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Immediate Postpartum Glucose Tolerance Testing in Women with Gestational Diabetes: A Pilot Study
| Content Provider | Scilit |
|---|---|
| Author | Muscat, Jolene Heo, Hye Islam, Shahidul Vintzileos, Anthony Dinglas, Cheryl |
| Copyright Year | 2017 |
| Description | Objective Due to poor adherence for glucose testing at 6- to 12-week postpartum among women with gestational diabetes, we sought to determine whether a 2-hour glucose tolerance test (GTT) during postpartum hospitalization is predictive of 6- to 12-week postpartum glucose testing. Study Design An institutional review board–approved prospective cohort study was performed over 3 years. Patients underwent an inpatient fasting 75-g, 2-hour GTT on either postpartum days 2 through 4 and instructed to follow up in 6- to 12-weeks for postpartum glucose testing. Sensitivity, specificity, positive predictive value (PPV), and negative predictive values (NPV) of the immediate GTT to predict abnormal 6- to 12-week postpartum glucose testing were determined. Results Eighty women enrolled in the study completed the immediate GTT; of these, only 35 (44%) underwent 6- to 12-week postpartum glucose testing. The sensitivity, specificity, PPV, and NPV of the immediate GTT were 100, 42.8, 30.4, and 100%, respectively. Conclusion More than 50% of our study patients did not undergo recommended postpartum glucose testing, coinciding with similar poor follow-up reported in the literature. With a high NPV and high sensitivity, a negative immediate GTT may obviate the need for the 6- to 12-week GTT, while a positive GTT may identify women who should follow up closely. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0037-1606620.pdf |
| Ending Page | 1270 |
| Page Count | 7 |
| Starting Page | 1264 |
| ISSN | 07351631 |
| e-ISSN | 10988785 |
| DOI | 10.1055/s-0037-1606620 |
| Journal | American Journal of Perinatology |
| Issue Number | 12 |
| Volume Number | 34 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2017-09-14 |
| Access Restriction | Open |
| Subject Keyword | Journal: American Journal of Perinatology Endocrinology and Metabolism Gestational Diabetes Glucose Tolerance Test Glucose Intolerance Postpartum Testing |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health Obstetrics and Gynecology |
