Background Aboriginal women in the remote Northern Territory (NT) experience high rates of adverse pregnancy outcomes related to hyperglycaemia in pregnancy. Oral glucose tolerance test (OGTT) screening was recommended in early pregnancy but barriers to uptake exist.
Objectives To examine uptake of screening for hyperglycaemia in pregnancy among Aboriginal women in remote NT communities and explore adverse pregnancy outcome rates among women who did not have early OGTT screening compared with women who did undergo screening in early pregnancy and those with pre-existing diabetes. Design Retrospective observational cohort study of pregnancies among Aboriginal women in remote NT clinics from January 2017 to December 2019.
Screening for hyperglycaemia in pregnancy included having an early OGTT ( Results Among 1191 pregnancies in 52 remote communities, pre-existing type 2 diabetes (T2D) was diagnosed in 6.4% (n=76) and gestational diabetes mellitus (GDM) was diagnosed in 13% (154/1191). Excluding women with pre-existing diabetes, 226 (20%) had an early OGTT.
BMJ Open published a clinical update in Research Highlights on 19 May 2026.
The item focuses on Screening for hyperglycaemia in pregnancy and pregnancy outcomes among Aboriginal women in remote communities of the Northern Territory, Australia: a retrospective cohort study.
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