PREVALENCE OF GESTATIONAL DIABETES ACCORDING TO ONE-STEP ANDTWO-STEP SCREENING IN SARI RURAL AREAS, 2012-2014

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GHADIRI MARYAM; AARABI MOHSEN; ALIZADE ORIMI FATEME; AKHA OZRA; KHANI SOGHRA; BAHAR ADELEH; KASHI ZAHRA

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2018 | Volume:28 | Issue:159 Page(s): 46-55

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Title

PREVALENCE OF GESTATIONAL DIABETES ACCORDING TO ONE-STEP ANDTWO-STEP SCREENING IN SARI RURAL AREAS, 2012-2014

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Keywords

GESTATIONAL DIABETESQ2

SCREENINGQ3

75G TESTQ1

100G TESTQ1

ONE-STEPQ1

TWO-STEPQ1

Abstract

Background and purpose: All pregnant women should be screened for diabetes mellitus. Inthis regard, two strategies are proposed that superiority of these two is still not clear. The aim of this studywas to investigate the prevalence of GESTATIONAL DIABETES mellitus (GDM) according to theserecommended strategies, (one-step and TWO-STEP glucose tolerance tests) in pregnant women attendinghealth centers in rural areas of Sari, Iran during 2012-2014. Materials and methods: In this cross-sectional study, the medical records of pregnant womenwere randomly selected using cluster sampling. In Sari rural areas, the GESTATIONAL DIABETES mellitusscreening had been done by TWO-STEP (50-g and 100-g) and ONE-STEP (75-g) tests in 2012 and 2014, respectively. Demographic data and the results of the glucose tolerance tests were extracted from therecords and the frequency and odds ratios were calculated with a confidence interval of 95%. Results: Totally, 627 subjects (one-step n= 317 and TWO-STEP n=310 patients) were investigated. The mean ages in those screened by ONE-STEP and TWO-STEP tests were 26. 6± 4. 1 and 26. 5± 4 years, respectively (P= 0. 843). The mean values for BMI, history of pervious GESTATIONAL DIABETES andmacrosomal baby delivery and diabetes familial history were not significantly different between the twogroups. According to ONE-STEP SCREENING, the prevalence of GDM was 38. 5% (CI95%: 33. 1-44. 1) while, the TWO-STEP test showed a prevalence rate of 4. 2% (CI95%: 2. 3-7. 1) (P< 0. 0001) OR=14. 3 (CI95%: 7. 8-26. 0). Conclusion: Prevalence of GESTATIONAL DIABETES mellitus is estimated to be much higher in onestepcompared with that of the TWO-STEP SCREENING. But, maternal and fetal benefits of this method should beassessed more accurately.

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APA: Copy

GHADIRI, MARYAM, AARABI, MOHSEN, ALIZADE ORIMI, FATEME, AKHA, OZRA, KHANI, SOGHRA, BAHAR, ADELEH, & KASHI, ZAHRA. (2018). PREVALENCE OF GESTATIONAL DIABETES ACCORDING TO ONE-STEP ANDTWO-STEP SCREENING IN SARI RURAL AREAS, 2012-2014. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 28(159 ), 46-55. SID. https://sid.ir/paper/44163/en

Vancouver: Copy

GHADIRI MARYAM, AARABI MOHSEN, ALIZADE ORIMI FATEME, AKHA OZRA, KHANI SOGHRA, BAHAR ADELEH, KASHI ZAHRA. PREVALENCE OF GESTATIONAL DIABETES ACCORDING TO ONE-STEP ANDTWO-STEP SCREENING IN SARI RURAL AREAS, 2012-2014. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2018;28(159 ):46-55. Available from: https://sid.ir/paper/44163/en

IEEE: Copy

MARYAM GHADIRI, MOHSEN AARABI, FATEME ALIZADE ORIMI, OZRA AKHA, SOGHRA KHANI, ADELEH BAHAR, and ZAHRA KASHI, “PREVALENCE OF GESTATIONAL DIABETES ACCORDING TO ONE-STEP ANDTWO-STEP SCREENING IN SARI RURAL AREAS, 2012-2014,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 28, no. 159 , pp. 46–55, 2018, [Online]. Available: https://sid.ir/paper/44163/en

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