Postpartum compliance to oral glucose tolerance test |
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| Authors: | Rey E Cumyn A Michon N Morin F |
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| Affiliation: | 1. Division of Cardiology, Children''s Healthcare of Atlanta, Atlanta, GA;2. Osaka Women''s and Children''s Hospital, OSA, Japan;3. Division of Pediatrics, Emory University, Atlanta, GA;4. School of Medicine, Emory University, Atlanta, GA;5. Division of Cardiology, Columbia University Vagelos College of Physicians and Surgeons, Columbia University, New York, NY |
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| Abstract: | ObjectivesThe main objective of this study is to compare the rate of adherence to GTT done six weeks postpartum (early GTT) to the one performed three months or more after delivery (late GTT). The secondary objective is to determine factors associated to non-adherence to GTT.Materials and methodsThis is a retrospective study involving women with GDM who delivered in 1998 (late GTT; N = 229) and 2003 (early GTT; N = 244). We retrieved maternal, pregnancy, newborn and GDM parameters. Statistical analyses include the χ2 test and logistic regression analysis.ResultsThe rate of adherence to early GTT (77.1%) was statistically higher than the one observed for late GTT (45.6%; P < 0.001). The factors identified as predictors of non-adherence were the year of delivery, parity ≥ 2, problem of adherence to GDM treatment, and no breastfeeding six weeks after delivery.ConclusionGTT performed six weeks after delivery increases the adherence to the test. The factors associated with non-adherence are more related to personal matters than to GDM. |
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