Periodic health examination, 1992 update: 1. Screening for gestational diabetes mellitus


Table 1: Effect of a screening program for gestational diabetes mellitus to prevent adverse outcomes related to macrosomia*
No. of live births in Canada in 1988**
Incidence rate of gestational diabetes, %
Frequency of macrosomia if gestational diabetes
Not treated, %
Treated, % Incidence rate of clavicular fracture in infants with macrosomia, %
Incidence rate of brachial plexus injury in infants with macrosomia, %
369 308
3

30
12
5.5
2.5
No. of women with gestational diabetes
No. of infants delivered with macrosomia
Adverse outcome, no. of cases prevented
Macrosomia
Clavicular fracture
Brachial plexus injury
11 079
1 329

1 994
109
50
*This assumes that the program is totally effective.
**Unpublished data, Statistics Canada, Ottawa.

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