of fury on Union and Confederate forces throughout the Gettysburg Campaign. Authors Jeffrey J. Harding and Jon M. Nese present firsthand accounts, harrowing narratives and groundbreaking meteorological research that reshapes how we view the Civil War's Gettysburg Campaig…

1
“CPR” For Decreased Fetal Movement? The CEPRA Trial 36:00

30d ago36:00

36:00

Maternal perception of decreased fetal movement at term occurs in up to 15% of pregnancies and is a cause for maternal and provider concern. All maternal concerns of decreased fetal movement require an assessment of fetal wellbeing. But what about the patient with recurrent episodes of reduced fetal movements at term? Routine induction of labor is …

1
New Intrapartum FHT Guidance: Oct 2025 CPG 10 32:10

1M ago32:10

32:10

In the 1960s, continuous electronic fetal monitoring was introduced as a way to better capture and document the fetal response to labor and uterine contraction pattern. Since then, it has become a fully integrated component of intrapartum care despite its limited ability to prevent neonatal long term neurological complications and fetal death. We h…

1
OB? Get Your ZZZZs: Insomnia’s Effects on Pregnancy 27:24

1M ago27:24

27:24

In 2023, we released 2 episodes on obstructive sleep apnea (OSA) and adverse pregnancy. Now, on September 16, 2025, a new publication from JAMA Network Open adds more insights to disturbed sleep and adverse pregnancy outcomes. How does insomnia affect pregnancy? And is there any data on night shift work and its altered circadian rhythms on adverse …

1
BNP and proBNP in PreE 26:28

1M ago26:28

26:28

Brain-type natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) levels originate from the cardiac cells in response to cardiac strain. This may come from a pulmonary embolus, an acute severe infection (sepsis), or cardiomyopathy. But what is the relationship between these 2 cardiac biomarkers and preeclampsia? Can preeclampsia with severe fe…

1
Vag E2 in Women With CVA HX? 22:56

1M ago22:56

22:56

Stroke (CVA) is very common in women, who have a higher risk than men over their lifetime; one in five women between the ages of 55 and 75 will experience a stroke. Stroke is a significant concern for women's health, being the third leading cause of death and causing more deaths than breast cancer. While systematic estrogen containing menopausal HT…

1
Does Vit B6 Reduce Mastalgia? New Meta-analysis 09/2025 21:43

1M ago21:43

21:43

Mastalgia is a common breast complaint in reproductive aged women. Mastalgia can be separated into three categories: 1) cyclical, 2) noncyclical, and 3) extramammary. Vitamin B6 is often cited as a homeopathic (non-prescription/pharmacological) remedy for simple mastalgia. Does the published data support its use? A newly published meta-analysis she…

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09.10.2025 1:08

1M ago1:08

1:08

We are delaying today's program, as stated in this message. We will resume our program as soon as possible. Remembering Charlie Kirk.

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Eric's Encounters: Suppl. to Our Prior Episode 8:51

2M ago8:51

8:51

We have a wonderful podacst community! Within 24 hours of our immediate past episode release, one close friend- and fellow OBGYN, Dr. Eric Colton (OB Hospitalist Group) reached out and shared valuable words of wisdom regarding a potentially deadly complication of the CS-scar defect...the CS scar ectopic pregnancy. Listen in for Dr. Colton's cameo a…

1
Decidua or No Decidua at CS Closure: "New" Sept 2025 Data 19:46

2M ago19:46

19:46

On Sept 10, 2023, er released an episode titled, “CS Ut Closure: Decidua or No Decidua?”. We highlighted the importance of AVOIDING the decidua at hysterotomy closure at CS. Now, in Sept 2025, in Obstetrics and Gynecology (the Green Journal), there is a new systematic review and meta-analysis on this very topic. Does this new study CONFIRM or REFUT…

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Can SVD Occur After Pelvic Fracture? 26:37

2M ago26:37

26:37

According to the J Am Acad Orthop Surg Glob Res Rev. (2024), the incidence of pelvic ring injuries is 34.3 per 100,000 with trauma being the most obvious causation. Women account for approximately 69.7% of these injuries, 23% of which occur in women of childbearing age. In this specific patient population, concern is raised about one's future repro…

1
Add MORE Progestin for Progestin BTB? (New Data) 25:15

2M ago25:15

25:15

Traditionally, we have learned that any imbalance in the estrogen: progesterone relationship can trigger irregular uterine bleeding. That makes sense, right? During anovulation, prolonged unopposed estrogen can result in HMB. In such a case, we give progesterone as both a therapeutic as well as diagnostic intervention. On the contrary, with progest…

