Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women
Objective. We examined the association between 1-hour glucose challenge test (GCT) values and risk of caesarean section. Study Design. A prospective cohort study recruited 203 pregnant Black women to participate. At ~28 weeks of gestation, participants underwent a routine 1-hour 50 g GCT to screen f...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Pregnancy |
| Online Access: | http://dx.doi.org/10.1155/2015/835613 |
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| _version_ | 1832553279642402816 |
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| author | Jerel M. Ezell Rosalind M. Peters Jessica E. Shill Andrea E. Cassidy-Bushrow |
| author_facet | Jerel M. Ezell Rosalind M. Peters Jessica E. Shill Andrea E. Cassidy-Bushrow |
| author_sort | Jerel M. Ezell |
| collection | DOAJ |
| description | Objective. We examined the association between 1-hour glucose challenge test (GCT) values and risk of caesarean section. Study Design. A prospective cohort study recruited 203 pregnant Black women to participate. At ~28 weeks of gestation, participants underwent a routine 1-hour 50 g GCT to screen for gestational diabetes mellitus. Logistic regression was used to examine the association between 1-hour GCT value and delivery mode. Results. Of the 158 participants included, 53 (33.5%) delivered via C-section; the majority (n=29; 54.7%) were nulliparous. Mean 1-hour GCT values were slightly, but not significantly, higher among women delivering via C-section; versus vaginally (107.8 ± 20.7 versus 102.4 ± 21.5 mg/dL, resp.; P=0.13). After stratifying by parity and adjusting for maternal age, previous C-section, and prepregnancy body mass index, 1-hour GCT value was significantly associated with increased risk of C-section among parous women (OR per 1 mg/dL increase in GCT value = 1.05; 95% CI OR: 1.00, 1.05; P=0.045). Conclusion. Even slightly elevated 1-hour 50 g GCT values may be associated with delivery mode among parous Black women. |
| format | Article |
| id | doaj-art-a28fa53f95e34bb2bb4ff450eea78b1a |
| institution | Kabale University |
| issn | 2090-2727 2090-2735 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Pregnancy |
| spelling | doaj-art-a28fa53f95e34bb2bb4ff450eea78b1a2025-02-03T05:54:29ZengWileyJournal of Pregnancy2090-27272090-27352015-01-01201510.1155/2015/835613835613Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black WomenJerel M. Ezell0Rosalind M. Peters1Jessica E. Shill2Andrea E. Cassidy-Bushrow3Department of Public Health Sciences, Henry Ford Hospital, Detroit, MI 48202, USACollege of Nursing, Wayne State University, Detroit, MI 48202, USADepartment of Endocrinology, Diabetes, and Bone and Mineral Disorders, Henry Ford Health System, Detroit, MI 48202, USADepartment of Public Health Sciences, Henry Ford Hospital, Detroit, MI 48202, USAObjective. We examined the association between 1-hour glucose challenge test (GCT) values and risk of caesarean section. Study Design. A prospective cohort study recruited 203 pregnant Black women to participate. At ~28 weeks of gestation, participants underwent a routine 1-hour 50 g GCT to screen for gestational diabetes mellitus. Logistic regression was used to examine the association between 1-hour GCT value and delivery mode. Results. Of the 158 participants included, 53 (33.5%) delivered via C-section; the majority (n=29; 54.7%) were nulliparous. Mean 1-hour GCT values were slightly, but not significantly, higher among women delivering via C-section; versus vaginally (107.8 ± 20.7 versus 102.4 ± 21.5 mg/dL, resp.; P=0.13). After stratifying by parity and adjusting for maternal age, previous C-section, and prepregnancy body mass index, 1-hour GCT value was significantly associated with increased risk of C-section among parous women (OR per 1 mg/dL increase in GCT value = 1.05; 95% CI OR: 1.00, 1.05; P=0.045). Conclusion. Even slightly elevated 1-hour 50 g GCT values may be associated with delivery mode among parous Black women.http://dx.doi.org/10.1155/2015/835613 |
| spellingShingle | Jerel M. Ezell Rosalind M. Peters Jessica E. Shill Andrea E. Cassidy-Bushrow Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women Journal of Pregnancy |
| title | Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women |
| title_full | Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women |
| title_fullStr | Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women |
| title_full_unstemmed | Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women |
| title_short | Association between Prenatal One-Hour Glucose Challenge Test Values and Delivery Mode in Nondiabetic, Pregnant Black Women |
| title_sort | association between prenatal one hour glucose challenge test values and delivery mode in nondiabetic pregnant black women |
| url | http://dx.doi.org/10.1155/2015/835613 |
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