Prevalence of gestational diabetes mellitus according to IADPSG and NICE criteria

Autor: Josip Djelmis, Mato Pavić, Vjosa Mulliqi Kotori, Marina Ivanišević, Ivana Pavlić Renar, Slavko Orešković
Rok vydání: 2016
Předmět:
Adult
Fetal morbidity
Gestational diabetes mellitus
IADPSG criteria
Maternal morbidity
NICE criteria
Pediatrics
medicine.medical_specialty
Singleton pregnancy
Croatia
Nice
030209 endocrinology & metabolism
Perinatal outcome
State Medicine
Fetal Macrosomia
Odds
03 medical and health sciences
0302 clinical medicine
Pregnancy
Fetal morbidityGestational diabetes mellitus
IADPSG criteriaMaternal morbidityNICE criteria
Odds Ratio
Prevalence
medicine
Humans
Oral glucose tolerance
Societies
Medical
Retrospective Studies
computer.programming_language
030219 obstetrics & reproductive medicine
Obstetrics
Cesarean Section
business.industry
Infant
Newborn
Pregnancy Outcome
Obstetrics and Gynecology
Retrospective cohort study
General Medicine
Odds ratio
Glucose Tolerance Test
Delivery
Obstetric
medicine.disease
Gestational diabetes
Diabetes
Gestational
Increased risk
Female
business
computer
Zdroj: International Journal of Gynecology & Obstetrics. 135:250-254
ISSN: 0020-7292
Popis: Objective To investigate the impact of the International Association of Diabetic Pregnancy Study Group (IADPSG) diagnostic criteria on the prevalence of gestational diabetes mellitus (GDM) and overt diabetes as compared with the UK National Institute for Health and Care Excellence (NICE) criteria, and to evaluate the prevalence of maternal and perinatal outcomes among pregnant women with fasting plasma glucose (FPG) levels of 5.1–5.5 mmol/L. Methods A retrospective study was undertaken of data for women who underwent a 2-hour 75-g oral glucose tolerance test at 24–32 weeks of a singleton pregnancy at a center in Croatia between January 2012 and December 2014. Results Among 4646 included women, 1074 (23.1%) had GDM according to IADPSG criteria, 826 (17.8%) would be diagnosed according to NICE criteria, and 50 (1.1%) had overt diabetes. FPG levels were 5.1–5.5 mmol/L for 409 (8.8%) women. Compared with a control group (n = 3391), these women had higher odds of large-for-gestational-age newborns (odds ratio 3.7, 95% CI 2.0–4.6) and cesarean delivery (odds ratio 1.8, 95% CI 1.3–2.3). Conclusion Women with FPG levels of 5.1–5.5 mmol/L have an increased risk of adverse maternal and perinatal outcome, although they would not be diagnosed with GDM according to NICE criteria.
Databáze: OpenAIRE
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