Change in prevalence of gestational diabetes and obstetric complications when applying IADPSG screening criteria in a Belgian French speaking University Hospital. A retrospective cohort study
Autor: | Christine Kirckpartick, Sara Derisbourg, An Vercoutere, Caroline Daelemans, Axelle Pintiaux, Sophie Haumont, Colette Gerday, Elena Costa, Aricia De Kempeneer |
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Rok vydání: | 2019 |
Předmět: |
Obstétrique
Male Neonatal intensive care unit Infant Newborn Diseases -- classification -- epidemiology Mass Screening -- methods -- organization & administration Infant Newborn Diseases IADPSG criteria Gynécologie Belgium Pregnancy Prevalence Mass Screening Prenatal Care -- methods -- standards education.field_of_study Obstetrics Pregnancy Outcome Obstetrics and Gynecology Gestational age Prenatal Care Gestational diabetes Apgar score Female Obstetric Labor Complications -- classification -- epidemiology Research Article Adult Diagnostic Screening Programs Gestational diabetes Mellitus medicine.medical_specialty Population lcsh:Gynecology and obstetrics Shoulder dystocia medicine Belgium -- epidemiology Humans education Diagnostic Screening Programs -- standards -- statistics & numerical data lcsh:RG1-991 Retrospective Studies Two step criteria business.industry Neonatal hypoglycemia Infant Newborn Retrospective cohort study Obstetric outcomes medicine.disease Obstetric Labor Complications Diabetes Gestational -- diagnosis -- epidemiology Diabetes Gestational Pregnancy Outcome -- epidemiology business |
Zdroj: | BMC Pregnancy and Childbirth BMC Pregnancy and Childbirth, Vol 19, Iss 1, Pp 1-8 (2019) BMC pregnancy and childbirth, 19 (1 |
ISSN: | 1471-2393 |
Popis: | Background: In April 2012 our institution chose to switch from a two- step criteria for Gestational Diabetes Mellitus (GDM) screening, to the International Association of Diabetes in Pregnancy Study Group (IADSPG) criteria. This shift led to an increased prevalence of GDM in our pregnant population. We designed a study in order to estimate the magnitude of the increase in GDM prevalence before and after the switch in screening strategy. As a secondary objective we wanted to evaluate if there was a significant difference between the two periods in the percentage of maternal and neonatal complications such as gestational hypertensive disorders (GHD), primary cesarean section (pCS), preterm birth, large for gestational age (LGA) newborns, macrosomia, shoulder dystocia, 5′ Apgar score less than to 7 at birth, neonatal intensive care unit (NICU) transfer and neonatal hypoglycemia. Methods: We selected retrospectively 3496 patients who delivered between January 2009 and December 2011 who were screened with the two-step criteria (group A), and compared them to 2555 patients who delivered between January 2013 and December 2014 and who were screened with IADPSG criteria (Group B). We checked patients' electronic files to establish GDM status, baseline characteristics (age, body mass index, nationality, parity) and the presence of maternal and neonatal complications. Results: GDM prevalence increased significantly from group A (3.4%; 95%CI 2.8-4.06%) to group B (16.28%; 95%CI 14.8 -17.7%). In group B there were significantly more non-Belgian and primiparous patients. There was no statistically significant difference in maternal and neonatal complications between the two groups, even after adjustment for nationality and parity. There was a non-significant reduction of the proportion of macrosomic and of LGA babies. Conclusions: In our population the introduction of IADPSG screening criteria has increased the prevalence of GDM without having a statistically significant impact on pregnancy outcomes. SCOPUS: ar.j info:eu-repo/semantics/published |
Databáze: | OpenAIRE |
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