NDLI: Early Postpartum Glucose Testing in Women with Gestational Diabetes Mellitus.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Werner, Erika F. Has, Phinnara Tarabulsi, Gofran Lee, Joyce Satin, Andrew
Description	Author Affiliation: Werner EF ( Department of Obstetrics and Gynecology, Alpert Medical School of Brown University, Providence, Rhode Island.); Has P ( Department of Obstetrics and Gynecology, Women & Infants Hospital, Providence, Rhode Island.); Tarabulsi G ( Department of Obstetrics and Gynecology, West Virginia University, Morgantown, West Virginia.); Lee J ( Department of Obstetrics and Gynecology, Women & Infants Hospital, Providence, Rhode Island.); Satin A ( Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.)
Abstract	Objective Given that most women with gestational diabetes mellitus (GDM) never undergo the recommended 6 to 12 weeks postpartum glucose tolerance test (GTT), we assessed the feasibility of performing GTTs on postpartum day 2. Study Design We conducted a prospective cohort study in which women with GDM received a 75-g 2-hour GTT on postpartum day 2. We assessed the feasibility of this GTT and compared the results to the standard of care GTT at 6 to 12 weeks postpartum. We also evaluated maternal and pregnancy characteristics of women who return for 6 to 12 weeks GTTs compared with those lost to follow-up. Results In this study, 98 of 106 participants (92%) completed the postpartum day 2 GTT; 59% had normal glucose values at that time. Only 49 women returned at 6 to 12 weeks postpartum. Among women who had testing at both time points, the 2 days postpartum GTT were 100% sensitive and 94% specific for diabetes mellitus but less sensitive and specific for milder forms of abnormal glucose. Women who did not complete the 6 to 12 weeks postpartum GTT were less educated (p < 0.01) and more often had Medicaid (p < 0.01). Conclusion Performing GTTs on postpartum day 2 is feasible and should be further investigated as an alternative postpartum testing regimen in GDM.
File Format	HTM / HTML
ISSN	07351631
e-ISSN	10988785
Journal	American Journal of Perinatology
Issue Number	10
Volume Number	33
Language	English
Publisher	Thieme
Publisher Date	2016-08-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Perinatology
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health Obstetrics and Gynecology

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