The effect of carbohydrate intolerance on neonatal birth weight in pregnant women without gestational diabetes mellitus

Annals of Saudi Medicine
Devrim ErtuncSaffet Dilek

Abstract

There is still no consensus on screening, threshold levels and treatment of gestational diabetes mellitus. Furthermore, the importance of a positive 50-g glucose screening test in patients who had a negative 100-g oral glucose tolerance test remains controversial. We investigated the impact of the 50-g glucose screening test results on neonatal outcome in pregnant women with uncomplicated pregnancies, who had no risk factors according to ACOG criteria. Three hundred eighty-six pregnant women with singleton pregnancies were prospectively screened with 50-g glucose challenge test between 24 and 28 weeks. If the test result was >140 mg/dl, a 100-g 3-hour oral glucose tolerance test was performed. Patients with a positive screening test, but not diagnosed as gestational diabetes mellitus constituted the study group, and patients with a negative screening test constituted the control group. Cesarean rates, neonatal birth weights and complications were compared between these groups. The cesarean delivery rates were not statistically different between the study and control groups (8.3% vs. 6.4%, P>0.05). The rates of macrosomic births were 10.0% in the study group, and 6.4% in the control group (P>0.05), but the mean birth weight (345...Continue Reading

References

Jul 1, 1978·American Journal of Obstetrics and Gynecology·J L KitzmillerR K Neff
Mar 1, 1977·American Journal of Obstetrics and Gynecology·S G GabbeR I Lowensohn
Jul 15, 1977·American Journal of Obstetrics and Gynecology·M T GyvesI R Merkatz
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Jul 14, 1998·American Journal of Obstetrics and Gynecology·K M AdamsD R Danilenko-Dixon

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Citations

Jan 22, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Peng Chiong TanSiti Zawiah Omar
Jan 3, 2020·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·Jared T RoecknerAndrew M Kaunitz

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