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Master Thesis

Conformité du dépistage du diabète gestationnel : étude rétrospective au sein de la maternité du centre hospitalier Alpes Léman

Abstract : Aims : The French National College of Gynaecologists Obstetricians (CNGOF) made guidelines in 2010 on the detection of gestational diabetes mellitus (GDM). It recommends conducting targeted risk factors screening. The main aim was to determine if screening is carried out in accordance with these recommendations. Materials and methods : A retrospective and monocentric observational descriptive study was conducted at the maternity ward of the Alpes Léman Hospital Center. Patients who gave birth in July 2018 were evaluated for eligibility. Patients who were pregnant with a singleton and had regular follow-up at least one consultation per month were included. Patients with pre-existing diabetes, twin pregnancies and poorly followed patients were excluded. The primary endpoint was the percentages of patients screened according to the recommendations. Results : 202 patients were included, 114 with risk factors and 88 without. Among patients with at least a risk factor, 91.2% achieved fasting glucose. Of those with a risk factor who had either normal or unrealized fasting glucose, 78.8% had oral glucose tolerance test (OGTT). All patients with risk factors who had not been diagnosed GDM after pathological fasting glucose performed OGTT. Of those with no risk factors, 81.8% achieved fasting glucose and 52.3% achieved an OGTT. Conclusion : The CNGOF guidelines are partially followed. Screening for GDM should be improved, in particular in those who do not.
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https://dumas.ccsd.cnrs.fr/dumas-02283790
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Submitted on : Wednesday, September 11, 2019 - 11:18:20 AM
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Yamina Bouaziz. Conformité du dépistage du diabète gestationnel : étude rétrospective au sein de la maternité du centre hospitalier Alpes Léman. Gynécologie et obstétrique. 2019. ⟨dumas-02283790⟩

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