Screening for gestational diabetes mellitus in adolescent pregnancies. Am J Obstet Gynecol 1998 Jun;178(6):1251-6
Date
07/14/1998Pubmed ID
9662309DOI
10.1016/s0002-9378(98)70330-8Scopus ID
2-s2.0-0031744933 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
OBJECTIVE: Our purpose was to determine the incidence of gestational diabetes mellitus in an adolescent population and to determine the cost of screening.
STUDY DESIGN: A retrospective review of 509 adolescent pregnancies was performed. The incidence of gestational diabetes mellitus was determined and the cost of screening analyzed.
RESULTS: Five hundred nine adolescent pregnancies were screened for gestational diabetes mellitus with a 1-hour, 50 gm oral glucose challenge test. Twenty-three of the screens (4.5%) had positive results at a plasma glucose level of > or = 140 mg/dl. Three-hour 100 gm oral glucose tolerance tests were performed on screen-positive women, six of whom were diagnosed with gestational diabetes mellitus, for an incidence of 1.18%. The cost per case diagnosed was $2733.
CONCLUSIONS: The incidence of gestational diabetes mellitus in an adolescent population is low. The cost of universal screening may be prohibitive in this population. Large prospective studies are needed to better analyze outcome data and efficacy of screening in adolescent pregnancies.
Author List
Lemen PM, Wigton TR, Miller-McCarthey AJ, Cruikshank DPAuthor
Paul Lemen MD Professor in the Obstetrics and Gynecology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentDiabetes, Gestational
Female
Glucose Tolerance Test
Health Care Costs
Humans
Incidence
Mass Screening
Pregnancy
Pregnancy in Adolescence
Retrospective Studies
