A key challenge in gestational diabetes screening: resistance to oral glucose tolerance test screening and implications for neonatal health
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Tarih
2021
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
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 among pregnant women followed-up in our hospital and the effects of this situation on the newborn. Materials and Method: We conducted this study with pregnant women and their babies who were regularly followed up in the Obstetrics and Gynecology Department and Pediatrics Department of our hospital between December 1, 2015, and December 31, 2017. While we included those who did not accept an OGTT in the study group (Group 1), and we created the control group with those who accepted the test. Besides, the control group was divided into two groups as those accepted as GDM (Group 2) and normal (Group 3). Ultimately, we scrutinized the relationship between the OGTT and clinicopathological findings. Results: We included a total of 906 pregnant women and their babies in the study. Of women, 374 (41.3%) did not accept the test. The cesarean (C/S) delivery rate was significantly lower in the babies of mothers who did not have an OGTT (p<0.05). In addition, the hospitalization rate of the newborn babies of mothers who had an OGTT but did not have gestational diabetes was significantly lower than the other two groups (p<0.05). Conclusion: Our study revealed that resistance to the OGTT was a far-reaching issue and may lead to an increase in the hospitalization of newborns. Our results suggested that the inability to perform OGTT may have been due to some unidentified problems.
Açıklama
Anahtar Kelimeler
Kadın Hastalıkları ve Doğum, Pediatri
Kaynak
Journal of health sciences and medicine (Online)
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
3
