Prevalence of gestational diabetes mellitus in Medellin's population from 1999 to 2000: the positive predictive value of the screening test and comparison of criteria in the NDDG and ADA.
DOI:
https://doi.org/10.18597/rcog.654Keywords:
Gestational diabetes mellitus, incidence, screening test, positive predictive value, macrosomia, diagnosisAbstract
BACKGROUND: In 1997 the American Diabetes Association (ADA), recommended a change in the screening and diagnosis criteria: no screening for low risk patients and adoption of the diagnosis criteria by Carpenter and Coustan.
We do not know the incidence in our population or whether we are or not a high-risk group for diabetes.
METHODS: A descriptive series was carried out from August 1999 to July 2000. Pregnant women who had prenatal checkups in the central CAA of Medellín's SSI; they underwent to screening with the O'Sullivan test between 24 - 28 gestational weeks, and the tolerance oral test for those who needed it.
A phone survey was done after birth for getting the maternal and neonatal results.
RESULTS: 1726 patients were evaluated. An incidence of 1.43% was found and increased to 2.03% when the new criteria were applied.
The positive predictive value of the screening test was determined, demonstrating that it was not diagnostic with any value.
20.5% of infants presented macrosomia. 13% in the NDDG criterion group and 40% in the ADA criterion group.
CONCLUSION: In this group of patients, a low incidence of gestational diabetes was found compared with other population, we did not achieve to demonstrate that adopting the new criteria improved the maternal and neonatal prognosis; it should be carried out new surveys which permit a better population selection who are going to undergo the screening test for optimizing resources.
Author Biographies
Hernán Cortés Y
Iván Ocampo T
Alberto Villegas P.
References
Metzger BE, Coustan DM, Organizing Committee. Summary and recommendations of the fourth international workshop conference on Gestational Diabetes Mellitus. Diabetes Care 1998;21 Suppl 2:B161-7.
Schwartz ML, Ray WN, Lubarsky SL. The diagnosis and classification of gestational diabetes mellitus: Is it time to change our tune? Am J Obstet Gynecol 1998;180:1560-71.
Jubiz A. Diabetes. En: Botero J, Jubiz A, Henao G. Obstetricia y Ginecología. Texto integrado. 5a. Ed. 1994. p. 213-18.
King H. Epidemiology of glucose intolerance and gestational diabetes in women of childbearing age. Diabetes Care 1998; 21 Suppl 2:B9-13.
Tamez HE, Rodríguez M, Trevino M, et al. Experience with a screening program for gestational diabetes. Ref Invest Clin. 1993;45:453-6.
Carpenter M, Coustan DM. Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol 1982;144:768.
Sacks DA, Abu-Fadil S, Karten G, et al. Screening for gestational diabetes with the one-hour 50-g glucose test. Obstet Gynecol 1987;70:89.
Moses R, Moses J, David W. Gestational Diabetes: Do lean young Caucasian women need to be tested? Diabetes Care 1998;21:1803-6.
Gómez G, Mesa JC. Diabetes y Embarazo. Evaluación del programa en la consulta de endocrinología del Hospital Universitario del Valle 1989 - 1996. Rev Colomb Obstet Ginecol 1997;48(4):239-41.
How to Cite
Downloads
Downloads
Published
Issue
Section
| Article metrics | |
|---|---|
| Abstract views | |
| Galley vies | |
| PDF Views | |
| HTML views | |
| Other views | |
