The Obstetric and Neonatal Implications of a Low Value on the 50-g Glucose Screening Test

被引：11

作者：

Ma, Kimberly K. ^{[1
]}

Mele, Lisa ^{[2
]}

Landon, Mark B. ^{[3
]}

Spong, Catherine Y. ^{[4
]}

Ramin, Susan M. ^{[5
]}

Casey, Brian ^{[6
]}

Wapner, Ronald J. ^{[7
]}

Varner, Michael W. ^{[8
]}

Rouse, Dwight J. ^{[9
]}

Thorp, John M., Jr. ^{[10
]}

Sciscione, Anthony ^{[11
]}

Catalano, Patrick ^{[12
]}

Harper, Margaret ^{[13
]}

Saade, George ^{[14
]}

Caritis, Steve N. ^{[15
]}

Sorokin, Yoram ^{[16
]}

Peaceman, Alan M. ^{[17
]}

机构：

[1] Oregon Hlth & Sci Univ, Dept Obstet & Gynecol, Portland, OR 97201 USA

[2] George Washington Univ, Ctr Biostat, Rockville, MD USA

[3] Ohio State Univ, Columbus, OH 43210 USA

[4] Eunice Kennedy Shriver Natl Inst Child Hlth & Hum, Bethesda, MD USA

[5] Univ Texas Hlth Sci Ctr Houston, Houston, TX 77030 USA

[6] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA

[7] Columbia Univ, New York, NY USA

[8] Univ Utah, Salt Lake City, UT USA

[9] Univ Alabama Birmingham, Birmingham, AL USA

[10] Univ N Carolina, Chapel Hill, NC USA

[11] Drexel Univ, Philadelphia, PA 19104 USA

[12] Case Western Reserve Univ, MetroHlth Med Ctr, Cleveland, OH 44106 USA

[13] Wake Forest Univ Hlth Sci, Winston Salem, NC USA

[14] Univ Texas Med Branch, Galveston, TX 77555 USA

[15] Univ Pittsburgh, Pittsburgh, PA USA

[16] Wayne State Univ, Detroit, MI USA

[17] Northwestern Univ, Chicago, IL 60611 USA

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 2013年 / 30卷 / 09期

关键词：

low glucose screening test; neonatal hypoglycemia; TOLERANCE-TEST; ORAL GLUCOSE; HYPOGLYCEMIA; METABOLISM;

D O I：

10.1055/s-0032-1331027

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective To assess the relationship between a low 50-g 1-hour glucose loading test (GLT) and maternal and neonatal outcomes in women without diabetes. Study Design This was a secondary analysis of a multicenter observational cohort from a randomized trial of treatment for mild gestational diabetes. Maternal and neonatal outcomes were compared between women with GLT values < 90 mg/dL and those with results 90 to 119 mg/dL. Results Of 436 enrolled women, 297 (68.1%) had a GLT result of 90 to 119 mg/dL and 139 (31.9%) had a result of < 90 mg/dL. There was a lower incidence of neonatal hypoglycemia in those with a GLT < 90 mg/dL (5.7% versus 16.5%, p = 0.006). Other outcomes were not associated with test results. Conclusion A GLT result < 90 mg/dL compared with 90 to 119 mg/dL is associated with a lower risk of neonatal hypoglycemia, but no other significant findings.

引用

页码：714 / 720

页数：7

共 21 条

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