Pregnancy outcome among women universally screened for gestational diabetes mellitus with a lime-flavoured drink.
We performed a prospective study involving 400 consecutive pregnant patients to determine whether the administration of a lime-flavoured glucose drink followed by a blood test 1 h later was a better method of screening for gestational diabetes (GDM) than the use of selective screening based on risk factors (maternal age over 30 years, East Indian ancestry and obesity). Complete data were available for 388 women, 76 were screen positive (1 h blood glucose ≥ 140 mg/dl) and GDM was diagnosed in 42 (using a 75 g oral glucose tolerance test) giving a positive predictive value of 55%. Selective screening applied to the same population would have identified only 34 cases, eight fewer with GDM. In this population, the use of the lime-flavoured glucose drink detected approximately 25% more cases of GDM than selective screening based on risk factors. Caesarean sections were performed in 18 (42.8%) of women with gestational diabetes. None of the four perinatal deaths was observed among the women with gestational diabetes.
Department of Clinical Surgical Sciences, Faculty of Medical Sciences, Mt. Hope Women's Hospital, The University of the West Indies, Trinidad and Tobago. b_bassaw@hotmail.com
B
B
Bassaw
N
N
Mohammed
S
S
Ramsewak
L
L
Bassawh
A
A
Khan
M
M
Bhola
A
A
Chekuri
D000293:Adolescent; D000328:Adult; D001628:Beverages; D001786:Blood Glucose / Q000032:analysis; D002585:Cesarean Section / Q000706:statistics & numerical data; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005947:Glucose / Q000008:administration & dosage; D005951:Glucose Tolerance Test / Q000379:methods*; D006801:Humans; D008403:Mass Screening; D008423:Maternal Age; D009765:Obesity / Q000150:complications; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies
D001786:Blood Glucose; D005947:Glucose