Additional Gestational Diabetes Screening in Subsequent Antenatal Care Laboratory Tests at Chonburi Hospital

Thai Journal of Obstetrics and Gynaecology

TeeraSiwadune¹  WeenaKrutsawad¹ 

[1] Department of Obstetrics and Gynecology, Chonburi Hospital, Chonburi, Thailand;

关键词: gestational diabetes;    screening test;    glucose challenge test;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objective:Toevaluatetheresultsofadditionalgestationaldiabetes(GDM)screeninginsubsequent antenatal care (ANC) laboratory tests at Chonburi Hospital.Material and Method: A prospective descriptive study was conducted at the Antenatal Care Unit,Department of Obstetrics and Gynecology, Chonburi Hospital, Thailand.From October 1, 2008 to December 31, 2009.Glucose challenge tests (50-g GCT) simultaneously with subsequent laboratory tests were performed onpregnant women.All positive subjects based on the 50-g GCT were further evaluated by a diagnostic 100 grams oral glucose tolerance test (100-g OGTT). Data including demographic information, clinical risk factors for GDM, 50-g GCT (> 140 mg/dL)and 100-g OGTT results were collectedand was analyzed using descriptive statistics.Results: During the study period, 1,282 pregnant women were enrolled.Mean gestational age was 30.3 weeks.Most of them did not have clinical risk (979 cases, 76.4%).Rate of abnormal 50-g GCT in subsequenttests was 25.12% (322 cases).Of these, 262 cases received 100-g OGTT and 55(21%) of them had GDM.The estimated rate of GDM cases in the non-risk group was 5%.In clinical risk factor groups, the estimated rate of GDM cases in the non-prior test and prior negative tests was 7.4% and 3.9%, respectively.The approximate prevalence of GDM in our populations was 5.1%.Conclusion: Performingthe50-gGCTsimultaneouslywithsubsequentANClaboratorytestsappeared to be feasible and helpfulto detect GDM in pregnant women.

【 授权许可】

Unknown