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Diabet Med. 1999 Feb;16(2):138-41.

Screening practices for gestational diabetes mellitus in UK obstetric units.

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  • 1Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, UK.

Abstract

AIM:

To identify current screening practices for gestational diabetes mellitus (GDM) in all maternity units.

METHODS:

A questionnaire was sent to the senior obstetrician of all obstetric units known to the UK Royal College of Obstetricians and Gynaecologists.

RESULTS:

A response rate of 84% was achieved. 89% of units reported that they screened for GDM with a wide variation in the screening methods used, both between and within units. The most commonly employed procedure (81% of units) was screening based on the presence of maternal risk factors. The 75 g oral glucose tolerance test (OGTT) was the commonest diagnostic test (79% of units). Sixty-six per cent of units operate a combined diabetic antenatal clinic and 58% of units have written guidelines for screening. Seventy-six per cent of units would welcome national guidelines.

CONCLUSION:

The majority of obstetric units in the UK screen for GDM but with little consensus on the appropriate screening methods. National guidelines would probably be welcomed.

PMID:
10229307
[PubMed - indexed for MEDLINE]
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