Screening for gestational diabetes mellitus selectively in a university maternity hospital

Title: Screening for gestational diabetes mellitus selectively in a university maternity hospital
Authors: O’Malley, EG
O’Duill, M
McArdle, C
Kennedy, RAK
Reynolds, CM
Turner, MJ
Permanent link: http://hdl.handle.net/10197/10456
Date: Jun-2018
Online since: 2019-05-15T08:47:28Z
Abstract: Aims: Screening for gestational diabetes mellitus (GDM) may be universal or selective based on risk factors. We audited selective screening with an Oral Glucose Tolerance Test (OGTT). Methods: Clinical and laboratory details of the first 200 women who delivered a baby in 2017 were analysed. Results: Based on national recommendations, 46.5% (n=93) had maternal risk factors (RF) and an additional 6.5% (n=13) had fetal RF. Nine women with RF, for unexplained reasons did not have their OGTT. Of the 95 who had their OGTT, the diagnosis of GDM was made in 27.4% (n=26). The diagnosis of GDM was made in an additional 8 women outside selective screening giving an overall incidence of 17.0%. Discussion: More than half of the women needed to be screened selectively for GDM. Compliance with the national recommendations was incomplete and thus the diagnosis of GDM may be missed even in an academic setting.
Type of material: Journal Article
Publisher: Irish Medical Organisation
Journal: Irish Medical Journal
Volume: 111
Issue: 6
Start page: 771
Copyright (published version): 2018 Irish Medical Journal
Keywords: Gestational diabetes mellitus (GDM)Oral Glucose Tolerance Test (OGTT)Maternal risk factors (RF)Fetal RFScreening
Other versions: http://imj.ie/screening-for-gestational-diabetes-mellitus-selectively-in-a-university-maternity-hospital/
Language: en
Status of Item: Peer reviewed
Appears in Collections:Medicine Research Collection

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