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- W2893723475 abstract "Background and purpose Screening for gestational diabetes (GDM) at the CHUM was previously based on stricter criteria than those proposed by the WHO in 2013. In March 2015, the CHUM harmonized its criteria. We assessed whether pregnancy complication rates increased at the CHUM using less-stringent criteria. Methods We performed a retrospective cohort study in women with singleton pregnancy who were screened for GDM between March 2015 and February 2016 with one-step 75 g oral glucose tolerance test (OGTT). Three groups were analyzed: Group 1, normal OGTT with both old and new criteria; Group 2, normal OGTT with the new criteria only; and Group 3, GDM with the new criteria. Composite primary outcome included birth weight ⩾90th percentile, caesarean in labor, pre-eclampsia (PE) and gestational hypertension. Secondary outcomes included excessive weight gain (EWG), induction rate, shoulder dystocia, 3rd–4th degree laceration, macrosomia, respiratory distress, neonatal hypoglycemia, prematurity and NICU admission. Univariate analyses were used to describe the population. Differences between groups were assessed with an X2-test. Results To date, 505/1500 pregnancies were analyzed. Group 2 had a higher complication rate (31.5%) than women with GDM (21.3%) or the control group (18.3%). We did not have the power to detect differences in secondary outcome, although Group 2 had a tendency toward increased rates of EWG, PE, LGA, 3rd–4th degree laceration, respiratory distress, prematurity and NICU admission. Conclusion Preliminary results show higher complication rates among women who are no longer considered GDM under the WHO criteria, which raises concerns. Refined antenatal predictors are required to identify these women and implement strategies to improve outcomes." @default.
- W2893723475 created "2018-10-05" @default.
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- W2893723475 date "2018-10-01" @default.
- W2893723475 modified "2023-09-24" @default.
- W2893723475 title "397. Impact of diagnostic criteria change for gestational diabetes: Increased complications rates in women with untreated milder level of hyperglycemia" @default.
- W2893723475 doi "https://doi.org/10.1016/j.preghy.2018.08.427" @default.
- W2893723475 hasPublicationYear "2018" @default.
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