Screening for gestational diabetes mellitus in adolescent pregnancies

American Journal of Obstetrics and Gynecology
P M LemenD P Cruikshank

Abstract

Our purpose was to determine the incidence of gestational diabetes mellitus in an adolescent population and to determine the cost of screening. A retrospective review of 509 adolescent pregnancies was performed. The incidence of gestational diabetes mellitus was determined and the cost of screening analyzed. Five hundred nine adolescent pregnancies were screened for gestational diabetes mellitus with a 1-hour, 50 gm oral glucose challenge test. Twenty-three of the screens (4.5%) had positive results at a plasma glucose level of > or = 140 mg/dl. Three-hour 100 gm oral glucose tolerance tests were performed on screen-positive women, six of whom were diagnosed with gestational diabetes mellitus, for an incidence of 1.18%. The cost per case diagnosed was $2733. The incidence of gestational diabetes mellitus in an adolescent population is low. The cost of universal screening may be prohibitive in this population. Large prospective studies are needed to better analyze outcome data and efficacy of screening in adolescent pregnancies.

References

Sep 1, 1991·Clinical Obstetrics and Gynecology·M W Carpenter
Mar 1, 1995·Obstetrics and Gynecology·M D Berkus, O Langer
Dec 1, 1996·Diabetes Care·C H Meyers-Seifer, B R Vohr
Feb 1, 1997·British Journal of Obstetrics and Gynaecology·G A KnockL Poston
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May 1, 1997·The Australian & New Zealand Journal of Obstetrics & Gynaecology·R MosesR Griffiths

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Citations

May 26, 2009·Lancet·E Albert ReeceArnon Wiznitzer
Feb 23, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Nissim ArbibEran Hadar
Apr 13, 2015·The Cochrane Database of Systematic Reviews·Emily BainPhilippa Middleton

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