|
KMID : 0358419770200120891
|
|
Korean Journal of Obstetrics and Gynecology
1977 Volume.20 No. 12 p.891 ~ p.900
|
|
|
Gestatinal Diabetes and Oral Glucose Tolerance Test During Pregnancy and Postpartum
|
|
윤영숙/Yoon YS
원연희/우복희/강신명/Won YH/Woo BH/Kang SM
|
|
|
Abstract
|
|
|
|
Gestational diabetes is one of the most important medical complications in pergnancy however still is not widely recognized and even tend to overlooked. Clinical observations were accomplished on 181 cases of suspected gestational diabetes admitted to ewha Womans University Hospital for past 5 years duration from Jan. 1. 1972 to Feb. 28. 1977. In this paper, the clinical significance of oral glucose tolerance test during pregnancy and postpartumm indications of oral glucose tolerance test, early detection of the gestational diabetes, maternal and fetal complications, and perinatal loss, and its prevension were discussed. 1. The incidence of gestational diabetes in 1.1% out of 8381 cases of deliveries or 1 per 91 deliveries overt diabetes was 1 case encountered inthis series. 2. The best criteria of abnormal oral glucose tolerance test is comcidered to be 2 hours value of blood glocose level (140mg% in folinwoo) and 40 or more of different value of blood glocose level between fasting and 2 hours test. 3. Glucose tolerance tests were really indicated for detection of gestational diabetes particularly in cases of large r fetus or hydramnios suspected incurrent pregnancy sith or without urine sugar positive, gravidas with past history of diabetes etc. 4. Glucose tolerance test should be done any time whenever it is indicated or suspected best preferably before 37 weeks of pregnancy, or postpartum 3rd or 4th day if it was not available during the pregnancy. 5. Gravidas with abnormal value of glucose tolerance test revealed a rather high incidence or approximately 5-6 5 of maternal complications (wound infection etc.), 9.6% of severe neonatal jaundice and 2% of acute respiratory distress in neomatal side too. 6. Glucose tolerance tests were needed in 50% of the suspicious diabetic cases even in the cases of negative urine sugar test. 7. Perinatal loss in the gravidas with abnormal glucowd tolerance was 5.3% or 2 fold that of normal control group. Still birth rate was especially high in case of delivered later than 37 weeks of gestation with abnormal glucose tolerance test level, therefore approximately 60% of unnecessary intrauterine fetal deaths could be prevented it gestational diabetes is recognized early by performing adequate glucose tolerance tests and profer time delivery or management.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|