Early Pregnancy Diabetes Screening and Diagnosis

Mission, John; Catov, Janet M.; Deihl, Tiffany E.; Feghali, Maisa; Scifres, Christina

doi:10.1097/aog.0000000000002277

Cited by 28 publications

(12 citation statements)

References 15 publications

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“…The prevalence of early diabetes screening by postload glucose tests was assessed in a study of 10 876 women who had a prenatal visit before 24 weeks of pregnancy . Of these women, 1420 (12.5%) underwent early screening, most commonly by a 50‐g OGCT or a 3‐hour 100‐g OGTT.…”

Section: Direct Glycemic Markersmentioning

confidence: 99%

“…Third, a glucose load test in early pregnancy can be difficult to tolerate at the time of peak nausea and vomiting, making it less feasible. A study examining the prevalence of early screening showed that glucose screening was ordered but not completed in 14.3% of all women who had a prenatal visit prior to 24 weeks. The requirement for fasting, intolerance of the glucose load, and the time‐consuming nature of the test cause a considerable number of test failures leading to the requirement of repeat testing .…”

Section: Direct Glycemic Markersmentioning

confidence: 99%

“…The prevalence of early diabetes screening by postload glucose tests was assessed in a study of 10 876 women who had a prenatal visit before 24 weeks of pregnancy. 32 Of these women, 1420 ( Second, there is a lack of agreement in the diagnosis when different glucose thresholds are used. A previous study 33 in 1061 white nonobese women without diabetes examined the concordance between the 75-g OGTT and the 100-g OGTT at 24-28 weeks and 16-20 weeks.…”

Section: Postload Glucosementioning

confidence: 99%

“…34 Third, a glucose load test in early pregnancy can be difficult to tolerate at the time of peak nausea and vomiting, making it less feasible. A study examining the prevalence of early screening 32 showed ing to the requirement of repeat testing. 35 These technical difficulties of are likely more tolerable at 24-28 weeks, when nausea diminishes, and the diagnostic benefit is well-established.…”

Section: Postload Glucosementioning

confidence: 99%

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Early diabetes screening in pregnancy

Shinar

Berger

2018

Intl J Gynecology & Obste

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The present literature review was conducted to evaluate early diabetes screening in pregnancy. The review focuses on the various guidelines for early screening, the target populations for screening, and the assessment of various early screening targets and strategies. The advantages and disadvantages of each screening method are highlighted. The review emphasizes that there are no validated criteria for selecting high-risk pregnant women for early screening. The different early screening modalities, including fasting plasma glucose, random plasma glucose, postload glucose, and hemoglobin A1c, lack concordance and have not been validated for the early diagnosis of diabetes in pregnancy. Moreover, the benefit of early screening by earlier initiation of treatment has not been shown. Until a randomized controlled trial demonstrates benefit to screening and validates a particular screening method, it is not possible to provide evidence to support any single strategy for early diabetes screening in pregnancy.

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Section: Direct Glycemic Markersmentioning

confidence: 99%

Section: Direct Glycemic Markersmentioning

confidence: 99%

Section: Postload Glucosementioning

confidence: 99%

Section: Postload Glucosementioning

confidence: 99%

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Early diabetes screening in pregnancy

Shinar

Berger

2018

Intl J Gynecology & Obste

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“…Pregnant women with GDM are likely to develop type 2 diabetes 6 -7 times more than healthy pregnant women (2). Also, GDM causes complications such as macrocosmic neonate, preeclampsia, the need for cesarean section delivery, shoulder dystocia and even the death of neonate (3).…”

mentioning

confidence: 99%

Does HbA1c Have a Potential in Gestational Diabetes Mellitus Diagnosis?

Moradi

Abdollahzad

2018

Int J Health Life Sci

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Implementing the USPSTF Recommendations on Prevention of Perinatal Depression—Opportunities and Challenges

Felder

2019

JAMA Intern Med

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In this issue of JAMA, the United States Preventive Services Task Force (USPSTF) recommends that clinicians refer pregnant and postpartum (ie, perinatal) persons who are at increased risk for depression to counseling interventions (B recommendation). 1 Based on a systematic review of 50 studies, 2 the USPSTF "concludes with moderate certainty that providing or referring pregnant or postpartum women at increased risk to counseling interventions has a moderate net benefit in preventing perinatal depression." 1 Women have frequent contact with clinicians during the perinatal period, rendering this a particularly opportune time to identify and treat those at risk for depression. Furthermore, perinatal women may be highly motivated to engage in behaviors that promote both their own and their infants' well-being. The most important take-home message from the USPSTF recommendation is that perinatal depression is preventable. Burden of Perinatal DepressionApproximately 14% of perinatal women experience depression, making it one of the most common complications of childbirth. 3 The adverse correlates and consequences of perinatal depression are well established and include increased risk of preterm birth, less positive and more negative parenting behaviors, emotional and behavioral problems among offspring, and higher health care costs. 4 Treating women at risk for perinatal depression may avert the long reach of negative consequences on maternal and child health and well-being.

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Early Pregnancy Diabetes Screening and Diagnosis

Cited by 28 publications

References 15 publications

Early diabetes screening in pregnancy

Early diabetes screening in pregnancy

Does HbA1c Have a Potential in Gestational Diabetes Mellitus Diagnosis?

Implementing the USPSTF Recommendations on Prevention of Perinatal Depression—Opportunities and Challenges

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