1
Labor Cervical Exams: 2 hrs, 4 hrs, 8 hrs? 32:58

2M ago32:58

32:58

Routine vaginal examinations (VEs) are a standard component of intrapartum care, traditionally performed at regular intervals to monitor cervical dilation, effacement, and fetal station, which are indicators of labor progression. Yet, the American College of Obstetricians and Gynecologists states that there is insufficient evidence to recommend a s…

1
Treating Breast Ca During Pregnancy? (New Guidance) 28:58

2M ago28:58

28:58

Breast cancer is an hormone responsive malignancy, meaning it may use estrogen and progesterone, reduced in high quantities during a pregnancy, for growth. However, as medical evidence evolves quickly, physicians have come to understand that breast cancer diagnosis during pregnancy doesn't always mean worse prognoses. While older studies- including…

1
You Asked, We Answered! (YES, Another One) 30:51

2M ago30:51

30:51

YEP…Its another episode of You Asked, We Answered! In this episode, we will look at the data to answer 2 questions that came into the show within the last 24 hrs: 1. Is oral or topical therapy best for first treatment of uncomplicated vulvovaginal candidiasis? (We have new data- AJOG, Sept 2025, to answer that), and 2. Is urine PCR testing for UTI …

1
T for Her: Who, What, & How 31:13

2M ago31:13

31:13

In the last 2 episodes we covered new updates in menopausal hormone therapy. However, we did not address TESTOSTERONE use. This episode idea comes from one our podcast family members and good friend, Eric. Eric is 100% correct: Testosterone replacement, when done correctly, has come along way. When is this indicated? Is this endorsed by professiona…

1
MHT Micronized progesterone vs MPA & the Breast 20:04

2M ago20:04

20:04

This is a requested follow up to our most recent episode. Menopausal hormone therapy (HT) prescribing practices have evolved over the last few decades guided by the changing understanding of the treatment’s risks and benefits. We know that dose, route of administration, and choice of agent (estradiol versus a more synthetic option, and micronized p…

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HRT "Black Box" Warning: Time To Go 30:38

2M ago30:38

30:38

There’s a lot of fear and misinformation around HRT, and one of the biggest myths is that HT is a highly significant cause of breast cancer. That is not the case. This is a remnant concept from 2002, with MANY caveats. Calls for the removal of the black box warning on hormone replacement therapy (HRT) stems primarily from the outdated and limited n…

1
Two Forgotten STIs: July 2025 AJOG Review 29:16

2M ago29:16

29:16

Well, I hate to say it, but I'm going to say it: "I Told You So". Back in 2019, we released an episode called "Mycoplasma genitalium: An Overlooked STI". Then, in Sept 2023, we released an episode called, "The Neglected STI", referring to trichomoniasis. Well, on July 22, 2025, a new commentary was released in the AJOG which is making the case why …

1
OB Anesthesia New Review 30:32

3M ago30:32

30:32

Thank goodness for William Morton and Horace Wells- pioneers in anesthesia. Anesthesia has come a long way since them and there is even a professional medical society for OB anesthesia called SOAP. Today, August 07, 2025, there is a new Clinical Expert Series which was just released in the Green Journal. That publication (which is ahead of print) i…

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EMDR for PP PTSD 08/2025 Data 21:41

3M ago21:41

21:41

EMDR (Eye Movement Desensitization and Reprocessing) therapy is a recognized and effective treatment for postpartum PTSD, particularly when related to a traumatic birth experience. EMDR helps individuals process traumatic memories and reduce the associated distress, allowing for a more adaptive way of remembering the event. On Aug 4, 2025, a new pu…

1
The Change in Counseling in T13 & T18 (AAP Update) 16:29

3M ago16:29

16:29

Edwards syndrome (trisomy 18) affects approximately 1 in 5,000 to 6,000 live births. Patau syndrome (also known as Trisomy 13) is even less common, occurring in about 1 in 8,000 to 12,000 live births. About 20% of cases of Patau syndrome are caused by translocation. On the other hand, approximately 10% of Edwards syndrome cases are caused by a gene…

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S07E15: The BNPL Reality Check with Sabrina Flunkert – CEO at Ratepay 41:13

