Obesity, gestational diabetes and macrosomia are associated with increasing rates of early‐term induction of labour at The Canberra Hospital

McGuane, Jonathan T.; Grlj, Lori; Peek, Michael

doi:10.1111/ajo.12820

Cited by 13 publications

(7 citation statements)

References 16 publications

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“…Recent studies have suggested that GDM is associated with an increase in obstetric interventions [ 17 ]. Our findings show that the absolute number of women nationally with GDM who are having labor induced or are being delivered by CS rates has increased over the last decade.…”

Section: Discussionmentioning

confidence: 99%

“…It has been estimated that the new criteria will impact on the workload for diabetes care teams by 22–32% [ 16 ]. Potentially, it may also lead to an increase in interventions such as induction of labor (IOL) and Cesarean section (CS) [ 17 ]. More sensitive criteria may also increase the psychological burden for some women during pregnancy [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

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The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country

McMahon

O’Malley

Reynolds

et al. 2020

BMC Health Serv Res

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Objective In 2010, national guidelines were published in Ireland recommending more sensitive criteria for the diagnosis of Gestational Diabetes Mellitus (GDM). The criteria were based on the 2008 Hyperglycemia and Adverse Pregnancy Outcomes (HAPO) Study and were endorsed subsequently by the World Health Organization (WHO). Screening nationally is selective based on risk factors. We examined the impact of the new criteria on hospital trends nationally for GDM over the 10 years 2008–17. Research design and methods Data from three national databases, the Hospital Inpatient Enquiry System (HIPE), National Perinatal Reporting System (NPRS) and the Irish Maternity Indicator System (IMIS), were analyzed using descriptive statistics, analysis of variance, and Poisson loglinear modelling. Results The overall incidence of GDM nationally increased almost five-fold from 3.1% in 2008 to 14.8% in 2017 ( p ≤ 0.001). The incidence varied widely across maternity units. In 2008, the incidence varied from 0.4 to 5.9% and in 2017 it varied from 1.9 to 29.4%. There were increased obstetric interventions among women with GDM over the decade, specifically women with GDM having increased cesarean sections (CS) and induction of labor (IOL) ( p ≤ 0.001). These trends were significant in large and mid-sized maternity hospitals ( p ≤ 0.001). The increase in GDM diagnosis could not be explained by an increase in maternal age nationally over the decade. The data did not include information on other risk factors such as obesity. The increased incidence in GDM diagnosis was accompanied by a decrease in high birthweight ≥ 4.5 kg nationally. Conclusions We found adoption of the new criteria for diagnosis of GDM resulted in a major increase in the incidence of GDM rates. Inter-hospital variations increased over the decade, which may be explained by variations in the implementation of the new national guidelines in different maternity units. It is likely to escalate further as compliance with national guidelines improves at all maternity hospitals, with implications for provision and configuration of maternity services. We observed trends that may indicate improvements for women and their offspring, but more research is required to understand patterns of guideline implementation across hospitals and to demonstrate how increased GDM diagnosis will improve clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country

McMahon

O’Malley

Reynolds

et al. 2020

BMC Health Serv Res

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“…Факторы риска ГСД аналогичны таковым при СД: возраст, ожирение, этническое происхождение, наследственная предрасположенность, диагностированный ГСД в предшествующие беременности [11][12][13][14][15]. Большой вес детей при рождении и неблагоприятный исход предыдущей беременности, а также наличие в настоящей беременности гликозурии, признаков многоводия или макросомии плода, по данным ультразвукового исследования, тоже повышают вероятность гипергликемии у матери [16,17].…”

Section: обоснованиеunclassified

Arterial hypertension and diabetes developed in pregnancy

Zagarskikh

Partsernyak²,

Рищук³

et al. 2022

HERALD of North-Western State Medical University named after I.

