scholarly journals Early screening and treatment of gestational diabetes in high-risk women improves maternal and neonatal outcomes: A retrospective clinical audit

2018 ◽  
Vol 144 ◽  
pp. 294-301 ◽  
Author(s):  
David K. Ryan ◽  
Laura Haddow ◽  
Aksha Ramaesh ◽  
Rod Kelly ◽  
Emma C. Johns ◽  
...  
2016 ◽  
Vol 33 (08) ◽  
pp. 758-764 ◽  
Author(s):  
Winston Hong ◽  
Joseph Biggio ◽  
Alan Tita ◽  
Lorie Harper

2014 ◽  
Vol 210 (1) ◽  
pp. S189
Author(s):  
Veronica Alaniz ◽  
Emily Schneider ◽  
Sara Mazzoni ◽  
Norma Stiglich ◽  
M. Camille Hoffman

2012 ◽  
Vol 9 (6) ◽  
pp. 411-417 ◽  
Author(s):  
Diana Tundidor ◽  
Apolonia García-Patterson ◽  
Miguel A. María ◽  
Justa Ubeda ◽  
Gemma Ginovart ◽  
...  

Author(s):  
Tulasa Basnet ◽  
Neelam Pradhan ◽  
Poonam Koirala ◽  
Kesang D. Bista

Background: Gestational Diabetes Mellitus (GDM) is associated with several adverse maternal and perinatal outcomes. Thus, screening for early detection of GDM and its treatment is important.Methods: This was hospital based descriptive study done over one year in department of Obstetrics and Gynecology, TUTH, Nepal. Six hundred ninety-seven women fulfilling the inclusion criteria were enrolled at 18-22 weeks of gestation. High risk factors were assessed and GCT was performed in women with risk factors during enrollment. Diagnostic OGTT was performed in women who screened positive (GCT ≥130mg/dl). Screen negative high-risk women were re-screened at 24-28 weeks. In women without known risk factors, GCT was performed at 24-28 weeks and OGTT was performed when screen positive. The diagnosis of GDM was made according to Carpenter and Coustan criteria.Results: Out of 697 enrolled women, 12 were excluded for various reasons and 685 women were analyzed. Women having risk of GDM were 28.9%. The prevalence of GDM was 2.92% and 2.48% with GCT cut off 130 mg/dl and 140 mg/dl respectively. Lowering the threshold to 130 mg/dl identified three extra cases (p=0.010). The prevalence among high risk group was 8.58% and 7.07% with the cut off value 130 mg/dl and 140 mg/dl respectively with three extra cases detected on taking cut off value 130 mg/dl (p=0.014). Among low risk women the prevalence of GDM was same i.e. 0.61% with both the cut off values.Conclusions: Lowering threshold of GCT to 130 mg/dl could identify significant percentage of extra cases of GDM especially in high risk women.


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