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Obstetrical Outcome of False Positive One Hour OGCT in Tertiary Care Hospital

Dr Swapnita Hota, Dr Ramakanta Sahoo, Dr Rakesh Moharana

Abstract: OBJECTIVE: To evaluate the maternal and perinatal outcome of pregnancies with abnormal OGCT (oral glucose challenge test) and subsequent normal OGTT. METHODS: We performed a prospective observational study of 100 eligible pregnant women , over a period of 2yrs, between 1st January 2017 to 31st December 2018. Patients were screened for gestational diabetes mellitus (GDM) with the 1-hour 50-g OGCT at 24-28 gestational weeks. An isolated abnormal OGCT was defined as a result greater than or equal to 130 mg/dL followed by a normal 3-hour oral glucose tolerance test (OGTT).Clinical outcomes of pregnancies were studied in the selected population. RESULTS: The isolated abnormal OGCT cohort on average was younger, of higher parity, had a relatively higher body mass index and no associated risk factor. Pre-eclampsia19 % (19 cases) was the most common maternal complication. Caesarean section 25% and difficult delivery 11% rate were increased. Incidence of macrosomia was 3.7%, overall perinatal morbidity was increased and 29% needed NICU admission. CONCLUSION: An isolated abnormal OGCT is an independent risk factor for adverse perinatal outcomes. These suggest that minimal alterations in maternal carbohydrate metabolism may have a significant impact on the fetus and the patients with minimal alterations also require strict glycemic control to decrease the frequency of abnormal outcomes.

Keywords: Pregnancy, GDM(Gestational diabetes mellitus), OGCT(oral glucose challenge test), OGTT(oral glucose tolerance test), Maternal outcome, Perinatal outcome.

Country: India, Subject Area: Medical Science

Pages: 1054 - 1057

Edition: Volume 8 Issue 3, March 2019

How to Cite this Article?

Dr Swapnita Hota, Dr Ramakanta Sahoo, Dr Rakesh Moharana, "Obstetrical Outcome of False Positive One Hour OGCT in Tertiary Care Hospital", International Journal of Science and Research (IJSR), https://www.ijsr.net/archive/v8i3/show_abstract.php?id=ART20196231, Volume 8 Issue 3, March 2019, 1054 - 1057

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