Aldrich C J, Moran P A, Gillmer M D
Women's Centre, John Radcliffe Hospital, Oxford, UK.
J Obstet Gynaecol. 1999 Nov;19(6):575-9. doi: 10.1080/01443619963752.
To determine the attitudes of British obstetricians to screening for gestational diabetes a postal questionnaire survey was undertaken. A questionnaire was sent to a single obstetrician in each of 255 obstetric hospitals identified in the United Kingdom. Of the 189 (75%) units that replied, only 42.3% had a protocol for screening for gestational diabetes. Routine antenatal screening was performed by urinalysis and blood glucose tests in 89.4% and 32.8% of units respectively. Clinical risk factors were used as an indication for routine blood glucose testing in 91.5% units. Following a positive screening test 54.5% of units performed a 75 g oral glucose tolerance test (GTT) and of these 64% relied on the World Health Organisation diagnostic criteria to interpret the result. There currently appears to be widespread variation in the practice of screening for gestational diabetes in the United Kingdom.
为了确定英国产科医生对妊娠期糖尿病筛查的态度，我们进行了一项邮寄问卷调查。问卷被寄给了英国确定的255家产科医院中的每一家的一名产科医生。在回复的189家（75%）单位中，只有42.3%有妊娠期糖尿病筛查方案。分别有89.4%和32.8%的单位通过尿液分析和血糖测试进行常规产前筛查。91.5%的单位将临床风险因素作为常规血糖测试的指征。筛查试验呈阳性后，54.5%的单位进行了75克口服葡萄糖耐量试验（GTT），其中64%依靠世界卫生组织的诊断标准来解释结果。目前，英国在妊娠期糖尿病筛查的实践中似乎存在广泛差异。
