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KCE reports vol. 6A Prenatale zorg 171
Study Ref Population Intervention
poor obstetric history
Outcomes Results Comments Study
type
EL
OÊSullivan 4 [491] 18,812 antenatal For 18,812: a venous For 18,812: 56.2% were negative to all factors; 43.8% had at least
CH 2b
et al.,
patients from blood sugar was proportion of one risk factor
1973
1954 to 1959 obtained at 1 hour after general antenatal
from Boston , 50-g GCT from all population (i.e., Sensitivity of GCT 79%
USA
women and risk factors excluding those with
and
were obtained from diagnosed GDM) Specificity of GCT 87%
752 pregnant clinical histories found to have one
women from 1956 Those with high blood or more risk factors
to 1957 (i.e., the sugar levels or risk Risk factors included
entire antenatal factors were scheduled birth of baby > 9 lb,
care population for GTT
history of adverse
from Boston City For 986: 1-hour, 50-g pregnancy outcome,
hospital during GCT compared with 3 and family history of
this period) hour, 100-g GTT diabetes
For 986: sensitivity
and specificity of 1hour,
50-g GCT
Gribble et 4 [494] 2,745 pregnant Retrospective analysis Sensitivity and Sensitivity 7%
CS 3
al.,
women in of urinanalysis specificity
1995
Wisconsin, USA compared with 24- and
Specificity 98%
from 1991 to 28 week blood glucose
1993
screening after 50-g
GCT followed by 100-g
OGTT for glucose
levels > 140 mg/dl from
50-g test
Hooper, 4 [495] 610 pregnant Retrospective analysis Glycosuria Glycosuria: 6 women with GDM and 9 without
CS 3
1996
women in of urinanalysis
GDM
Baltimore, USA compared with 50-g Sensitivity and
GCT between 24 and
28 weeks of gestation
specificity
No glycosuria: 7 with GDM and 588 without GDM
followed by 100-g, 3-
Sensitivity 46.2%