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Have pregnancy outcomes improved with the introduction of the International Association of Diabetes and Pregnancy Study Groups criteria in Japan?
- Source :
- Journal of Diabetes Investigation, Journal of Diabetes Investigation, Vol 11, Iss 4, Pp 994-1001 (2020)
- Publication Year :
- 2020
- Publisher :
- John Wiley and Sons Inc., 2020.
-
Abstract
- Aims/Introduction This study aimed to investigate the effects of the introduction of the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria for diagnosing gestational diabetes mellitus (GDM) on maternal and neonatal outcomes in Japan. Materials and Methods This was a retrospective study carried out at a tertiary center in Japan. Previously in Japan, GDM was diagnosed if two or more of the following Japan Society of Obstetrics and Gynecology (JSOG) criteria were met: fasting plasma glucose ≥100 mg/dL, 1‐h value ≥180 mg/dL or 2‐h value ≥150 mg/dL on the 75‐g oral glucose tolerance. Since 2010, GDM has been diagnosed if one or more of the following IADPSG criteria are met: fasting plasma glucose ≥92 mg/dL, 1‐h value ≥180 mg/dL or 2‐h value ≥153 mg/dL on the 75‐g oral glucose tolerance. We compared the pregnancy outcomes of all pregnant women with singleton pregnancies after 22 weeks’ gestation at our hospital before (JSOG period) and after (IADPSG period) the IADPSG criteria were adopted. Results There were 3,912 women in the JSOG period and 4,772 in the IADPSG period. GDM prevalence increased from 2.9% in the JSOG period to 13% in the IADPSG period (P<br />After introduction of the International Association of Diabetes and Pregnancy Study Groups criteria to diagnose gestational diabetes mellitus, the rates of neonatal hypoglycemia and neonatal intensive care unit admission decreased. However, the introduction of the International Association of Diabetes and Pregnancy Study Groups criteria resulted in a significant increase in the gestational diabetes mellitus diagnosis rate and a fourfold increase in the number of pregnant women requiring therapeutic intervention. Further research is required to determine whether the effects are consistent with these changes and to evaluate the validity of these diagnostic criteria.
- Subjects :
- Adult
Blood Glucose
medicine.medical_specialty
Neonatal intensive care unit
Endocrinology, Diabetes and Metabolism
030209 endocrinology & metabolism
030204 cardiovascular system & hematology
Gestational diabetes mellitus
Diseases of the endocrine glands. Clinical endocrinology
Pregnancy outcome
Infant, Newborn, Diseases
Fetal Macrosomia
03 medical and health sciences
0302 clinical medicine
Obstetrics and gynaecology
Japan
Pregnancy
Diabetes mellitus
Intensive Care Units, Neonatal
Prenatal Diagnosis
Internal Medicine
medicine
Prevalence
Humans
Retrospective Studies
business.industry
Obstetrics
Neonatal hypoglycemia
Infant, Newborn
Gestational age
General Medicine
Articles
Fasting
Glucose Tolerance Test
Reference Standards
RC648-665
medicine.disease
Hypoglycemia
Gestational diabetes
Diabetes, Gestational
Clinical Science and Care
Gestation
Original Article
Female
business
International Association of Diabetes and Pregnancy Study Groups criteria
Subjects
Details
- Language :
- English
- ISSN :
- 20401124 and 20401116
- Volume :
- 11
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Journal of Diabetes Investigation
- Accession number :
- edsair.doi.dedup.....4944737a71ecd1a337a81e8618288f29