Screening for First Trimester’s Hyperglycemia in High and Low Risk Pregnancy: A Prospective Cohort Study | ||
| Sohag Medical Journal | ||
| Volume 29, Issue 3, 2025, Pages 94-98 PDF (938.85 K) | ||
| Document Type: Review Article | ||
| DOI: 10.21608/smj.2025.410538.1602 | ||
| Authors | ||
| Amira Ahmed Mohammed* 1; Mohammed Samir Ismail2; Osman Abdelkareem Mohammed2 | ||
| 1obestetric and gynecology department faculty of medicine sohag university | ||
| 2obstetric and gynecology department faculty of medicine sohag university | ||
| Abstract | ||
| Introduction: Hyperglycemia increases the risk of delivering a large for gestational age newborn (LGA) and related complications such as operative delivery, birth trauma and the poor adaptation of the newborn. The aim of this work was to detect cases of hyperglycemia in pregnancy (HIP) as early as possible; this gives the chance to initiate treatment early to achieve euglycemic state during the critical period of organogenesis. Methods: This prospective cohort study carried out on 218 pregnant ladies during their first trimester who were tested for the presence of hyperglycemia. They were divided into two groups: high risk women: (n=96) and low-risk women: (n=122) Results: Fasting blood glucose (FBG), first hour postprandial, 2nd hour postprandial and glycated hemoglobin (HbA1c) in the first and second visit were significantly higher in high risk than low risk (P<0.05). Ten out of those 13 women, blood glucose level could be controlled on diet control and exercise and 3 cases only needed metformin to be added to the regimen all of them were in the high-risk group. FBG and 2hr postprandial were significantly higher in first visit than second visit (P<0.05). | ||
| Keywords | ||
| First Trimester; Hyperglycemia; High and Low Risk; Pregnancy | ||
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