A key challenge in gestational diabetes screening: resistance to oral glucose tolerance test screening and implications for neonatal health

Abstract

Objective: Gestational diabetes mellitus (GDM) is the most common endocrine disorder in pregnancy and the number of pregnant women resistant to oral glucose tolerance test (OGTT) has increased significantly in recent years. In this study, we investigated the extent of resistance to OGTT screening in pregnant women followed-up in our hospital and the effect of this situation on the newborn. Material and Method: Pregnant women and their babies who were followed up regularly for 25 months (December 1, 2015- December 31, 2017) in the obstetrics and gynecology clinic of our hospital were included in our study. The relationship between OGTT and clinicopathological findings was analyzed. Results: The cesarean (C/S) delivery rate was significantly lower in the babies of mothers who did not have the OGTT test (p <0.05). Also, the rate of hospitalization of the babies of mothers who had OGTT test and who did not have gestational diabetes was significantly lower than the rate of hospitalization in all groups (p <0.05). In the risk analysis, it was seen that OGTT was an independent risk factor for C/S delivery (OR=1.28, p=0.015). Conclusion: Our study shows that resistance to OGTT is quite strong and this situation leads to an increase in C/S and hospitalization of newborns. Our results suggest that these scans that cannot be performed may bring along unidentified problems.

Keywords

• Oral glucose tolerance test
• OGTT
• pregnancy
• diabetes

Project Number

yok

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