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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 439 - 445 (7page)
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초록· 키워드
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Objective We compared the performance of the 50-g glucose challenge test (GCT) in singleton versus twin pregnancies and investigated the need for adjusting GCT cutoff values for gestational diabetes mellitus (GDM) in twin pregnancies among Korean women.
Methods A retrospective chart review was performed in women who underwent GCT at 24 to 28 weeks’ gestation and delivered in our department between January 2000 and April 2008. GCT performance was compared between singleton and twin pregnancies for an ideal cutoff value of the GCT for GDM screening.
Results GCT results were available in 3,578 pregnancies (3,435 singleton and 143 twin pregnancies). The mean GCT value was higher in the twin group than in the singleton group. Women in the twin group had a higher mean GCT value (P=0.043) and a higher incidence of GCT ≥130, ≥135, and ≥140 mg/dL (P=0.014, 0.005, and 0.015, respectively). The false positive rate for GCT ≥140 mg/dL was significantly higher in the twin than in the singleton group (P=0.042). The optimal GCT screening cutoff value appears to be ≥145 mg/dL in twin pregnancies.
Conclusion Our study demonstrates that the GCT is associated with a higher false positive rate in twin rather than singleton pregnancies. This study suggests we should consider adjusting the GCT cutoff value for GDM in Korean twin pregnancies.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Alshami HA. / 2011 / Pregnancy outcome in late maternal age in a high-income developing country / Arch Gynecol Obstet 284 : 1113 ~ 1116
Baci Y. / 2013 / Effect of maternal obesity and weight gain on gestational diabetes mellitus / Gynecol Endocrinol 29 : 133 ~ 136
Beemsterboer SN. / 2006 / The paradox of declining fertility but increasing twinning rates with advancing maternal age / Hum Reprod 21 : 1531 ~ 1532
Buhling KJ. / 2003 / Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy / Arch Gynecol Obstet 269 : 33 ~ 36
Carpenter MW. / 1982 / Criteria for screening tests for gestational diabetes / Am J Obstet Gynecol 144 : 768 ~ 773
Baci Y. / 2013 / Effect of maternal obesity and weight gain on gestational diabetes mellitus / Gynecol Endocrinol 29 : 133 ~ 136
Beemsterboer SN. / 2006 / The paradox of declining fertility but increasing twinning rates with advancing maternal age / Hum Reprod 21 : 1531 ~ 1532
Buhling KJ. / 2003 / Risk for gestational diabetes and hypertension for women with twin pregnancy compared to singleton pregnancy / Arch Gynecol Obstet 269 : 33 ~ 36
Carpenter MW. / 1982 / Criteria for screening tests for gestational diabetes / Am J Obstet Gynecol 144 : 768 ~ 773
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