Selective versus Universal Screening for Gestational Diabetes Mellitus: An Evaluation of Naylor's Model

作者：Minsart Anne Frederique^*; Lescrainier Jean Paul; Vokaer Alain

来源：Gynecologic and Obstetric Investigation, 2009, 68(3): 154-159.

DOI：10.1159/000229022

• Gestational diabetes mellitus
• Universal screening
• Selective screening

Aim: Selective screening for gestational diabetes is still a subject of debate. The aim of this study was to determine the effectiveness of a selective screening strategy for diagnosing gestational diabetes in our setting. This strategy rests on a scoring system that assigns women to different risk categories according to the presence of risk factors such as overweight, older age and ethnicity. Methods: We compared the rate of diagnosed gestational diabetes according to universal screening and selective screening between two periods of time. Results: The selective screening strategy allowed only 15% of women to avoid screening and was associated with a 50% decrease in diagnosed gestational diabetes. Conclusion: The two-threshold approach did not detect similar proportions of women with gestational diabetes compared with universal screening. Half the cases were missed and most women still needed to be screened.

• 出版日期2009