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Influence of abnormal GCT with normal or impaired OGTT on obstetrical outcome

*, Anupama Suresh Y and *, Suresh Y. V and Chaturvedi, Achira (2013) Influence of abnormal GCT with normal or impaired OGTT on obstetrical outcome. Transworld Medical Journal, 1 (4). pp. 121-123. ISSN 23472790

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Abstract

Background: The screening test for diabetes mellitus during pregnancy is done for all the pregnant women by Glucose Challenge Test (GCT) and if raised, Oral Glucose Tolerance Test ( OGTT) is done. Aim: To evaluate the outcome of patient who has raised GCT results and subsequent normal or impaired OGTT results; and to assess the risk for maternal complications and perinatal outcome. Method: We have studied 500 pregnant women with 50gm GCT; and if the glucose level is high (140mg/dl) are considered as positive and OGTT were done with 100gm glucose. Result: In this study, single elevated 100gm OGTT value was associated with adverse effects on the mother like pre eclampsia, large for gestational age, postpartum hemorrhage etc. with a poor neonatal outcome. Conclusion: The result of our cohort study suggest that having a positive GCT is an independent risk factor for adverse perinatal outcome like preeclamsia, post partum hemorrhage, and incidence of ceaserian sections were significantly high in these patients.

Item Type: Article
Uncontrolled Keywords: gestational diabetes mellitus, glucose tolerance test, pre-eclampsia
Subjects: Medicine > KMC Mangalore > Anaesthesiology
Medicine > KMC Mangalore > Obstetrics & Gynaecology
Depositing User: KMCMLR User
Date Deposited: 30 Aug 2014 06:52
Last Modified: 30 Aug 2014 06:52
URI: http://eprints.manipal.edu/id/eprint/140497

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