Effect of hyperemesis gravidarum on gestational diabetes mellitus screening

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• 作者：Rena Ohara ; ^{renaohara@md.tsukuba.ac.jp" class="auth_mail" title="E-mail the corresponding author} ; Mana Obata-Yasuoka ; Kanako Abe ; Hiroya Yagi ; Hiromi Hamada ; Hiroyuki Yoshikawa
• 关键词：Gestational diabetes mellitus ; Hyperemesis gravidarum ; Screening
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：132
• 期：2
• 页码：156-158
• 全文大小：155 K

文摘

To clarify the effect of starvation due to hyperemesis gravidarum on the screening of gestational diabetes mellitus (GDM).

Methods

A retrospective study was undertaken of pregnant women who delivered at Tsukuba University Hospital, Japan, between October 1, 2010, and September 30, 2013. GDM screening was performed in the first trimester using the random blood glucose test with a cutoff value of 5.2 mmol/L and in the second trimester using a 50-g glucose challenge test with a cutoff value of 7.8 mmol/L. If the screening was positive, a 75-g oral glucose tolerance test was performed for a definite diagnosis.

Results

Among 2112 eligible women, 33 (1.6%) required hospitalization for hyperemesis; the remaining 2079 women formed the control group. In the first trimester, the positive GDM screening rate was significantly higher in the hyperemesis group than in the control group (13 [39.4%] vs 115 [5.5%]; P < 0.001). Additionally, the positive predictive value was significantly lower in the hyperemesis group (23.1% vs 73.9%; P < 0.001). In the second trimester, no significant differences were observed between groups.

Conclusion

Hyperemesis gravidarum affects the positive GDM screening rate in the first trimester.