{"podcast":{"title":"Dr. Chapa’s OBGYN Clinical Pearls","slug":"dr-chapa-s-obgyn-clinical-pearls-334380","podcast_index_feed_id":334380,"rss_url":"https://anchor.fm/s/2e36780/podcast/rss","website_url":"https://podcasters.spotify.com/pod/show/dr-hector-chapa","image_url":"https://d3t3ozftmdmh3i.cloudfront.net/staging/podcast_uploaded_nologo/384576/384576-1783991315461-c64eaa6d82958.jpg","author":"Dr. Chapa’s Clinical Pearls","episode_count":1185,"summary":"Relevant, 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.","last_synced_at":"2026-09-21T10:18:59.297136+00:00","page_url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380"},"episode":{"title":"Retest GDM Late 3rd Tri for LGA or Poly? (OCT 2026 Data)","slug":"retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data","published_at":"2026-09-20T11:00:00+00:00","page_url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data","show_page_url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380","url":"https://podcasters.spotify.com/pod/show/dr-hector-chapa/episodes/Retest-GDM-Late-3rd-Tri-for-LGA-or-Poly--OCT-2026-Data-e3p3s79","audio_url":"https://traffic.megaphone.fm/APO1244549525.mp3","summary":"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 (or AFI) that’s overtly elevated. The classic clinical dilemma hits: Do you order a repeat OGTT this late in the game? Is it actually worth poking the patient again, or are you just chasing shadows? Well, we now have new meta-analytic data. Today, we are reviewing fresh, high-yield data hot off the press from the American Journal of Obstetrics & Gynecology (OCT 2026). We’re breaking down this systematic review evaluating late-onset GDM- looking at precisely who may yield a positive diagnosis on a repeat third-trimester test, why LGA and polyhydramnios are not created equal when deciding to re-screen, and what these late numbers mean for neonatal hypoglycemia and cesarean delivery rates. AND, although these insights are helpful- some questions remain. Let’s jump in! 1. Dominsky O, Berkovitz-Shperling R, Rosenberg-Fridman M .Late-onset diagnosis of gestational diabetes after normal mid-pregnancy screening in women with large for gestational age or polyhydramnios: a systematic review and meta-analysis. American Journal of Obstetrics & Gynecology, 2026; 235, 789-799","meta_description":"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…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1691,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/dr-chapa-s-obgyn-clinical-pearls-334380/episodes/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/dr-chapa-s-obgyn-clinical-pearls-334380/retest-gdm-late-3rd-tri-for-lga-or-poly-oct-2026-data.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}