The IADPSG diagnostic criteria identify women with increased risk of adverse pregnancy outcomes in Victoria

Aust N Z J Obstet Gynaecol. 2017 Oct;57(5):564-568. doi: 10.1111/ajo.12676. Epub 2017 Jul 25.

Abstract

Controversy remains surrounding International Association of Diabetes and Pregnancy Study Group (IADPSG) diagnostic criteria for gestational diabetes mellitus (GDM), including perceived improvement in perinatal outcomes and health service implications. We compared perinatal outcomes for untreated women meeting IADPSG-only criteria and women without GDM in Victoria. Women meeting IADPSG-only criteria were characterised according to fasting and one hour glucose thresholds and by region of birth. IADPSG criteria identified women with increased risk of adverse perinatal outcomes, particularly women born in Australia compared to Asian regions.

Keywords: ADIPS; IADPSG criteria; gestational diabetes; pregnancy outcome.

MeSH terms

  • Adult
  • Age Factors
  • Asia / ethnology
  • Birth Weight*
  • Body Mass Index
  • Cesarean Section / statistics & numerical data
  • Diabetes, Gestational / diagnosis*
  • Diabetes, Gestational / epidemiology*
  • Diabetes, Gestational / ethnology
  • Dystocia / epidemiology
  • Fasting
  • Female
  • Fetal Macrosomia / epidemiology
  • Glucose Tolerance Test
  • Humans
  • Hypertension, Pregnancy-Induced / epidemiology
  • Infant, Small for Gestational Age
  • Medical Record Linkage
  • Practice Guidelines as Topic
  • Pregnancy
  • Prevalence
  • Retrospective Studies
  • Victoria / epidemiology
  • Young Adult