[Mass screening of gestational diabetes using O'Sullivan's test in a hospital consultation. Experience in Rennes].
The aim of this work was to study the predictive value of 50 gram glucose O'Sullivan test for systematic screening of gestational diabetes. To confirm the diagnostic the test positivity was controlled by a 100 g, 3 hours oral glucose tolerance test. During a 12-month period, 751 women were included in the 7th month pregnancy consultation. The O'Sullivan test was positive in 18% of cases. The oral glucose tolerance test confirmed the diagnostic in 14% of these positive tests. The frequency of gestational diabetes was about 2.5% in this population. We compared then the results of the test with the other available screening modes. For this purpose, we analysed retrospectively 50 gestational diabetes diagnosed during the same time in the entire pregnant population of the clinic. In our experience, the O'Sullivan's test is a reliable and useful test. It is easy to perform. Less women are selected than in analysis of risk factors (18% versus > 30%), and with better sensitivity.
Carlotti
N
N
Service de Gynécologie-Obstétrique B, Hôpital Sud, Rennes.
Maugendre
D
D
Laurent
M C
MC
Grall
J Y
JY
D000328:Adult; D000553:Ambulatory Care; D016640:Diabetes, Gestational / Q000097:blood* / Q000517:prevention & control; D005240:Feasibility Studies; D005260:Female; D005602:France; D005951:Glucose Tolerance Test / Q000379:methods*; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D015203:Reproducibility of Results; D012189:Retrospective Studies; D012307:Risk Factors; D012680:Sensitivity and Specificity
Dépistage du diabète gestationnel par le test de O'Sullivan dans une consultation hospitalière. Expérience rennaise.