Postpartum oral glucose tolerance test in mothers of macrosomic infants as a retrospective diagnostic method of gestational diabetes

• Autores: Cárdenas, Joel, Arroyo, Leonor
• Formato: artículo
• Fecha de Publicación: 2004
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/1362
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/1362
• Nivel de acceso: acceso abierto
• Materia: Test de tolerancia a la glucosa; macrosomia fetal; glucosa; diabetes gestacional; embarazo en diabetes.; Glucose tolerance test; fetal macrosomia; glucose; diabetes; gestational; pregnancy in diabetes.

OBJECTIVE: To assess the relationship between the postpartum oral glucose tolerance test (PPOGTT) and fetal macrosomia and its usefulness as a retrospective diagnostic method of gestational diabetes. DESIGN: Prospective case –control study. MATERIAL AND METHODS: Mothers with macrosomic infants (n = 71) and controls (n = 71) were studied. PPOGTT was determined in all of them using 100 grams of glucose 8 to 48 hours postpartum. Data processing used SPSS 10,0. RESULTS: Abnormal PPOGTT is a risk factor to fetal macrosomia with an adjusted odds ratio (OR) 5,9 (95%CI 2,6-13,4). There is association with a previous history of macrosomia OR 15,7 (95CI 1,9-123,6) and with prenatal control OR 5,7 (95%CI 1,2-26,8). CONCLUSIONS: PPOGTT may identify a subset of women with macrosomic infants who had gestational diabetes; we may consider it a retrospective diagnostic test.