Gestational diabetes: universal or selective screening?

Alberico, Salvatore; Strazzanti, Concetta; Santo, Davide De; Seta, Francesco De; Lenardon, Patrizia; Bernardon, Maria; Zicari, Sandro; Guaschino, Secondo

doi:10.1080/jmf.16.6.331.337

Cited by 15 publications

(7 citation statements)

References 12 publications

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“…Yet, some women have been shown to be at elevated risk for this condition (Roberts, 1993). While indeed, any woman may develop gestational diabetes, specific risk factors include obesity, a family history of diabetes and having previously given birth to a very large infant (Alberico et al, 2004).…”

Section: Attribution Of the Origin Of The Illnessmentioning

confidence: 99%

Treatment Adherence among Primary Care Patients in a Historically Disadvantaged Community in South Africa

2007

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The present study examined the issue of treatment adherence among a sample of 23 rural South African patients living with either hypertension or diabetes, or both. The sample was asked to participate in qualitative interviews that asked about various aspects of their experience of their illness and treatment. The analysis of the data focused on the content of participants' concerns and difficulties with adhering to treatment recommendations. The themes that emerged from the study were participants' attribution of the origin of their illness, their subjective experience of their illness, their concerns about the consequences of poor adherence, financial problems and psychosocial support.

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Section: Attribution Of the Origin Of The Illnessmentioning

confidence: 99%

Treatment Adherence among Primary Care Patients in a Historically Disadvantaged Community in South Africa

2007

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“…6 Studies have shown that certain components of prenatal care are somewhat beneficial to the mother and her fetus; for example, smoking cessation programs to reduce the incidence of intrauterine growth retardation 12 ; the use of dietary folate, both preconceptionally and in early pregnancy to prevent neural tube defects 13,14 ; and universal screening for gestational diabetes. 15 In response to a 1985 Institute of Medicine report, 16 the Public Health Service convened an expert panel of 19 health care professionals in 1989 to study the scientific basis of prenatal care. 17 This panel examined what was generally known about prenatal care, identified major concepts and assumptions, and critiqued available research.…”

Section: Introductionmentioning

confidence: 99%

“…Some studies have linked adequate prenatal care with lowering the incidence of low birth weight 8–10 ; however, according to Alexander and Kotelchuck, “the relationship between prenatal care and adoption of healthy behaviors has received relatively scant investigation.” 11 The American College of Obstetricians and Gynecologists states that women who have early and regular prenatal care are more likely to have healthier infants 6 . Studies have shown that certain components of prenatal care are somewhat beneficial to the mother and her fetus; for example, smoking cessation programs to reduce the incidence of intrauterine growth retardation 12 ; the use of dietary folate, both preconceptionally and in early pregnancy to prevent neural tube defects 13,14 ; and universal screening for gestational diabetes 15 …”

Section: Introductionmentioning

confidence: 99%

Comparison of Selected Outcomes of CenteringPregnancy Versus Traditional Prenatal Care

Baldwin

2006

J Midwife Womens Health

110

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The purpose of this study was to assess the effect of traditional prenatal care versus a group model of care, CenteringPregnancy, on maternal knowledge of pregnancy, social support, health locus of control, and satisfaction. The CenteringPregnancy model of care gives patients extended time with the provider in a group setting. The study used a two-group, pretest/posttest design of pregnant women who elected either the traditional approach to prenatal care (n = 48) or the Centering approach (n = 50). The results of this study showed statistically significant differences between the groups on posttest in knowledge of pregnancy. For social support and health locus of control, the high scores at pretest contributed to a ceiling effect, which limited the potential for change. Additional research is needed to assess health status outcomes among women electing alternative approaches to prenatal care.

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“…The rates of pregnancy complications, such as pre-eclampsia (2.8%), gestational diabetes (0.7%), and pregnancy-induced hypertension (2.5%) reported in this population were lower than current norms in the US. [24][25][26] Approximately 15% of women enrolled in the CPP study were below the poverty level, based on US Census Bureau standards for family income from 1960-70, and these mothers had a mean education level of 10.6 6 2.6 years.…”

Section: Resultsmentioning

confidence: 99%

The Collaborative Perinatal Project

Hardy

2003

Annals of Epidemiology

140

127

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To use neonatal and placental anthropometry as proxy measures of intrauterine growth restriction (IUGR) and to relate these to blood pressure later in childhood. Study design A post hoc analysis of full-term white and black children from the Collaborative Perinatal Project, followed from birth until age 7 years (n 5 29 710). Blood pressure above the 90th percentile by gender and race was considered high blood pressure. Anthropometric measures at birth included birth weight, ponderal index (PI, birth weight/birth length 3), head to chest circumference (HCC) ratio, and placental ratio percentage (PRP, placental weight*100/birth weight). Results Among anthropometric measures, PI, HCC, and birth weight were not associated with high systolic blood pressure at age 7 years, but PRP was. In multiple logistic regression, high systolic blood pressure and widened pulse pressure were both predicted by increased PRP [odds ratio (OR) 1.03 and 1.04, P , 0.001] but not by birth weight, when adjusted for gender, race, and maternal education. High diastolic blood pressure was weakly predicted by birth weight (OR 1.10, P 5 0.05) but not by PRP. Conclusions PRP is associated with an increased risk for high systolic blood pressure and pulse pressure later in childhood, whereas birth weight, PI, and HCC are not. The proportion of placental weight to birth weight is a useful marker of IUGR for studying the developmental origins of adult disease hypothesis.

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Gestational diabetes: universal or selective screening?

Cited by 15 publications

References 12 publications

Treatment Adherence among Primary Care Patients in a Historically Disadvantaged Community in South Africa

Treatment Adherence among Primary Care Patients in a Historically Disadvantaged Community in South Africa

Comparison of Selected Outcomes of CenteringPregnancy Versus Traditional Prenatal Care

The Collaborative Perinatal Project

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