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Master Thesis

Diabète gestationnel : comparaison de deux stratégies de dépistage : étude rétrospective sur deux cohortes en 2010 et 2011

Abstract : Objective: to compare two screening approaches for gestational diabetes mellitus used in two different periods in the Department of Obstetrics and Gynecology of the CHU in Grenoble. The first period corresponds to patients screened with O'Sullivan's test/test HGPO in 100g and the second one to the test HGPO in 75g. Material and methods : retrospective and monocentric descriptive study. 350 female patients included in the group n°1 (deliveries from the 1st of January to the 16th of February 2010, we used O'Sullivan's test/test HGPO in 100g). 350 female patients included in the group n°2 (deliveries from the 1st of January to the 17th of February 2011, we used the test HGPO in 75g). Then women suffering from diabetes before their pregnancy and who were not screened for were excluded. Results : the prevalence of the gestational diabetes mellitus was similar : 17.3% in 2010 and 16.16% in 2011. Health care was improved in 2011 with a better follow-up of the capillary blood and more frequent appointments with a diabetologist. The insulin therapy and the complications during the pregnancy and the delivery were similar in both groups. A quarter of the patients suffering from diabetes had no risk factor. Conclusion : contrary to the results of the HAPO study, the gestational diabetes mellitus in our health care centre was not higher during 2011. The complications during the pregnancy and the delivery were similar in the two groups.
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Master Thesis
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Submitted on : Thursday, May 24, 2012 - 5:11:47 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
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Béryl Marry-Rodot. Diabète gestationnel : comparaison de deux stratégies de dépistage : étude rétrospective sur deux cohortes en 2010 et 2011. Médecine humaine et pathologie. 2012. ⟨dumas-00701198⟩

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