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Background: Gestational diabetes mellitus (GDM) increases the risk for adverse pregnancy outcomes. In 2012, a general screening for GDM was introduced in Germany. Methods: The analysis is based on data from the external inpatient quality assurance for obstetrics from the years 2013 to 2021. Women with pregestational diabetes were excluded. GDM was defined either by documentation in the maternity record or by ICD diagnosis O24.4 during hospitalisation. We reported the prevalence stratified by year, maternal age and regional socioeconomic deprivation. Results: The age-standardized prevalence of GDM continuously rose from 4.7 % in 2013 to 8.5 % in 2021. The increase was observed in all age groups. In 2021, this corresponded to 63,563 women with GDM. The prevalence was higher in highly deprived regions than in low deprived regions. Conclusion: A steady increase in GDM prevalence and evidence of health inequalities emphasise the need for primary prevention strategies for GDM.

The Innovation Committee at the Joint Federal Committee published eight decisions on dealing with project results on August 16, 2024. Insights from various projects were presented, including the Family-SCOUT project for the care of families with a parent suffering from cancer, the GestDiNa_basic project for postpartum care in gestational diabetes, and the OMPRIS project for the development of low-threshold online addiction support. The results of the projects are intended to be used to improve healthcare. This article presents the results of two health projects. The OMPRIS project developed an online motivation program to reduce problematic media consumption in cases of computer game addiction and internet addiction. The PROMPt project tested a routine risk screening for early detection of emotional disorders and behavioral abnormalities in children. The results of both projects will be disseminated to various stakeholders to assess their potential implementation in practice. [Extracted from the article]

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Gestational diabetes mellitus (GDM) is an important risk factor for pregnancy complications. Since 2012, the Federal Joint Committee’s maternity directive recommends a two-step screening for GDM with a pre-test and subsequent diagnostic test if the pre-test is positive. This study analyses the implementation and development over time of GDM screening participation and prevalence in Germany. The data basis is the external inpatient obstetrics quality assurance documentation, which covers all births in hospital. Women with diabetes before pregnancy were excluded. The study defined women as GDM cases if the condition was documented in maternity records or if the ICD-10 diagnosis O24.4 was coded for inpatients at discharge and figures were determined for the years 2013 to 2018. As the documentation of screening tests has only been included in the data set since 2016, screening participation for the years 2016 to 2018 were estimated and evaluated based on the pre-test and/or diagnostic tests documented in maternity records. In 2018, the majority of all women who gave birth in hospitals had had a pre-test conducted (65.0%) or a pre-test and diagnostic test (18.2%) in line with the two-step procedure. A further 6.7% received a diagnostic test alone. GDM screening participation increased over time from 83.4% in 2016 to 89.9% in 2018. The prevalence of a documented GDM increased from 4.6% to 6.8% between 2013 and 2018. In 2018, this equates to 51,318 women with GDM. Reliably assessing the extent and causes of this development will require continuous analyses of screening implementation, documentation and changes in maternal risk factors.

Background: Insomnia and reduced sleep are among the most common complaints during pregnancy, especially in the third trimester. Approximately 66–94 % of all pregnant persons report sleep problems, which are associated with negative physical and psychological consequences for the pregnant individual and the unborn child. Objectives: Analysis of published studies on the prevalence of sleep disorders in pregnancy, possible causes and consequences, and existing treatment options. Methods: A systematic literature search was performed in the PubMed and Google Scholar databases using the keyword pregnancy combined with the terms: sleep, sleeping, insomnia, sleep disorder, apnea, sleep disorder and treatment, and sleep disorder and CBT. Only original English-language studies or reviews of pregnant and, when a control group was used, of nonpregnant individuals were included. The recommendations of the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) were followed where applicable. Results: Pregnant persons show a higher prevalence for insomniac complaints. Reciprocal correlations between sleep disorders, sleep-disordered breathing, and gestational diabetes are also shown, with negative prenatal and postnatal outcomes for both the parturient and the child. Causes include mechanisms of the stress axis and the proinflammatory system. Promising forms of treatment are nondrug methods such as acupuncture or (digital) cognitive behavioral therapy. Discussion: In light of the numerous effects of disturbed sleep on the pregnant individual as well as on the unborn child, individualized, optimized care is recommended. [ABSTRACT FROM AUTHOR]

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The article presents a report on caesarean section of overweight babies. It states that if the mother is suffering from gestational diabetes then she should inform in advance in order to avoid risk at the time of childbirth. It also states that if the mother has recognizable language difficulties then she should be provided with a translation of doctor's statements.

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The article discusses the screening and diagnostic aspects of gestational diabetes. Several aspects of the condition are discussed, such as its epidemiology, the risk factors and pathogens associated with the conditions, as well as possible consequences of developing gestational diabetes would be for the mother and the fetus or the newborn.

Diagnosis and treatment of secondary forms of diabetes are different from the common management of type 1 or 2 diabetes. Furthermore, they are often associated with concomitant disease that are important for prognosis. Case reports are presented in order to describe secondary diabetes associated with hemochromatosis, cystic fibrosis, pregnancy, lipodystrophy, endocrinopthies, MODY and mitochondrial diabetes. [ABSTRACT FROM AUTHOR]

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