416. The impact of implementing the new diagnostic criteria of gestational diabetes mellitus on prevalence and pregnancy outcomes

Objectives. To determine the impact of the implementation of new WHO diagnostic criteria for gestational diabetes mellitus (GDM) on prevalence, predictors, and perinatal outcomes in Croatian population.Methods. A cross-sectional study was performed using data from medical birth certificates collected in 2010 and 2014. Data collected include age, height, and weight before and at the end of pregnancy, while perinatal outcome was assessed by onset of labor, mode of delivery, and Apgar score.Results. A total of 81.748 deliveries and 83.198 newborns were analysed. Prevalence of GDM increased from 2.2% in 2010 to 4.7% in 2014. GDM was a significant predictor of low Apgar score (OR 1.656), labor induction (OR 2.068), and caesarean section (OR 1.567) in 2010, while in 2014 GD was predictive for labor induction (OR 1.715) and caesarean section (OR 1.458) only. Age was predictive for labor induction only in 2014 and for caesarean section in both years, while BMI before pregnancy was predictive for all observed perinatal outcomes in both years.Conclusions. Despite implementation of new guidelines, GDM remains burdened with increased risk of labor induction and caesarean section, but no longer with low Apgar score, while BMI remains an important predictor for all three perinatal outcomes.

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A Comparison of Pregnancy Outcomes Using Two Diagnostic Criteria for Gestational Diabetes Mellitus-Carpenter Coustan Criteria and International Association of the Diabetes and Pregnancy Study Groups (IADPSG) Criteria

Journal of the ASEAN Federation of Endocrine Societies ◽

10.15605/jafes.032.01.05 ◽

2017 ◽

Vol 32 (1) ◽

pp. 27-31

Author(s):

Sultana Tahmina ◽

Mary Daniel

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Diagnostic Criteria ◽

Pregnancy Outcomes ◽

International Association ◽

Study Groups ◽

Iadpsg Criteria ◽

Diabetes And Pregnancy

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Effect of new diagnostic criteria on detection and pregnancy outcomes of gestational diabetes mellitus: a retrospective study

10.12809/hkjgom.20.1.02 ◽

2020 ◽

Vol 20 (1) ◽

pp. 16-21

Author(s):

Suk-Ching Young ◽

Mei-Sin Yiu ◽

Po-Lam So

Keyword(s):

Diabetes Mellitus ◽

Retrospective Study ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Diagnostic Criteria ◽

Pregnancy Outcomes

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Associations of Body Mass Index (Maternal BMI) and Gestational Diabetes Mellitus with Neonatal and Maternal Pregnancy Outcomes in a Multicentre European Database (Diabetes and Pregnancy Vitamin D and Lifestyle Intervention for Gestational Diabetes Mellitus Prevention)

ISRN Obesity ◽

10.5402/2012/424010 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 2

Author(s):

Akke Vellinga ◽

A. Zawiejska ◽

J. Harreiter ◽

B. Buckley ◽

G. Di Cianni ◽

...

Keyword(s):

Diabetes Mellitus ◽

Risk Factors ◽

Caesarean Section ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnancy Outcomes ◽

Perinatal Complications ◽

Obesity And Diabetes ◽

Independent Risk Factors ◽

The Impact

Objective. Assess the impact of Gestational Diabetes Mellitus (GDM) and obesity on neonatal and maternal pregnancy outcomes. Methods. Cross-sectional data (3343 pregnancies) from seven European centres were included in a multilevel analysis of the association between GDM/obesity and caesarean section, macrosomia and neonatal morbidities. Results. Comparison of databases identified reporting differences between countries due to the inclusion of true population based samples or pregnancies from specialised tertiary centres, resulting in higher prevalences of GDM for some countries. The analysis showed that obesity and GDM were independent risk factors of perinatal complications. Only BMI had a dose-dependent effect on the risk of macrosomia and caesarean section. Both obesity (BMI > 30 kg/m2) and GDM were independent risk factors of neonatal morbidities. Conclusions. Obesity and GDM were independent risk factors of perinatal complications. The effect of the worldwide obesity and diabetes epidemic is extending to the next generation.

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