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
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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