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Titolo:
Association of the low 50 g-glucose challenge test in pregnancy and fetal retardation
Autore:
Buhling, KJ; Henrich, W; Lubke, M; Starr, E; Dudenhausen, JW;
Indirizzi:
Humboldt Univ, Fak Med, Univ Klinikum,Klin Geburtsmed, Charite Campus Virchow Klinikum, D-13353 Berlin, Germany Humboldt Univ Berlin Germany D-13353 w Klinikum, D-13353 Berlin, Germany
Titolo Testata:
ZEITSCHRIFT FUR GEBURTSHILFE UND NEONATOLOGIE
fascicolo: 2, volume: 205, anno: 2001,
pagine: 39 - 42
SICI:
0948-2393(200103/04)205:2<39:AOTL5G>2.0.ZU;2-8
Fonte:
ISI
Lingua:
GER
Soggetto:
METABOLISM; CARBOHYDRATE; GROWTH;
Keywords:
gestational diabetes; fetal retardation; fuel-mediated teratogenesis; nutrition;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Buhling, KJ Humboldt Univ, Fak Med, Univ Klinikum,Klin Geburtsmed, ChariteCampus Virchow Klinikum, Augustenburger Pl 1, D-13353 Berlin, Germany Humboldt Univ Augustenburger Pl 1 Berlin Germany D-13353 many
Citazione:
K.J. Buhling et al., "Association of the low 50 g-glucose challenge test in pregnancy and fetal retardation", Z GEBU NEON, 205(2), 2001, pp. 39-42

Abstract

Background: The connection between elevated blood sugar and macrosomia is sufficiently well known and studied. The following study, however, examineswhether patients with lower blood sugar values - based on the result of the 50 g-glucose screening test - delivered smaller children than patients with normal blood sugar based on the current criteria of blood sugar levels. Patients respectively and methods: In this study, all patients were included who visited our Prenatal Counseling Center between September 21, 1994 and July 31, 1996. Not included were patients with one-hour values greater orequal to 140 mg/dl. For assessing the 50 g-screening tests, percentiles were used. Based on the tables of Voigt, children below the 10th percentile were considered to be growth retarded. The student's t-test and chi-square test were employed as statistical tests. Results: Of the 1416 participating patients in the study, 868 fulfilled the aforementioned criteria. A significant statistical correlation was shown between the development of fetal retardation and nicotine consumption, weight gain, and maternal height. It was also shown that patients with a lower (< 93 mg/dl) 50 g-screening test more often delivered a retarded child thanpatients with a normal value (23% vs. 12%, p = 0.034). No significant connection was found between the screening test groups and the described influencing factors. The clinical outcome, measured by the Apgar-scores and the transferal rate, was statistically significantly worse with the retarded children. Conclusions: The maternal glucose metabolism influences the fetal growth not only with respect to macrosomia but also growth retardation. The growth curves that have been used until now wrongly do not take into considerationthe maternal anthropometric data. In light of this, the former ought to bereevaluated. The data of this study emphasize the necessity of need-adapted nutrition. Maybe also pregnant women with a growth retarded child need a dietary consultation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 12:27:13