Benefits Limited for Early Gestational Diabetes Screening
Screening pregnant women with obesity for gestational diabetes before 20 weeks of pregnancy did not lead to any improved maternal or neonatal outcomes compared with doing routine screening between 24 and 28 weeks, according to research presented at the Pregnancy Meeting sponsored by the Society for Maternal-Fetal Medicine. There is increasing evidence that early screening does not reduce the risk of adverse perinatal outcomes. The increasing number of studies that have demonstrated no benefit in reducing adverse perinatal outcomes leads to consideration to revise recommendations for early screening.
@milan Obesity is a known risk factor for impaired glucose metabolism and for gestational diabetes. American College of Obstetricians and Gynecologists (ACOG) currently recommends early screening for gestational diabetes in patients with certain risk factors, including obesity, a history of first-degree relatives with diabetes, or a history of gestational diabetes, impaired glucose tolerance, poor pregnancy outcomes, fetal demise, congenital abnormalities, or birth of an infant large for gestational age.