Document Type
Article (Restricted)
Publication Date
1-1-2009
Abstract
Objective: To evaluate the 50-g glucose challenge test (GCT) on pregnancy outcome in a multiethnic Asian population at high risk for gestational diabetes (GDM). Methods: GCT was positive if the 1-hour plasma glucose level was >= 7.2 mmol/L. GDM was diagonsed by a 75-g glucose tolerance test using WHO (1999) criteria. Of the 1368 women enrolled in the study, 892 were GCT negative, 308 were GCT false-positive status was associated with preterm birth (adjusted odds ration AOR 2.1; 95% CI, 3.3-7.5), cesarean delivery (AOR 2.5; 95% CI, 1.6-3.2), postpartum hemorrhage (AOR 2.1; 95% CI, 1.2-3.7), and neonatal macrosomia (AOR 2.5; 95% CI, 1.0-6.0). Conclusion: GCT false-positive women had an increased likelihood of an adeverse pregnancy outcome. The role and threshold of the GCT needs re-evaluaion. (C) 2008 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Keywords
Cesarean delivery, Gestational diabetes, Glucose challenge test, Labor induction, Macrosomia
Publication Title
International Journal of Gynecology & Obstetrics
ISSN
0020-7292
Recommended Citation
Tan, P.C.; Ling, L.P.; and Omar, S.Z., "The 50-g glucose challenge test and pregnancy outcome in a multiethnic Asian population at high risk for gestational diabetes" (2009). Research Publications (2006 to 2010). 2476.
https://knova.um.edu.my/research_publications_2006_2010/2476
Divisions
fac_med
Volume
105
Issue
1