Díaz MLA, Herrera VJE, Quiroga HA

Language: Spanish
References: 11
Page: 132-137
PDF size: 155.50 Kb.

ABSTRACT

Objective: To establish proof of oral glucose tolerance modified by Carpenter with macrosomic fetus as diagnosis gestational Diabetes. Materials and methods: With an observational study, a prospective, cross-sectional, case-control puerpera 112 women were evaluated at the Hospital Materno Infantil ISSEMyM, under informed consent was made an initial determination and two subsequent (interval 1 and 2 hours) to the oral ingestion of a load of 100 g of glucose to all patients in the early postpartum period, 48 hours there to and with a history of fetuses with greater weight to the 90 percentile for cases and those between 10 and 90 percentile for the controls, according table Betaglia (NOM 007). We used the formula as modified by Carpenter and was established as proof positive values greater than or equal to 110 mg/dL, focused information in a database program SPSS version 14, developed histograms and graphs, as well as assessment of the sensitivity and specificity. Results: The 112 patients puerperal women with a minimum age of 18 years and maximum of 49 years. Identifying an average of fetal weight of 4,029 g and increased weight during pregnancy of 14 kg in the case group, the group controls was an average of fetal weight of 3,180 g. And an average increase in weight during pregnancy of 12 kg. Taking an odds ratio of 7.8 with a history of macrosomic fetus and 1 in previous deaths. We obtained 45 positive cases (glucose greater than 110 mg/dL) in the case group and 12 positive cases in the control group and validation of the test fearlessness sensitivity of 80.4% and specificity of 78.6% with a positive predictive value of 78.9 and a negative predictive value of 80.0%, with an odds ratio of 15%. Conclusions: Evidence of oral glucose tolerance in the postpartum period is modified by Carpenter quickly and effectively determines that the possibility of the completion of gestational diabetes by 80%, accepted our hypothesis. The background inherit family diabetes mellitus, macrosomic fetus previous deaths, BMI and weight gain during pregnancy are important risk factors. Suggestions: Perform test oral glucose modified by Carpenter within the first 48 hours to detect macrosomic product.

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