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Maternal hypoglycaemia on the 50 g oral glucose challenge test — evaluation of obstetric and neonatal outcomes
Affiliations- University of Health Sciences Diyarbakır Gazi Yaşargil Training and Research Hospital Department of Obstetrics and Gynecology, TR 21500 Diyarbakır, Türkiye
- Health Sciences University Diyarbakır Gazi Yaşargil Training and Research Hospital, Department of Internal Medicine, Diyarbakır, Turkey
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Abstract
Objectives: To discuss obstetric and neonatal outcomes of maternal hypoglycaemia observed after the 50 g oral glucose challenge test.
Material and methods: A retrospective evaluation was made of the results of patients at 24–28 weeks gestation of a live singleton pregnancy who underwent a 50 g OGCT at the Health Sciences University Gazi Yaşargil Training and Research Hospital, between September 2016 and August 2017. In the 50 g OGCT, 1-hour blood glucose results were divided into Low OGCT (< 90 mg/dL) and Normal OGCT (90–139 mg/dL). The groups were compared in respect of obstetrics and neonatal outcomes.
Results: Of 2623 pregnant patients applied with the 50 g OGCT, blood glucose was < 140 mg/dL in 77.16% (n = 2024), with 11.9% (n = 312) in the Low OGCT group, and the remaining 65.26% (n = 1712) in the Normal OGCT group. Based on the comparison of the groups, the SGA rate was 7% in the Low OGCT group and 4% in the Normal OGCT group; the 5th minute APGAR score was < 7 in 2% of the Low OGCT group and in 1% of the Normal OGCT group, while caesarean section rates were 25% and 32% respectively (p < 0.05).
Conclusions: The results of the study showed a significant association between maternal hypoglycaemia and increased SGA rate, decreased 5-minute APGAR scores and reduced caesarean section rates, and this relationship should be confirmed with further comprehensive studies.
Abstract
Objectives: To discuss obstetric and neonatal outcomes of maternal hypoglycaemia observed after the 50 g oral glucose challenge test.
Material and methods: A retrospective evaluation was made of the results of patients at 24–28 weeks gestation of a live singleton pregnancy who underwent a 50 g OGCT at the Health Sciences University Gazi Yaşargil Training and Research Hospital, between September 2016 and August 2017. In the 50 g OGCT, 1-hour blood glucose results were divided into Low OGCT (< 90 mg/dL) and Normal OGCT (90–139 mg/dL). The groups were compared in respect of obstetrics and neonatal outcomes.
Results: Of 2623 pregnant patients applied with the 50 g OGCT, blood glucose was < 140 mg/dL in 77.16% (n = 2024), with 11.9% (n = 312) in the Low OGCT group, and the remaining 65.26% (n = 1712) in the Normal OGCT group. Based on the comparison of the groups, the SGA rate was 7% in the Low OGCT group and 4% in the Normal OGCT group; the 5th minute APGAR score was < 7 in 2% of the Low OGCT group and in 1% of the Normal OGCT group, while caesarean section rates were 25% and 32% respectively (p < 0.05).
Conclusions: The results of the study showed a significant association between maternal hypoglycaemia and increased SGA rate, decreased 5-minute APGAR scores and reduced caesarean section rates, and this relationship should be confirmed with further comprehensive studies.
Keywords
oral glucose challenge test, hypoglycaemia, obstetric outcome
About this articleTitle
Maternal hypoglycaemia on the 50 g oral glucose challenge test — evaluation of obstetric and neonatal outcomes
Journal
Issue
Article type
Research paper
Pages
370-374
Published online
2018-07-31
Page views
1412
Article views/downloads
1044
DOI
Pubmed
Bibliographic record
Ginekol Pol 2018;89(7):370-374.
Keywords
oral glucose challenge test
hypoglycaemia
obstetric outcome
Authors
Mehmet Şükrü Budak
Eşref Araç
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