The Glucose Challenge Test (GCT) is used to screen all pregnant women for diabetes mellitus, and if the GCT is positive, an oral glucose tolerance test (OGTT) is performed. The effects of a single increased 100gm OGTT value on neonate outcomes like as APGAR Score, big for gestational age, and hyperbilirubinemia were evaluated in 500 pregnant women in this study. GCT was regarded high and positive if the glucose level was >140 mg/dl, and OGTT was performed with 100 gm glucose. Our findings imply that a positive GCT is an independent risk factor for unfavourable neonatal outcomes, such as big for gestational age (2.2 percent in the normal GTT group vs. 10.8 percent in the impaired GTT group), and hyperbilirubinemia was considerably higher in those patients. A 2-step approach is used to detect gestational diabetes mellitus, with a 3-hour, 100-g oral glucose tolerance test reserved for women who have an abnormal 1-hour, 50-g glucose challenge test. Although the link between gestational diabetes mellitus and higher maternal-fetal morbidity is well known, there is still debate over the danger associated with an isolated aberrant value during a 3-hour, 100-g oral glucose tolerance test [1,2]. The findings of Chaturvedi [3] imply that having a positive GCT is an independent risk factor for unfavourable perinatal outcomes such as preeclampsia, postpartum haemorrhage, and ceaserian sections in these patients.

Author (s) Details

Y. Anupama Suresh
Department of OBG, Kasturba Medical College, Mangalore, A Unit of Manipal University, India.

Y. V. Suresh
Department of Anaesthesiology, Kasturba Medical College, Mangalore, A Unit of Manipal University, India.

Achira Chaturvedi
Department of OBG, Kasturba Medical College, Mangalore, A Unit of Manipal University, India.

View Book :- https://stm.bookpi.org/HMMS-V15/article/view/2473