What is a reason for early glucose screening during pregnancy?

Early glucose screening during pregnancy is primarily indicated for those who are overweight, particularly with a body mass index (BMI) greater than 25. This is because overweight and obesity are significant risk factors for developing gestational diabetes mellitus (GDM), which can negatively impact both maternal and fetal health.

Women with higher BMI have a greater likelihood of insulin resistance, which can further exacerbate the risk of glucose intolerance during pregnancy. Identifying and managing elevated glucose levels early can help mitigate potential complications such as macrosomia, preeclampsia, and increased likelihood of cesarean delivery, as well as long-term health issues for both mother and child.

While other factors such as age, history of infertility, or HIV status may influence care during pregnancy, they are not as directly linked to the need for early glucose screening as being overweight. Thus, identifying women at higher risk due to their BMI is crucial in early pregnancy care.