Mires G J, Williams F L, Harper V
Department of Obstetrics and Gynaecology, Ninewells Hospital and Medical School, Dundee, UK.
Diabet Med. 1999 Feb;16(2):138-41. doi: 10.1046/j.1464-5491.1999.00011.x.
To identify current screening practices for gestational diabetes mellitus (GDM) in all maternity units.
A questionnaire was sent to the senior obstetrician of all obstetric units known to the UK Royal College of Obstetricians and Gynaecologists.
A response rate of 84% was achieved. 89% of units reported that they screened for GDM with a wide variation in the screening methods used, both between and within units. The most commonly employed procedure (81% of units) was screening based on the presence of maternal risk factors. The 75 g oral glucose tolerance test (OGTT) was the commonest diagnostic test (79% of units). Sixty-six per cent of units operate a combined diabetic antenatal clinic and 58% of units have written guidelines for screening. Seventy-six per cent of units would welcome national guidelines.
The majority of obstetric units in the UK screen for GDM but with little consensus on the appropriate screening methods. National guidelines would probably be welcomed.
确定所有产科单位目前对妊娠期糖尿病（GDM）的筛查方法。
向英国皇家妇产科学院已知的所有产科单位的资深产科医生发送了一份调查问卷。
问卷回复率为84%。89%的单位报告称他们对GDM进行筛查，各单位之间以及单位内部所使用的筛查方法差异很大。最常用的程序（81%的单位）是基于孕妇风险因素进行筛查。75克口服葡萄糖耐量试验（OGTT）是最常用的诊断测试（79%的单位）。66%的单位设有糖尿病产前联合门诊，58%的单位有书面筛查指南。76%的单位欢迎制定国家指南。
英国大多数产科单位对GDM进行筛查，但在合适的筛查方法上几乎没有共识。国家指南可能会受到欢迎。
