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

Authors : Serkan TURSUN, İlkin YERAL, Volkan YILDIZ, Elif ÜNAL, Nilufer GUZOGLU, Didem ALİEFENDİOĞLU

Pages : 262-266

Doi:10.32322/jhsm.894842

View : 17 | Download : 7

Publication Date : 2021-05-21

Article Type : Research Paper

Abstract :Objective: Gestational diabetes mellitus insert ignore into journalissuearticles values(GDM); is the most common endocrine disorder in pregnancy and the number of pregnant women resistant to oral glucose tolerance test insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(C/S); delivery rate was significantly lower in the babies of mothers who did not have the OGTT test insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(p <0.05);. In the risk analysis, it was seen that OGTT was an independent risk factor for C/S delivery insert ignore into journalissuearticles values(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