The validity of single step test (DIPSI) for screening for GDM in all trimesters of pregnancy
Journal Title: Obs Gyne Review: Journal of Obstetric and Gynecology - Year 2015, Vol 1, Issue 2
Abstract
Purpose: To evaluate the validity of DIPSI, (Diabetes and Pregnancy Study Group India) a single step test, as a screening tool for GDM and to find out the incidence and onset of GDM with respect to period of gestation. Materials and Methods: One year prospective study was conducted on 300 antenatal women in all three trimesters with DIPSI – Single step test. DIPSI positive patients underwent diagnostic OGTT, by 75 gm glucose. Patients were diagnosed as GDM by WHO Criteria (1999). Results: DIPSI had sensitivity of 100%, specificity of 94.6%. Of the 300 patients subjected to the study, overall incidence of GDM was 25.3% and 0.7% were diagnosed with overt diabetes. During the first trimester 4% had GDM whereas 0.7% had overt diabetes. During the second and third trimester 12.5% and 15.3 % of patients were newly diagnosed with GDM respectively. Conclusion: This evidence not only validates DIPSI as simple and efficient screening test but also emphasizes the importance of subjecting all the pregnant women in all 3 trimesters to test for screening for GDM. And therefore this test should become part of the routine antenatal investigations.
Authors and Affiliations
Susheela Gayam, Paaka Madhurima, Sashikala Paul, Mythili Tallavajhula
Keywords
Related Articles
- EP ID EP331994
- DOI 10.17511/jobg.2015.i2.02.
- Views 177
- Downloads 0
Fetal Kidney Length for Determining Gestational Age in Third Trimester
Introduction: Accurate gestational age assessment is important in obstetric care. Ultrasonography plays a significant role in determination of Gestational Age. The ultrasonographic parameters used for GA determination ar...
Evaluation of Endometrium in Postmenopausal bleeding women
Background: Postmenopausal bleeding (PMB) is one of the most frequent reasons for referral to gynecologist Objective: To investigate the clinical implication and endometrial pathological changes in patients with postmeno...
Heme iron polypeptide in treatment of anemia inpregnancy
Introduction: Treatment of iron deficiency anemia with non-heme iron salts still remains a challenge. The negative influence of various dietary elements and medications slows the absorption of iron from iron salts which...
Husband’s participation in birth preparedness and complication readiness
Introduction: Pregnancy and childbirth continue to be viewed as solely a woman’s issue. Finding a male companion at antenatal care is rare. Husbands in patriarchal societies of developing countries are often identified a...
Unusual presentation of schistosomiasis as vulval polyp
Background: Schistosomiasis is a water borne disease caused by Schistosoma. It is the third most devastating tropical disease in the world, being a major source of morbidity and mortality for developing countries. Althou...