Abstract
Objective The best screening strategy for gestational diabetes mellitus (GDM) remains a topic of debate. Several organizations made a statement in favor of universal screening, but the volume of oral glucose tolerance tests (OGTT) required may burden healthcare systems. As a result, many countries still rely on selective screening using a checklist of risk factors, but reported diagnostic characteristics vary. Moreover, women's discomfort due to an OGTT is often neglected. Since 2017, obstetric healthcare professionals in a Dutch region assessed women's GDM risk with a prediction model and counseled those with an increased risk regarding an OGTT.Methods From 2017 to 2018, 865 women were recruited in a multicenter prospective cohort.Results In total, 385 women (48%) had an increased predicted GDM risk. Of all women, 78% reported that their healthcare professional discussed their GDM risk. Predicted GDM risks were positively correlated with conducting an OGTT.Conclusion Implementation of a GDM prediction model resulted in moderate rates of OGTTs performed in general, but high rates in high-risk women. As 25% of women experienced discomfort from the OGTT, a selective screening strategy based on a prediction model with a high detection rate may be an interesting alternative to universal screening.Study cohort registration Netherlands Trial Register: NTR4143; .
Original language | English |
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Pages (from-to) | 85-91 |
Number of pages | 7 |
Journal | International Journal of Gynecology & Obstetrics |
Volume | 154 |
Issue number | 1 |
DOIs | |
Publication status | Published - Jul 2021 |
Keywords
- care
- gestational diabetes mellitus
- health
- hyperglycemia
- mellitus
- models
- oral glucose tolerance test
- prediction
- pregnancy
- screening
- MELLITUS
- CARE
- PREGNANCY
- HYPERGLYCEMIA
- MODELS
- HEALTH