Appropriate Timing of the Screening Test of Gestational Diabetes.
- Author:
Hye Jin JEOUN
1
;
Hyun Hee KIM
;
So Young KIM
;
In Kyung SUNG
;
Won Bae LEE
;
Chung Sik CHUN
;
Gui Sera LEE
;
Sa Jin KIM
Author Information
1. Department of Pediatrics, College of Medicine, The Catholoc University of Korea. sykimped@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Gestational diabetes;
Diabetes mellitus;
Impaired glucose tolerance
- MeSH:
Abortion, Induced;
Apgar Score;
Diabetes Mellitus;
Diabetes, Gestational*;
Female;
Glucose;
Glucose Tolerance Test;
Humans;
Infant, Newborn;
Mass Screening*;
Medical Records;
Mortality;
Mothers;
Obstetric Labor, Premature;
Pre-Eclampsia;
Pregnancy;
Pregnancy Trimester, First;
Retrospective Studies
- From:Korean Journal of Perinatology
2006;17(2):217-224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Screening tests for Gestational diabetes (GDM) are performed during the 24~28 weeks of pregnancy. Therefore, in many cases, GDM is not detected during the first trimester of pregnancy while most of important organs are developed during this period. In this review, we performed a retrospective study by dividing GDM mothers into 3 groups: diabetic, impaired glucose tolerance (IGT) and normal. The medical records of mothers and neonates from these three groups were compared. METHODS: 136 out of 536 GDM patients in Holy Family Hospital from 1995 to 2005 took a 75 g OGTT 6 weeks after delivery. As a result, 28 were diagnosed as diabetes, 18 had impaired glucose tolerance, and 90 were normal. The antenatal and perinatal history of above groups were retrospetively compared. RESULTS: In the diabetic group, 46.4% of mothers had a positive family history of diabetes, where as 38% of IGT group, 31.8% of normal group had the history. Secondly, the abortion history rate for each group was 21.4%, 16.6%, 13.3%, and each group had an average HbA1C of 7.20, 5.82 and 5.69. Also, the rate of preterm labor for each group was 17.9%, 11.1%, and 4.45%. The Apgar score (1 min/ 5min) was 7.29/8.54, 7.75/8.75 and 7.89/8.97. Lastly the rate of preeclampsia for each group was 14.3%, 11.1% and 6.8%. CONCLUSION: Three groups had distinctive differences in their perinatal morbidity both before and after delivery. Therefore, in order to reduce the perinatal morbidity and mortality rate, the present frequency or timing of GDM screening test, should be reconsidered.
