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Gestational Diabetes Mellitus: Screening and Outcomes in Southern Italian Pregnant Women.
- Source :
- ISRN Endocrinology; 2013, p1-8, 8p, 1 Diagram, 3 Charts
- Publication Year :
- 2013
-
Abstract
- Recent Italian guidelines exclude women <35 years old, without risk factors for gestational diabetes mellitus (GDM), from screening for GDM. To determine the effectiveness of these measures with respect to the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria, we evaluated 2,448 pregnant women retrospectively enrolled in Calabria, southern Italy. GDM was diagnosed following the IADPSG 2010 criteria. Among 538 women <35 years old, without risk factors, who would have not been tested according to the Italian guidelines, we diagnosed GDM in 171 (31.8%) pregnants (7.0% of total pregnants). Diagnosis was made at baseline (55.6%), 1 hour (39.8%), or 2 hours (4.7%) during OGTT. Despite of appropriate treatment, GDM represented a risk factor for cesarean section, polyhydramnios, increased birth weight, admission to neonatal intensive care units, and large for gestational age. These outcomes were similar to those observed in GDM women at high risk for GDM. In conclusion, Italian recommendations failed to identify 7.0% of women with GDM, when compared to IADPSG criteria. The risk for adverse hyperglycaemic-related outcomes is similar in low-risk and high-risk pregnants with GDM. To limit costs of GDM screening, our data suggest to restrict OGTT to two steps (baseline and 1 hour). [ABSTRACT FROM AUTHOR]
- Subjects :
- GLUCOSE tolerance tests
GESTATIONAL diabetes
MEDICAL screening
ACADEMIC medical centers
CONFIDENCE intervals
STATISTICAL correlation
EPIDEMIOLOGY
FISHER exact test
HEALTH outcome assessment
REGRESSION analysis
U-statistics
LOGISTIC regression analysis
DATA analysis
TREATMENT effectiveness
DATA analysis software
DESCRIPTIVE statistics
DIAGNOSIS
Subjects
Details
- Language :
- English
- ISSN :
- 20904630
- Database :
- Complementary Index
- Journal :
- ISRN Endocrinology
- Publication Type :
- Academic Journal
- Accession number :
- 94996203
- Full Text :
- https://doi.org/10.1155/2013/387495