Document Type

Article

Publication Date

4-10-2017

Comments

This article has been peer reviewed. It is the author’s final published version in BioMed Research International

Volume 2017, April 2017, Article number 2746471.

The published version is available at DOI: 10.1155/2017/2746471. Copyright © Caissutti & Berghella

Abstract

Background. Gestational diabetes (GDM) affects up to 7% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage GDM. Objective. We aimed to analyze the most important and employed guidelines about screening and management of GDM and we investigated existing related literature. Results. We found several different criteria for screening for GDM, for monitoring GDM, and for starting pharmacological therapy. When using IADPSG criteria, GDM rate increased, perinatal outcomes improved, and screening became cost-effective. Compared to no treatment, treatment of women meeting criteria for GDM by IADPSG criteria but not by other less strict criteria has limited evidence for an effect on adverse pregnancy outcomes.

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Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

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