سیویلیکا را در شبکه های اجتماعی دنبال نمایید.

One Versus Two Abnormal Glucose Values in 100-g, 3-Hour Oral Glucose Tolerance Test during Pregnancy and Risk of Adverse Pregnancy Outcomes

Publish Year: 1398
Type: Conference paper
Language: English
View: 438
این Paper فقط به صورت چکیده توسط دبیرخانه ارسال شده است و فایل کامل قابل دریافت نیست. برای یافتن Papers دارای فایل کامل، از بخش [جستجوی مقالات فارسی] اقدام فرمایید.

نسخه کامل این Paper ارائه نشده است و در دسترس نمی باشد

Export:

Link to this Paper:

Document National Code:

ICEMU05_036

Index date: 30 November 2019

One Versus Two Abnormal Glucose Values in 100-g, 3-Hour Oral Glucose Tolerance Test during Pregnancy and Risk of Adverse Pregnancy Outcomes abstract

Introduction: To study the incidence, risk factors, and pregnancy outcomes associated with gestational diabetes mellitus (GDM) diagnosed with Carpenter and Coustan (C&C) criteria and new approach of American College of Obstetrician and Gynecologists (ACOG).Materials & Methods: 836 pregnant women free from GDM or overt diabetes were screened at 24-28 weeks using the 50-g glucose challenge test followed by 100-g, 3-hour oral glucose tolerance test (OGTT). GDM was determined if the criteria of C&C or new approach of ACOG were met. Results: GDM incidence was 4.2% (95% CI: 2.9-5.5) using C&C criteria and increased by 33.3% using new approach of ACOG (5.6%, 95% CI: 4.0-7.2). Previous cesarean section and family history of diabetes significantly increased the risk of developing GDM using both criteria. Older age, higher pre-pregnancy BMI, and physical inactivity also increased significantly the risk of developing GDM using C&C criteria. GDM was an independent predictor of macrosomia, cesarean section, and large for gestational age when using both criteria, the associations were stronger when using C&C criteria. Conclusion: Although both C&C criteria and new approach of ACOG may have similar diagnostic efficacy, using C&C diagnostic criteria is more sensitive than new approach of ACOG for diagnosis of GDM.

One Versus Two Abnormal Glucose Values in 100-g, 3-Hour Oral Glucose Tolerance Test during Pregnancy and Risk of Adverse Pregnancy Outcomes authors

Elham Hosseini

Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Mohsen Janghorbani

Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, Iran