An Evaluation of the Effect of a One or Two-Step Gestational Diabetes Mellitus Screening Program on Obstetric and Neonatal Outcomes in Pregnancies

Authors

DOI:

https://doi.org/10.21613/GORM.2018.791

Keywords:

Gestational diabetes mellitus, one-step screening program, two-step screening program, prevalence, obstetric and neonatal outcomes

Abstract

Objectives: The aim of this study was to compare the obstetric and neonatal outcomes of pregnant women who were screened with one or two-step screening programs for diagnosis of gestational diabetes mellitus.

Study Design: A retrospective evaluation was made of pregnant women who were screened with one step [75 g oral glucose tolerance test] or two-step screening programs [50 g oral glucose challenge test and 100 g oral glucose tolerance test] depending on the preference of the physician between September 2016 and August 2017.

Results: The one-step screening program was applied to 34.1% (n:1358) of the pregnancies and the remaining 65.9% (n=2623) were screened using the two-step program. The following results were obtained for the pregnant women applied with the one and two-step screening programs, respectively; mean age: 29.37±7.6 years and 28.1 ± 6.2 years, gestational diabetes mellitus: 8.8% and 4.8%, pre-term birth:5.2% and 6.9%, term birth: 89.8% and 85.5%, post-term birth: 5% and 7.6%, vaginal delivery: 74.8% and 67.5%, caesarean section delivery: 25.2% and 32.5%, birth weight: 3389±432 gr and 3234.1 ± 415.9 gr, and mean 5-minute APGAR score: 9.1 ± 0.4 and 9.2 ± 0.7. Comparisons showed statistically significant differences between the groups.

Conclusion: The study results showed a significantly higher rate of gestational diabetes mellitus diagnosis for the pregnant women screened with the one-step screening program than the two-step screening program. Although the mean maternal age was significantly higher in the pregnant women screened with the one-step screening program, these pregnancies were observed to have better outcomes (low rates of preterm birth, post-term birth, caesarean delivery and high rates of term birth, vaginal delivery). These results can be attributed to the early referral to a treatment program and follow-up, even though more cases of gestational diabetes mellitus were diagnosed with the one-step screening program.

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Author Biographies

Sedat Akgol, Health Sciences University Diyarbakır Gazi Yaşargil Education and Research Hospital

Department of Obstetrics and Gynecology

Mehmet Obut, Health Sciences University Diyarbakır Gazi Yaşargil Education and Research Hospital

Department of Obstetrics and Gynecology

İhsan Baglı, Health Sciences University Diyarbakır Gazi Yaşargil Education and Research Hospital

Department of Obstetrics and Gynecology

Bekir Kahveci, Health Sciences University Diyarbakır Gazi Yaşargil Education and Research Hospital

Department of Obstetrics and Gynecology

Mehmet Sukru Budak, Health Sciences University Diyarbakır Gazi Yaşargil Education and Research Hospital

Department of Obstetrics and Gynecology

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Published

2019-08-30

How to Cite

1.
Akgol S, Obut M, Baglı İhsan, Kahveci B, Budak MS. An Evaluation of the Effect of a One or Two-Step Gestational Diabetes Mellitus Screening Program on Obstetric and Neonatal Outcomes in Pregnancies. Gynecol Obstet Reprod Med [Internet]. 2019Aug.30 [cited 2021Mar.2];25(2):62-6. Available from: https://www.gorm.com.tr/index.php/GORM/article/view/791

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Section

Obstetrics; Maternal Fetal Medicine and Perinatology

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