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Screening for hyperglycaemia in pregnancy: analysis of two screening protocols and review of current methods.
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MedLine Citation:
PMID:  10881644     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We assessed the ability of two screening protocols to detect varying degrees of hyperglycaemia in pregnancy and to compare fetal outcome in those found to have normal and abnormal glucose metabolism by either protocol. 493 pregnant women were identified by one of two screening protocols to be at risk of hyperglycaemia in pregnancy. Pregnancy complications, induction of labour, method of delivery, birth weight, incidence of congenital anomalies and neonatal complications were assessed; there were no significant differences between those with normal and abnormal glucose metabolism detected by either protocol apart from a significant linear trend for the incidence of large for gestational infants with increasing hyperglycaemia in both groups. Protocol B was as effective in detecting new hyperglycaemia in pregnancy as Protocol A. It involved the use of a breakfast meal profile in the initial assessment of those screened positive, reducing the need for glucose tolerance tests in the vast majority of cases. In the population studied, hyperglycaemia in pregnancy was not associated with adverse fetal outcome.
Authors:
R T Hearty; A I Traub; D R Hadden
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Ulster medical journal     Volume:  69     ISSN:  0041-6193     ISO Abbreviation:  Ulster Med J     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-08-10     Completed Date:  2000-08-10     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0417367     Medline TA:  Ulster Med J     Country:  NORTHERN IRELAND    
Other Details:
Languages:  eng     Pagination:  35-43     Citation Subset:  IM    
Affiliation:
Royal Maternity Hospital, Belfast.
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MeSH Terms
Descriptor/Qualifier:
Diet
Female
Glucose Tolerance Test
Humans
Hyperglycemia / prevention & control*
Mass Screening / methods*
Pregnancy
Pregnancy Complications / prevention & control*
Pregnancy Outcome
Prenatal Care / methods*
Risk Factors
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Full Text
Journal Information
Journal ID (nlm-ta): Ulster Med J
Journal ID (pmc): ulstermedj
ISSN: 0041-6193
Publisher: Ulster Medical Society
Article Information
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Print publication date: Month: 5 Year: 2000
Volume: 69 Issue: 1
First Page: 35 Last Page: 43
ID: 2449175
PubMed Id: 10881644

Screening for hyperglycaemia in pregnancy: analysis of two screening protocols and review of current methods.
R. T. Hearty
A. I. Traub
D. R. Hadden
Royal Maternity Hospital, Belfast.



Article Categories:
  • Research Article


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