Prospective evaluation of our protocol for screening gestational diabetes by O'Sullivan's test

Objectives. - We evaluated prospectively our protocol for screening diabetes during pregnancy. Patients and methods. -We applied recommendations of the French National College for Obstetricians and Gynecologists with screening by O'Sullivan's test and HGPO with 100 g when the result was greater than 1.40g/l. This protocol was discussed and approved by our team including a neonatalogist. Results. -We included 780 patients delivered between the 1(st) January and the 1(st) October 2005. Between them, 628 were screened (80.5%) and 39 presented gestational diabetes (39/628=6.2%). Fetal ultrasound at 38 weeks of amenorrhea was included in our protocol but applied only for 25.8% of our patients. In the subgroup with gestational diabetes, the rate of induction of tabor was 38.4% (15/39), with a cesarean delivery for 23% (9/39) and macrosomia for 20.5% (8/39) of the newborn. Conclusions. - This study showed us that we have to improve the application of our protocol and to try to obtain a shorter time between the two test, O'Sullivan and HGPO, when performed. (C) 2008 Elsevier Masson SAS. Tous droits reserves.