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Published on: January 7, 2018
[Prospective evaluation of our protocol for screening gestational diabetes by O'Sullivan's test]
V Deslandes1, I Dessouki, M Slama
1Service de gynécologie-obstétrique, centre hospitalier de Soissons, 46, boulevard Général-de-Gaulle, 02200 Soissons, France.
Objectives:
We evaluated prospectively our protocol for screening diabetes during pregnancy.
Patients And Methods:
We applied recommendations of the French National College for Obstetricians and Gynecologists with screening by O'Sullivan's test and HGPO with 100g when the result was greater than 1.40 g/l. This protocol was discussed and approved by our team including a neonatalogist.
Results:
We included 780 patients delivered between the 1(st) January and the 1(st) October 2005. Between them, 628 were screened (80.5%) and 39 presented gestational diabetes (39/628=6.2%). Fetal ultrasound at 38 weeks of amenorrhea was included in our protocol but applied only for 25.8% of our patients. In the subgroup with gestational diabetes, the rate of induction of labor was 38.4% (15/39), with a cesarean delivery for 23% (9/39) and macrosomia for 20.5% (8/39) of the newborn.
Conclusions:
This study showed us that we have to improve the application of our protocol and to try to obtain a shorter time between the two test, O'Sullivan and HGPO, when performed.
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