Obstetric outcomes with a false-positive one-hour glucose challenge test by the Carpenter-Coustan criteria

The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
Chad A GrotegutOssie Geifman-Holtzman

Abstract

Pregnancies complicated by a false-positive one-hour glucose challenge test (GCT), as determined by the National Diabetes Data Group (NDDG) criteria, have higher rates of adverse maternal and neonatal outcomes. This study was conducted to determine if pregnancies complicated by a false-positive GCT, as determined by the Carpenter-Coustan (CC) criteria, also have higher rates of adverse maternal and neonatal outcomes. In this retrospective case-control study, we compared 165 patients with a false-positive GCT, as determined by the Carpenter-Coustan criteria, to a cohort of 165 pregnant controls with a normal screening GCT. Multiple variables for maternal and neonatal outcomes were compared between the two groups. The racial distribution and gestational age of delivery were similar in both groups. The study group had a higher one-hour GCT (148.2 mg/dl vs. 95.3 mg/dl, p < 0.001), was older (27.4 yrs vs. 23.8 years, p < 0.001), was more likely to be multiparous (71.5% vs. 58.2%, p = 0.011), and had a higher BMI (26.7 kg/m2 vs. 24.6 kg/m2, p = 0.002). There were no differences between the two groups in mode of delivery, birth weight, rates of macrosomia, shoulder dystocia, antenatal death and maternal laceration. There were also no ...Continue Reading

References

Sep 1, 1987·American Journal of Obstetrics and Gynecology·O LangerR Mazze
Jan 6, 2004·Obstetrics and Gynecology·David M StamilioGeorge A Macones
Jun 14, 2005·The New England Journal of Medicine·Caroline A CrowtherAustralian Carbohydrate Intolerance Study in Pregnant Women (ACHOIS) Trial Group

Citations

Aug 14, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Nir MelamedYariv Yogev
May 18, 2011·Obstetrics and Gynecology Clinics of North America·Edith D Gurewitsch, Robert H Allen
Sep 28, 2018·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Dittakarn Boriboonhirunsarn, Prasert Sunsaneevithayakul
Apr 15, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Pornpimol RuangvutilertDittakarn Boriboonhirunsarn

Related Concepts

False Positive Reactions
Intravenous Glucose Tolerance Test
Neonatal Disorder
Obstetric Labor Complications
Pregnancy Outcome
Retrospective Studies
Gestational Diabetes
Chorioamnionitis
Cessation of Life
Diagnosis

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