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Comparison of the Screening Tests for Gestational Diabetes Mellitus between “One-Step” and “Two-Step” Methods among Thai Pregnant Women
المؤلفون المشاركون
Tongsong, Theera
Luewan, Suchaya
Bootchaingam, Phenphan
المصدر
Obstetrics and Gynecology International
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-02-08
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Objective.
To compare the prevalence and pregnancy outcomes of GDM between those screened by the “one-step” (75 gm GTT) and “two-step” (100 gm GTT) methods.
Methods.
A prospective study was conducted on singleton pregnancies at low or average risk of GDM.
All were screened between 24 and 28 weeks, using the one-step or two-step method based on patients’ preference.
The primary outcome was prevalence of GDM, and secondary outcomes included birthweight, gestational age, rates of preterm birth, small/large-for-gestational age, low Apgar scores, cesarean section, and pregnancy-induced hypertension.
Results.
A total of 648 women were screened: 278 in the one-step group and 370 in the two-step group.
The prevalence of GDM was significantly higher in the one-step group; 32.0% versus 10.3%.
Baseline characteristics and pregnancy outcomes in both groups were comparable.
However, mean birthweight was significantly higher among pregnancies with GDM diagnosed by the two-step approach (3204 ± 555 versus 3009 ± 666 g; p=0.022).
Likewise, the rate of large-for-date tended to be higher in the two-step group, but was not significant.
Conclusion.
The one-step approach is associated with very high prevalence of GDM among Thai population, without clear evidence of better outcomes.
Thus, this approach may not be appropriate for screening in a busy antenatal care clinic like our setting or other centers in developing countries.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Luewan, Suchaya& Bootchaingam, Phenphan& Tongsong, Theera. 2018. Comparison of the Screening Tests for Gestational Diabetes Mellitus between “One-Step” and “Two-Step” Methods among Thai Pregnant Women. Obstetrics and Gynecology International،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1210659
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Luewan, Suchaya…[et al.]. Comparison of the Screening Tests for Gestational Diabetes Mellitus between “One-Step” and “Two-Step” Methods among Thai Pregnant Women. Obstetrics and Gynecology International No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1210659
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Luewan, Suchaya& Bootchaingam, Phenphan& Tongsong, Theera. Comparison of the Screening Tests for Gestational Diabetes Mellitus between “One-Step” and “Two-Step” Methods among Thai Pregnant Women. Obstetrics and Gynecology International. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1210659
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1210659
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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