Start Date
5-15-2025 9:30 AM
End Date
5-15-2025 11:30 AM
Description
Background
- ~1 in 5 women of reproductive age are obese, with bariatric surgery increasing in popularity as an intervention
- Gestational diabetes mellitus (GDM) is associated with shoulder dystocia, polyhydramnios, weight >4500g, hypoglycemia, hyperbilirubinemia, NICU admission, respiratory distress, cesarean delivery, gestational hypertension (HTN), and Preeclampsia
- Adverse outcomes of GDM can be mitigated with early diagnosis and blood glucose management
- The glucose tolerance test (GTT) is the current gold standard for diagnosing gestational diabetes (GDM)
- Individuals with a history of bariatric surgery may not tolerate the sugar load or volume of the GTT
- The GTT may not accurately predict GDM in patients with a history of bariatric surgery
- There are no current ACOG guidelines for GDM screening in this population
Included in
Screening and Diagnosis of Gestational Diabetes, and Perinatal Outcomes in Patients with Bariatric Surgery History
Background
- ~1 in 5 women of reproductive age are obese, with bariatric surgery increasing in popularity as an intervention
- Gestational diabetes mellitus (GDM) is associated with shoulder dystocia, polyhydramnios, weight >4500g, hypoglycemia, hyperbilirubinemia, NICU admission, respiratory distress, cesarean delivery, gestational hypertension (HTN), and Preeclampsia
- Adverse outcomes of GDM can be mitigated with early diagnosis and blood glucose management
- The glucose tolerance test (GTT) is the current gold standard for diagnosing gestational diabetes (GDM)
- Individuals with a history of bariatric surgery may not tolerate the sugar load or volume of the GTT
- The GTT may not accurately predict GDM in patients with a history of bariatric surgery
- There are no current ACOG guidelines for GDM screening in this population
Comments
Presented at the 2025 Jefferson Health Equity and Quality Improvement (HEQI) Summit.