3M ago41:13

41:13

Is BNPL oversaturated, or just misunderstood? In this special In Check with Fintech episode recorded live at Money20/20 Europe, we sit down with Sabrina Flunkert, CEO at Ratepay, one of the sharpest minds in European payments. After starting as CFO and stepping into the CEO role, Sabrina has helped Ratepay solidify its position as a white-label BNP…

1
NEW DATA (CPU) on DCC in Preterm Births! 22:59

3M ago22:59

22:59

Delayed (AKA deferred) Cord Clamping (DCC) is extremely beneficial for both the preterm and term neonate. In September 2025, a new Clinical Practice Update (CPU) will be released by the ACOG regarding the amount of time DCC should be done for preterm newborns. This updates data from a Clinical Expert Series which was released in 2022, called “Manag…

1
FEAR the HELLP (& Liver Rupture): RESPECT the MAG 32:50

3M ago32:50

32:50

Podcast family, in this episode we will reply to 2 questions raised by our 2 of our podcast family members. The first pertains to a real world, HORRIBLE tragedy of hepatic rupture in pregnancy (no identifiable information released). We will review how and why this happens and what is the single, 5-letter, clinical diagnosis that makes this a possib…

1
When to Deliver for Mod/Severe Poly 25:38

3M ago25:38

25:38

Polyhydramnios may be due to excess urine production or impaired fetal swallowing. The ACOG CO 831 states that mild, idiopathic polyhydramnios may be delivered at 39 weeks and 0 days and thereafter, but there is no specific mention regarding moderate to severe poly. In this episode we will cover delivery of moderate to severe poly. Is that data in …

1
Yes, More Stuff on CS Skin Closure 36:40

3M ago36:40

36:40

What’s best for skin closure at C-Section? Staples or suture? This debate has raged for over 20 years. Past data has shown greater odds of wound complications with metal staples compared to suture. But new a meta-analysis from June 2025 is challenging the prior results. In this episode, we will explore the data from 2010 to present day. PLUS, we wi…

1
Continue LDA PP For PreE Prevention? New Data 31:11

3M ago31:11

31:11

We have covered Low Dose Aspirin (LDA) for pre-natal preeclampsia prevention MANY times before. But here's a good clinical question: Since preeclampsia can also pop-up in the first 6 weeks postpartum (pp), should we continue it in the immediate pp interval? There is a new publication, an RCT, in the AJOG that looked to answer this- and we will high…

1
AFS in Second Trimester: Implications? 30:15

3M ago30:15

30:15

Amniotic Fluid Sludge (AFS) has been theorized to be sonographic evidence of an underlying infection/inflammation. Others have proposed it may represent an organized clot from the placental surface. At the same time, the finding of AFS may be more common as a benign finding especially at/after 40 weeks as the amniotic fluid accumulates shed skin ce…

1
BIG Announcement! 6:31

3M ago6:31

6:31

Podcast family, we are in process of an exciting rebrand! Dr. Chapa's Clinical Pearls will soon become our legacy show as we change names and channels to, "Dr. Chapa's OBGYN No Spin Podcast". This will allow us to better align with our mission. Listen in for details and FIND US, as Dr. Chapa's OBGYN No Spin Podcast!!…

1
New ICP Proposed Schema 32:10

4M ago32:10

32:10

Intrahepatic Cholestasis of Pregnancy (ICP) has dichotomous effects: Benign for the mother (although the itching it causes may be a qualify of life issue, yet potentially devasting for the child in-utero. In 2021, SMFM released Consult series 53 on the subject. This, together with the ACOG 's CO 831 (Medically Indicated Late Preterm and early term …

1
New SMFM Stillbirth Checklist Update (July 2025) 25:42

4M ago25:42

25:42

Stillbirth is one of the most devastating adverse pregnancy outcomes, occurring in 1 in 160 deliveries in the United States. In March 2020, the ACOG released OCC #10, "Management of Stillbirth". Now, formally released July 2025, the SMFM has an updated checklist for stillbirth care, published in the journal Pregnancy. In this episode, we will highl…

1
FOCUS For PPH: A DIY Approach 35:07

4M ago35:07

35:07

PPH is terrible. PPH must be assessed quickly via the “4Ts” and acted upon in a timely manner. And listen to this: new data from the Journal of Maternal-Fetal & Neonatal Medicine (June 24, 2025 ahead of print) finds an association with PPH and adverse outcomes years later: the odds of cardiovascular disease (CVD) and thromboembolism disease are inc…