Original scientific paper
The Role of Oral Glucose Intolerance Test in Reducing Pregnancy Complications
Vesna Ćosić
Blaženka Miškić
Branka Vizner
Davorka Herman
Đuro Miškić
Abstract
The influence of glucose monitoring during pregnancy on newborn body weight, and complications during pregnancy
and labor was assessed. We performed a retrospective analysis of macrosomal children, fetal growth, caesarean sections,
malformations, still-births and the number of oral glucose tolerance test (OGTT) carried out in a five-year period. The
proportion of women participating in OGTT tests increased from 20% to 40% (p<0.05) between 2000 and 2004. Gestation
diabetes mellitus (GDM) proportions among pregnant women seen at the Department of Obstetrics and Gynecology
at Slavonski Brod General Hospital, Croatia increased from 1% to 6.7% (p<0.05) during the observed period. Proportion
of births identified as macrosomal decreased from 13.3% to 12.2% (p<0.05). Additionally, infant mortality and stillbirths
along with other fetal and maternal complications declined during the same period. These results suggest that
regular measurements of glucose tolerance during pregnancy may prevent preterm birth, decrease the proportion of macrosomal
newborns, lower mortality and decrease fetal and maternal complication incidence during pregnancy and delivery.
Keywords
gestation; diabetes mellitus; oral glucose tolerance test; pregnancy; complications
Hrčak ID:
27644
URI
Publication date:
13.12.2006.
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