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KMID : 0361720070180040329
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Korean Journal of perinatology
2007 Volume.18 No. 4 p.329 ~ p.337
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Risk Factors of Gestational Diabetes Mellitus
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Cho A-Ra
Kyoung Kyu-Sang
Park Min-Ah
Lee Young-Mi
Jeong Eun-Hwan
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Abstract
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Objective : The purpose of this study was to identify the prevalence of Gestational Diabetes Mellitus (GDM) related risk factors.
Methods : We retrospectively analyzed 1,091 pregnant women who performed 50 g oral glucose tolerance test (OGTT) at the department of Obstetrics and Gynecology, Chungbuk National University Hospital from June, 1999 to March, 2006. The 1-hour plasma glucose higher than 140 mg/dL was considered as a positive screening result. Patients with positive result underwent 100 g OGTT as the diagnostic test for GDM, and more than 2 positive results were considered as GDM, following the American National Diabetes Data Group (NDDG) guideline. We investigated age, obesity, weight gain, history of fetal anomaly, fetal death in uterus (FDIU), macrosomia, preeclampsia, GDM and familial history of diabetes mellitus, as the risk of GDM.
Results : Elderly gravida, history of FDIU, perinatal death, preeclampsia, and GDM, familial history of diabetes mellitus were the risk factors of GDM, macrosomia statistically. We found out that BMI and 50 g OGTT results were increased in GDM group. There was a pregnant woman with no risk factors who had GDM.
Conclusion : Although the pregnant women with risk factors should be managed carefully to detect GDM, we also suggest all pregnant women to take screening test even if they have no risk factors, to improve pregnancy outcomes by detecting and treating unexpected GDM earlier.
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KEYWORD
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Risk factor, Gestational diabetes mellitus, Screening test
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