Risk factor-based selective screening program for gestational diabetes mellitus in Siriraj Hospital: result from clinical practice guideline.

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dc.contributor.authorSunsaneevithayakul, Praserten_US
dc.contributor.authorBoriboohirunsarn, Dittakarnen_US
dc.contributor.authorSutanthavibul, Anuwaten_US
dc.contributor.authorRuangvutilert, Pornpimolen_US
dc.contributor.authorKanokpongsakdi, Sujinen_US
dc.contributor.authorSingkiratana, Daruneeen_US
dc.contributor.authorBunyawanichkul, Srisawaten_US
dc.date.accessioned2009-05-27T18:52:10Z
dc.date.available2009-05-27T18:52:10Z
dc.date.issued2003-08-02en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractA clinical practice guideline for the screening and diagnosis of gestational diabetes mellitus (GDM) is currently implemented at Siriraj Hospital. During the year 2000, a total of 9325 pregnant women were screened for clinical risk factors during their first antenatal visits, and 3770 had at least 1 risk. After the 50 g glucose challenge test and 100 g oral glucose tolerance test, GDM was diagnosed in 235 women. The incidence of GDM was 6.2 per cent (95% CI 5.5-7.1) among high-risk pregnant women, and 2.5 per cent (95% CI 2.2-2.9) of all pregnant women. Significant risk factors identified from the present study were family history of DM (adjusted OR 1.86, 95% CI 1.38-2.51), age > or = 30 years (adjusted OR 2.41, 95% CI 1.72-3.39), history of unexplained intrauterine fetal death (adjusted OR 4.30, 95% CI 2.04-9.04), and obesity (adjusted OR 2.83, 95% CI 1.88-4.25). The risk of developing GDM also increased when more than 1 clinical risk factor was identified. The results support the value of this screening program for GDM. Every obstetrician should be aware of the need to screen for GDM in every pregnant woman and a similar program should also be introduced to other settings.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.en_US
dc.identifier.citationSunsaneevithayakul P, Boriboohirunsarn D, Sutanthavibul A, Ruangvutilert P, Kanokpongsakdi S, Singkiratana D, Bunyawanichkul S. Risk factor-based selective screening program for gestational diabetes mellitus in Siriraj Hospital: result from clinical practice guideline. Journal of the Medical Association of Thailand. 2003 Aug; 86(8): 708-14en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/40012
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAdulten_US
dc.subject.meshDiabetes, Gestational --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLogistic Modelsen_US
dc.subject.meshMass Screeningen_US
dc.subject.meshPractice Guidelines as Topicen_US
dc.subject.meshPregnancyen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshThailand --epidemiologyen_US
dc.titleRisk factor-based selective screening program for gestational diabetes mellitus in Siriraj Hospital: result from clinical practice guideline.en_US
dc.typeJournal Articleen_US
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