Implementation of the International Association of Diabetes and Pregnancy Study Groups Criteria: Not Always a Cause for ConcernReport as inadecuate




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Journal of Pregnancy - Volume 2015 2015, Article ID 754085, 5 pages -

Research Article

Department of Obstetrics and Gynaecology, Joondalup Health Campus, Joondalup, WA 6027, Australia

Institute for Health Research, University of Notre Dame Australia, Fremantle, WA 6160, Australia

Received 7 October 2015; Accepted 19 November 2015

Academic Editor: Ellinor Olander

Copyright © 2015 Pooja Sibartie and Julie Quinlivan. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Controversy surrounds the decision to adopt the International Association of Diabetes and Pregnancy Study Groups IADPSG criteria for the diagnosis of gestational diabetes mellitus GDM as fears that disease prevalence rates will soar have been raised. Aims. To investigate the prevalence of pregnancy complicated with GDM before and after the introduction of the IADPSG 2010 diagnostic criteria. Materials and Methods. A prospective audit of all women who delivered from July 1, 2010, to June 30, 2014, in a predefined geographic region within the North Metropolitan Health Service of Western Australia. Women were diagnosed with GDM according to Australian Diabetes in Pregnancy Society ADIPS 1991 criteria until December 31, 2011, and by the IADPSG 2010 criteria after this date. Incidence of GDM and predefined pregnancy outcomes were audited. Results. Of 10,296 women, antenatal oral glucose tolerance test OGTT results and follow-up data were obtained for 10,103 women 98%, of whom 349 3.5% were diagnosed with GDM. The rate of GDM utilising ADIPS criteria was 3.4% and the rate of utilising IADPSG criteria was 3.5% . Conclusion. IADPSG diagnostic criteria did not significantly increase the incidence of GDM in this low prevalence region.





Author: Pooja Sibartie and Julie Quinlivan

Source: https://www.hindawi.com/



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