The effect of carbohydrate intolerance on neonatal birth weight in pregnant women without gestational diabetes mellitus

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dc.authorscopusid55943045200
dc.authorscopusid7003863515
dc.authorscopusid8352174500
dc.authorscopusid6602873038
dc.authorscopusid6602845755
dc.contributor.authorErtunc, Devrim
dc.contributor.authorTok, Ekrem
dc.contributor.authorDilek, Umut
dc.contributor.authorPata, Özlem
dc.contributor.authorDilek, Saffet
dc.date.accessioned2024-09-19T15:45:25Z
dc.date.available2024-09-19T15:45:25Z
dc.date.issued2004
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: There is still no consensus on screening, threshold levels and treatment of gestational diabetes mellitus. Furthermore, the importance of a positive 50-g glucose screening test in patients who had a negative 100-g oral glucose tolerance test remains controversial. We investigated the impact of the 50-g glucose screening test results on neonatal outcome in pregnant women with uncomplicated pregnancies, who had no risk factors according to ACOG criteria. Patients and Methods: Three hundred eighty-six pregnant women with singleton pregnancies were prospectively screened with 50-g glucose challenge test between 24 and 28 weeks. If the test result was >140 mg/dl, a 100-g 3-hour oral glucose tolerance test was performed. Patients with a positive screening test, but not diagnosed as gestational diabetes mellitus constituted the study group, and patients with a negative screening test constituted the control group. Cesarean rates, neonatal birth weights and complications were compared between these groups. Results: The cesarean delivery rates were not statistically different between the study and control groups (8.3% vs. 6.4%, P>0.05). The rates of macrosomic births were 10.0% in the study group, and 6.4% in the control group (P>0.05), but the mean birth weight (3451.67 ± 355.70 g) in the study group was significantly higher than the mean birth weight (3296.29 ± 365.14 g) in the control group (P=0.003). Neonatal hypoglycemia and hyperbilirubinemia was also encountered more often in babies of pregnant women with a positive 50-g glucose challenge test but negative 100-g glucose tolerance test. Conclusion: Because of similarities with gestational diabetes mellitus on the basis of perinatal outcomes, the non-diabetic pregnant women with 50-g glucose screen test result over 140 mg/dl but a negative 100-g OGTT should be followed closely.en_US
dc.identifier.doi10.5144/0256-4947.2004.280
dc.identifier.endpage283en_US
dc.identifier.issn0256-4947
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-4344667217en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage280en_US
dc.identifier.urihttps://doi.org/10.5144/0256-4947.2004.280
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14667
dc.identifier.volume24en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherKing Faisal Specialist Hospital and Research Centreen_US
dc.relation.ispartofAnnals of Saudi Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCarbohydrate intoleranceen_US
dc.subjectDiabetes mellitusen_US
dc.subjectGlucose challenge testen_US
dc.subjectNeonatal outcomeen_US
dc.titleThe effect of carbohydrate intolerance on neonatal birth weight in pregnant women without gestational diabetes mellitusen_US
dc.typeArticleen_US

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