Perinatal Outcome in Women Screened for Gestational Diabetes Mellitus With Normal or With One Elevated Glucose Tolerance Test Value

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dc.authorwosidDuran, Rıdvan/C-1065-2015
dc.authorwosidSAYIN, N. CENK/A-5801-2018
dc.contributor.authorSayin, N. Cenk
dc.contributor.authorVarol, Fusun G.
dc.contributor.authorDuran, Ridvan
dc.contributor.authorAcunas, Betul
dc.contributor.authorKurt, Imran
dc.date.accessioned2024-06-12T11:02:36Z
dc.date.available2024-06-12T11:02:36Z
dc.date.issued2007
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective: To investigate the perinatal outcome of women screened for gestational diabetes mellitus (GDM) who had abnormal screening and normal oral glucose tolerance test (OGTT) results or women with a single abnormal test value in OGTT. Materials and Methods: We screened 576 pregnant women with a 50 gr oral glucose challenge test between the 24th and 26th weeks' of gestation. Women with abnormal diabetes screening test results were followed up with standard OGTT with a 100 gr oral glucose load. According to the results, 360 women were with a normal screening test (Group 1), 87 with a positive screening and all normal test values on OGTT (Group 2), 50 with a positive screening but a single abnormal test value on OGTT (gestational impaired glucose tolerance, Group 3) and 79 were diagnosed as with GDM (Group 4). Diet or diet plus insulin therapy was initiated to patients in Groups 3 and 4 as indicated. We compared perinatal outcome between these four groups. Statistical data were calculated with post hoc multiple comparison, Kruskal-Wallis and c 2 tests for comparison of means, medians or for nominal variables. Results: Women with GDM had significantly higher glycosylated hemoglobin levels, large for gestational age infants, macrosomia, neonatal jaundice, neonatal intensive care unit (NICU) admission and neonatal mortality rates but lower gestational age at delivery and 1-minute Apgar scores compared to controls. Also, there were significant differences in neonatal jaundice and NICU admission rates between Groups 1 and 3, or between 2 and 3. There were significantly more macrosomic babies in Groups 3 and 4, compared to Group 2. Discussion: Women with abnormal diabetes screening tests and negative OGTT or with gestational impaired glucose tolerance seem not to be prone to develop severe adverse perinatal outcome.en_US
dc.identifier.endpage43en_US
dc.identifier.issn1309-0399
dc.identifier.issn1309-0380
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-34247473341en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage38en_US
dc.identifier.trdizinid82289en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/82289
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21354
dc.identifier.volume8en_US
dc.identifier.wosWOS:000420580900006en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherGalenos Yayinciliken_US
dc.relation.ispartofJournal Of The Turkish-German Gynecological Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGestational Diabetes Mellitusen_US
dc.subjectGlucose Tolerance Testen_US
dc.subjectPregnancyen_US
dc.subjectComplicationsen_US
dc.subjectAgeen_US
dc.subjectPregnanciesen_US
dc.subjectChallengeen_US
dc.subjectTherapyen_US
dc.subjectTighten_US
dc.titlePerinatal Outcome in Women Screened for Gestational Diabetes Mellitus With Normal or With One Elevated Glucose Tolerance Test Valueen_US
dc.typeArticleen_US

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