title: Single-Step First Trimester Screening "Sooner the Better".
abstract: OBJECTIVE
  To evaluate the role of single-step universal screening in first trimester and its effectiveness.
  
  
  METHODS
  Three thousand women attending antenatal clinic of Pt JNM Medical College, Raipur, were screened with 75 gm OGTT in their first trimester irrespective of their last meal, and those who were screened negative were again subjected to OGTT at 24-28 weeks. The women were followed throughout pregnancy till delivery. Any maternal or perinatal complications were noted.
  
  
  RESULTS
  Overall incidence of GDM was 5.2 %. About 61.54 % women screened positive in first trimester. At 24-28 weeks, 38.46 % women were diagnosed with GDM. Women diagnosed in first trimester showed significantly low incidence of cesarean section rate (20.83 %), PIH (2.08 %), and macrosomia (14.44 %), in comparison to women diagnosed later in pregnancy.
  
  
  CONCLUSIONS
  The role of first trimester screening was found effective in reducing adverse maternal and perinatal outcomes in GDM.
authors.affiliation: Department of Obstetrics & Gynaecology, Pt. J.N.M. Medical College, E-8, Shankar Nagar, Raipur, Chhattisgarh India.
authors.forename: Abha
authors.initials: A
authors.lastname: Singh
authors.affiliation: Department of Obstetrics & Gynaecology, Pt. J.N.M. Medical College, A-12, Maruti Residency, Amlidih, Raipur, Chhattisgarh India.
authors.forename: Avinashi
authors.initials: A
authors.lastname: Kujur
keywords: First trimester; GDM; Screening