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BACKGROUND: Gestational diabetes mellitus is a significant medical and social problem in most countries. Despite the relatively high level of development of modern medicine, following the growth of obesity and type 2 diabetes, the prevalence of gestational diabetes mellitus is also increasing worldwide. AIM: To identify the frequency and structure of carbohydrate metabolism disorders and to compare the level of blood pressure in a random sample of pregnant women registered in the Perinatal center. MATHERIALS AND METHODS: The analysis of the data of examination of carbohydrate metabolism of pregnant women who are registered in the Perinatal Center (Leningrad region, Gatchina), has been carried out. The analysis of medical documentation, survey, endocrinological and gynecological examination, calculation of the body mass index and the study of carbohydrate metabolism have been carried out. RESULTS: There is an increase in the number of pregnant women with impaired carbohydrate metabolism over the years of observation. Gestational diabetes on diet therapy was 64.4% in 2019, 31.0% in 2020, 65.1% in 2021, on insulin therapy 32.2, 62.3, 28.9% respectively. There was an increase in the number of women with type 1 and type 2 diabetes diagnosed before pregnancy and newly diagnosed diabetes during pregnancy. Body mass index and blood pressure levels are higher and glycated hemoglobin levels are lower in diet-treated pregnant women with gestational diabetes compared with insulin therapy. An increase in glycated hemoglobin was found annually in a group of women with gestational diabetes mellitus on insulin therapy. CONCLUSIONS: The high prevalence of carbohydrate metabolism disorders and the associated increase in blood pressure in pregnant women in Saint Petersburg and the Leningrad Region justifies a targeted search for carbohydrate metabolism disorders in pregnant women.

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“…The International Diabetes Federation 2019 report estimated that 20 million women developed hyperglycemia during pregnancy, 84% of them because of gestational diabetes mellitus (GDM) [1]. GDM is associated with significant risk and can lead to grave adverse perinatal outcomes and long-term health complications for both mothers and their offspring [2][3][4]. Self-care and changes in lifestyle are essential for adequate glycemic control and prevention of unfavorable maternal-infant health outcomes [5,6].…”

Section: Introductionmentioning

confidence: 99%

Cultural and Digital Health Literacy Appropriateness of App- and Web-Based Systems Designed for Pregnant Women With Gestational Diabetes Mellitus: Scoping Review

Birati¹,

Yefet²,

Perlitz³

et al. 2022

J Med Internet Res

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Background The prevalence of women diagnosed with gestational diabetes mellitus (GDM) is increasing dramatically. Mobile technologies to enhance patient self-management offer many advantages for women diagnosed with GDM. However, to our knowledge, although mobile health (mHealth) and telemedicine systems for GDM management exist, evidence on their cultural and digital health literacy appropriateness levels is limited. Objective This review aimed to search and assess the literature on mHealth and telemedicine systems designed for women diagnosed with GDM. Our assessment of these technologies focused on their cultural and digital health literacy appropriateness as well as the systems’ effectiveness in improving glycemic control and maternal and infant outcomes. Methods We conducted a scoping review using a framework adapted from Arksey and O’Malley. Four electronic databases were searched for relevant studies: PubMed, MEDLINE (EBSCO), Web of Science, and Scopus. The databases were searched between January 2010 and January 2022. The inclusion criteria were pregnant women diagnosed with GDM, use of telemedicine for monitoring and management, and vulnerable or disadvantaged patients. We used terms related to mobile apps and telemedicine: GDM, vulnerable populations, periphery, cultural appropriateness, and digital health literacy. Studies were screened and selected independently by 2 authors. We extracted the study data on a Microsoft Excel charting table and categorized them into final themes. The results were categorized according to the cultural and digital health literacy features presented. Results We identified 17 studies that reported on 12 telemedicine and mHealth app interventions. We assessed the studies in three domains: cultural appropriateness, digital health literacy, and maternal and infant outcomes. In the literature, we found that existing digital technologies may improve glycemic control and diabetes self-management. However, there is a lack of assessment of cultural and digital health literacy appropriateness for pregnant women diagnosed with GDM. Considerations in app design regarding cultural appropriateness were found in only 12% (2/17) of the studies, and only 25% (3/12) of the interventions scored ≥3 out of 5 in our assessment of digital health literacy. Conclusions mHealth and telemedicine can be an effective platform to improve the clinical management of women with GDM. Although studies published on the use of mHealth and telemedicine systems exist, there is a limited body of knowledge on the digital health literacy and cultural appropriateness of the systems designed for women diagnosed with GDM. In addition, as our study was restricted to the English language, relevant studies may have been excluded. Further research is needed to evaluate, design, and implement better tailored apps regarding cultural and digital literacy appropriateness for enhancing pregnant women’s self-management as well as the effectiveness of these apps in improving maternal and infant health outcomes.

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Obesity, gestational diabetes and macrosomia are associated with increasing rates of early‐term induction of labour at The Canberra Hospital

Cited by 13 publications

References 16 publications

The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country

The impact of revised diagnostic criteria on hospital trends in gestational diabetes mellitus rates in a high income country

Arterial hypertension and diabetes developed in pregnancy

Cultural and Digital Health Literacy Appropriateness of App- and Web-Based Systems Designed for Pregnant Women With Gestational Diabetes Mellitus: Scoping Review

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