Korean J Perinatol.  1997 Dec;8(4):379-384.

Postpartum 75g Oral Glucose Tolerance Test in Mothers of Macrosimia

Abstract

Maternai diabetes is the most important known risk factor for development of fetal macrosomia. An attempt to study macrosomia and gestational diabetes was made using oral glucose tolerance test (OGTT) in early puerperium. Patients were divided into two groups: The macrosomia group was mothers who delivered largc fetuses over 4Kg. The control group was mothers who delivered normal weight fetuses (3.5-3.9Kg). The 75g OGTI' was done within 48 hours after delivery. The results were that 12% of the macrosomia group had abnormal glucose intolerance but only 2% of controi group showed an abnomal glucose level. Definite diabetes were not seen in either groups. In conclusion, if a glucose tolerance test has not been performed prenatally, the 75g oral glucose toleranre test has some usefulness within 48 hours postpartum in the macrosomia group which has the possibility of gestational diabetes.

Keyword

Gestational diabetes; Macrosomia

MeSH Terms

Diabetes, Gestational
Female
Fetal Macrosomia
Fetus
Glucose
Glucose Intolerance
Glucose Tolerance Test*
Humans
Mothers
Postpartum Period*
Pregnancy
Risk Factors
Glucose
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