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Isolated polyhydramnios in the third trimester: is a gestational diabetes evaluation of value?

机译:孤立的多孔米在第三个三个月:是一种妊娠糖尿病评估价值?

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We evaluated implications of testing for gestational diabetes mellitus (GDM) in pregnancies complicated by third trimester isolated polyhydramnios with previous negative diabetes screening test. In this retrospective cohort study of 104 pregnant women with polyhydramnios between 2005 and 2013, all had normal first trimester fasting glucose and normal glucose challenge test (GCT<140mg/dL). Late onset GDM was diagnosed in five women (4.8%) with isolated polyhydramnios, one abnormal value in the oral glucose tolerance test (OGTT) was identified in four additional women (3.8%). No significant differences were found in risk factors for GDM, mean second trimester GCT (117.5 vs. 107.2mg/dL, p=0.38) or fasting glucose values (82 vs. 86mg/dL, p=0.29) between women in the polyhydramnios group with and without late GDM diagnosis. Moreover, no significant difference was found in relation to the mode of delivery or birth weight between the studied groups (3437611 vs. 3331 +/- 515g, p=0.63). Diagnosis of third trimester polyhydramnios was not associated with increased risk for GDM or neonatal complications.
机译:我们评估了测试对妊娠期糖尿病(GDM)在复杂的第三个三个月分离的多羟肟灭菌中的妊娠期妊娠期妊娠期筛选试验的影响。在此回顾性队列中,2005年至2013年之间的104名孕妇患有多络合物的研究,全部具有正常的妊娠葡萄糖和正常葡萄糖攻击试验(GCT <140mg / dL)。晚期发病GDM被诊断为5个妇女(4.8%),含有分离的多络合物,口腔葡萄糖耐量试验(OGTT)中的一种异常值在四个另外的妇女(3.8%)中鉴定出来。在GDM的危险因素中没有发现显着差异,平均孕季度GCT(117.5与107.2mg / dl,p = 0.38)或妇女在多络合物组中的妇女之间的空腹葡萄糖值(82 vs.86mg / dl,p = 0.29)没有晚期GDM诊断。此外,与研究组之间的递送或出生方式没有发现显着差异(3437611与3331 +/- 515g,p = 0.63)。诊断第三个三个月多羟肟的诊断与GDM或新生儿并发症的风险增加无关。

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