Do Changing Diagnostic Criteria for Gestational Diabetes Influence Pregnancy Outcome?

Djaković, Ivka

doi:10.20471/acc.2016.55.03.11

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…GD involves disorder of glucose metabolism first diagnosed in pregnancy ( 6 ). The incidence of GD is increasing, represents a risk factor for unfavorable pregnancy outcome and can lead to later complications in the mother and the child ( 7 ). Because these metabolic disorders are often found together, the risk of pregnancy complications is significantly higher ( 1 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Pregnancy Outcome in Gestational Diabetes Compared to Body Mass Index

Rudman

Djaković

Gall

et al. 2019

ACC

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SUMMARY Gestational diabetes involves disorder of glucose metabolism first diagnosed in pregnancy. Obese women undoubtedly have more often complications in reproductive age, such as fertility difficulties, spontaneous and recurrent miscarriages, premature births, and various obstetric and surgical complications related to the course of pregnancy, delivery and puerperium. Children of obese pregnant women are more likely to develop obesity in childhood and adulthood. We analyzed the outcome of 51 pregnancies in obese pregnant women and 50 pregnant women with normal body mass index. All women in both groups were diagnosed with gestational diabetes by the IADPSG criteria. We analyzed gestational age at delivery and mode of delivery, gestational weight gain, presence of concomitant diagnosis of gestational or chronic hypertension, difference in birth weight, and prevalence of hypertrophic newborns. There was no significant difference in gestational age at pregnancy termination and in the mode of delivery. There was a significant difference in gestational weight gain, number of pregnant women with hypertension, neonatal birth weight and number of hypertrophic children. Based on the data presented, we conclude that obesity is an unfavorable factor for pregnancy outcome. It also influences birth weight and fetal hypertrophy, as well as gestational weight gain.

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Section: Introductionmentioning

confidence: 99%

Pregnancy Outcome in Gestational Diabetes Compared to Body Mass Index

Rudman

Djaković

Gall

et al. 2019

ACC

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“…The increase in body weight is to some extent physiological process in pregnancy. At the beginning of pregnancy, women are often hypoglycemic due to the proinsulin’s effect of hormones [1], [2]. Also, they often have hyperemesis, and there is usually a no sudden increase in body weight in the first trimester.…”

Section: Introductionmentioning

confidence: 99%

“…High weight in pregnancy increases the risk of metabolic syndrome and obesity in later life of a child. Overweight and obesity before pregnancy have stronger correlations with metabolic syndrome and obesity in later life of a child than weight gain in pregnancy or postpartum weight retention [1], [2]. According to the World Health Organization classification obesity is defined as BMI ≥ 30 kg/m 2 and BMI 18.5-24.9 kg/m 2 is considered normal [3].…”

Section: Introductionmentioning

confidence: 99%

Weight Gain in Pregnancy and Weight Retention after Birth

Djaković¹,

Soljačić-Vraneš²,

Kuna³

2019

Open Access Maced J Med Sci

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AIM: Our study aims to determine the weight gain of pregnant women and their body weight one year after delivery. We compared these changes in body weight with education and place of residence (urban/rural). METHODS: Secundigravidae women (N = 113) filled out the structured checklist regarding anthropological characteristics, such as body weight (the current and before and after the first pregnancy). Some sociodemographic characteristics were also obtained. RESULTS: Average weight gain in pregnancy was 16.9 kg (Sd 6.1, median 16 kg; range 6-40 kg). Women with high school education only gained 2 kg more than women with college/university degree (F (1, 108) 4.11, p ≤ 0.05). There was no significant difference in weight gain when the place of residence was compared (F (1, 111) 2.86, p ≥ 0.05). The average weight difference one year after delivery was 3.3 kg (Sd 4.3, median 2 kg; spread -5 to 20 kg). There was no significant difference in weight difference one year after delivery in different educational groups. Women from rural area retained 2.5 kg more than women in an urban area (F (1, 109) 7.50, p ≤ 0.01). CONCLUSION: Our research has shown that women with higher education level gain less weight than women with lower degrees. They had more possibility to get access to information about health risks. The overall impression is that women do care about weight gain in pregnancy and actively work on getting back to desirable weight after delivery. This is even more important if we know that body weight before pregnancy, weight gain in pregnancy, pregnancy overweight and pregnancy obesity impact later life of mother and child. Therefore, the need for weight control in pregnancy and between pregnancies should be properly addressed.

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Resolving the Gestational Diabetes Diagnosis Conundrum: The Need for a Randomized Controlled Trial of Treatment

et al. 2021

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The diagnosis of and criteria for gestational diabetes mellitus (GDM) continue to divide the scientific and medical community, both between and within countries. Many argue for universal adoption of the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria and feel that further clinical trials are unjustified and even unethical. However, there are concerns about the large increase in number of women who would be diagnosed with GDM using these criteria and the subsequent impact on health care resources and the individual. This Perspective reviews the origins of the IADPSG consensus and points out some of its less well-known limitations, particularly with respect to identifying women at risk for an adverse pregnancy outcome. It also questions the clinical and cost-effectiveness data often cited to support the IADPSG glycemic thresholds. We present the argument that adoption of diagnostic criteria defining GDM should be based on response to treatment at different diagnostic thresholds of maternal glycemia. This will likely require an international multicenter trial of treatment.

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Do Changing Diagnostic Criteria for Gestational Diabetes Influence Pregnancy Outcome?

Cited by 5 publications

References 18 publications

Pregnancy Outcome in Gestational Diabetes Compared to Body Mass Index

Pregnancy Outcome in Gestational Diabetes Compared to Body Mass Index

Weight Gain in Pregnancy and Weight Retention after Birth

Resolving the Gestational Diabetes Diagnosis Conundrum: The Need for a Randomized Controlled Trial of Treatment

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