Postpartum oral glucose tolerance test in mothers of macrosomic infants as a retrospective diagnostic method of gestational diabetes

Authors

  • Joel Cárdenas Instituto Especializado Materno Perinatal, Lima-Perú
  • Leonor Arroyo Instituto Especializado Materno Perinatal, Lima-Perú

DOI:

https://doi.org/10.15381/anales.v65i1.1362

Keywords:

Glucose tolerance test, fetal macrosomia, glucose, diabetes, gestational, pregnancy in diabetes.

Abstract

OBJECTIVE: To assess the relationship between the postpartum oral glucose tolerance test (PPOGTT) and fetal macrosomia and its usefulness as a retrospective diagnostic method of gestational diabetes. DESIGN: Prospective case –control study. MATERIAL AND METHODS: Mothers with macrosomic infants (n = 71) and controls (n = 71) were studied. PPOGTT was determined in all of them using 100 grams of glucose 8 to 48 hours postpartum. Data processing used SPSS 10,0. RESULTS: Abnormal PPOGTT is a risk factor to fetal macrosomia with an adjusted odds ratio (OR) 5,9 (95%CI 2,6-13,4). There is association with a previous history of macrosomia OR 15,7 (95CI 1,9-123,6) and with prenatal control OR 5,7 (95%CI 1,2-26,8). CONCLUSIONS: PPOGTT may identify a subset of women with macrosomic infants who had gestational diabetes; we may consider it a retrospective diagnostic test.

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Published

2004-03-15

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How to Cite

1.
Cárdenas J, Arroyo L. Postpartum oral glucose tolerance test in mothers of macrosomic infants as a retrospective diagnostic method of gestational diabetes. An Fac med [Internet]. 2004 Mar. 15 [cited 2024 Jul. 17];65(1):7-13. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1362