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Impact of the Implementation of New WHO Diagnostic Criteria for Gestational Diabetes Mellitus on Prevalence and Perinatal Outcomes: A Population-Based Study
Joint Authors
Erjavec, Katja
Matijević, Ratko
Poljičanin, Tamara
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-12-21
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Erjavec, Katja& Poljičanin, Tamara& Matijević, Ratko. 2016. Impact of the Implementation of New WHO Diagnostic Criteria for Gestational Diabetes Mellitus on Prevalence and Perinatal Outcomes: A Population-Based Study. Journal of Pregnancy،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1110177
Modern Language Association (MLA)
Erjavec, Katja…[et al.]. Impact of the Implementation of New WHO Diagnostic Criteria for Gestational Diabetes Mellitus on Prevalence and Perinatal Outcomes: A Population-Based Study. Journal of Pregnancy No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1110177
American Medical Association (AMA)
Erjavec, Katja& Poljičanin, Tamara& Matijević, Ratko. Impact of the Implementation of New WHO Diagnostic Criteria for Gestational Diabetes Mellitus on Prevalence and Perinatal Outcomes: A Population-Based Study. Journal of Pregnancy. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1110177
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1110177