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Archives of Gynecology and Obstetrics

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Open Access 01-02-2019 | Maternal-Fetal Medicine

The participation rate of migrant women in gestational diabetes screening in Austria: a retrospective analysis of 3293 births

Authors: Christoph Weiss, Peter Oppelt, Richard Bernhard Mayer

Published in: Archives of Gynecology and Obstetrics | Issue 2/2019

Abstract

Purpose

This study evaluated the extent to which migrant women participate in the mandatory oral glucose tolerance test (OGTT) for gestational diabetes mellitus (GDM) screening in Austria.

Methods

A retrospective data analysis was carried out of births at an obstetrics unit in a university hospital between January 2013 and December 2015. The inclusion criteria were singleton pregnancies, live births, birth weight ≥ 3500, and no preexisting diabetes mellitus. The patient’s extramurally obtained OGTT values and history of GDM were checked. If the mother’s country of birth was not Austria, the woman was classified as a migrant. Three groups were defined: group 1—women with normal OGTT; group 2—women with pathological OGTT; and group 3—women without OGTT or with an incomplete OGTT.

Main outcome measures: Numbers of complete and incomplete OGTTs and rate of women with pathological OGTTs not treated in accordance with the guidelines among mothers born in Austria or migrants. The groups were compared using the t-test, chi-squared test, or Fisher’s exact test.

Results

A total of 3293 births met the inclusion criteria, and 43.52% of all mothers were migrants; 16.8% of all women had pathological OGTT findings. Only 60.1% of the latter received treatment in accordance with the guidelines. The proportion of mothers born in Austria who did not have OGTTs, or only incomplete ones, was 5.4%. In the group of migrant women, the corresponding figure was 10.5% (P < 0.01).

Conclusions

Migrant women have significantly lower rates of participation in GDM screening.

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Title: The participation rate of migrant women in gestational diabetes screening in Austria: a retrospective analysis of 3293 births
Authors: Christoph Weiss
Peter Oppelt
Richard Bernhard Mayer
Publication date: 01-02-2019
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 2/2019
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-018-4964-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The participation rate of migrant women in gestational diabetes screening in Austria: a retrospective analysis of 3293 births

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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