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Related Experiment Videos

Gestational diabetes: universal or selective screening?

Salvatore Alberico1, Concetta Strazzanti, Davide De Santo

  • 1Department of Obstetrics and Gynecology, IRCCS Burlo Garofolo, University of Trieste, Trieste, Italy.

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|December 29, 2004
PubMed
Summary

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Universal screening for gestational diabetes is cost-effective, identifying 6.6% of cases and preventing adverse outcomes. This approach is recommended over selective screening due to high prevalence and potential for missed diagnoses.

Area of Science:

  • Obstetrics and Gynecology
  • Endocrinology
  • Public Health

Background:

  • Gestational diabetes mellitus (GDM) affects maternal and neonatal health.
  • Selective screening may miss a significant proportion of GDM cases.
  • Understanding GDM incidence and screening costs is crucial for healthcare policy.

Purpose of the Study:

  • To determine the incidence of gestational diabetes in a specific population.
  • To evaluate the cost-effectiveness of universal GDM screening.
  • To analyze neonatal and obstetrical outcomes in relation to maternal characteristics.

Main Methods:

  • An observational study involving 856 pregnant women (24-28 weeks gestation).
  • Universal screening using the glucose challenge test (GCT).

Related Experiment Videos

  • Collection and analysis of maternal history, obstetrical, and neonatal outcomes.

    • Main Results:

    • GDM was diagnosed in 6.6% of the screened population.
    • Women with risk factors had higher rates of cesarean sections (50%) versus spontaneous vaginal delivery (23.59%).
    • The cost of universal screening was €57.60 per identified GDM case.

    Conclusions:

    • Universal screening for GDM is recommended due to its high prevalence and the proportion of cases missed by selective screening.
    • This strategy aids in identifying patients and preventing adverse obstetrical and neonatal outcomes.
    • The relatively low cost supports universal screening as an effective public health measure.