Izvorni znanstveni članak

https://doi.org/10.20471/acc.2016.55.03.11

Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?

Ivka Djaković orcid.org/0000-0003-2275-6389 ; University Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center
Senka Sabolović Rudman ; University Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center
Vesna Gall ; University Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center
Andro Košec ; University Department of ENT and Head and Neck Surgery, Sestre milosrdnice University Hospital Center
Marina Markuš Sandrić ; National Center for External Evaluation of Education, Zagreb, Croatia
Vesna Košec ; University Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center

Sažetak

The incidence of pregnancy related diabetes has been steadily increasing during the past decade. The aim of this retrospective study was to evaluate the type and prevalence of gestational diabetes complications after implementing new diagnostic criteria for gestational diabetes. The incidence of gestational diabetes, maternal age, mode of delivery and birth weight were analyzed. Study patients were divided into three groups. The first group consisted of patients who gave birth during 2005, the second group during 2011 and the third group during 2012. In 2005, the World Health Organization criteria were used on diagnosing gestational diabetes, whereas in 2011 and 2012 the criteria issued by the International Association of Diabetes and Pregnancy Study Groups were considered. Th ere was no statistically significant difference among the groups according to maternal age, birth weight (p=0.203) and mode of delivery (p=0.883). Cesarean section was performed in about 30% of deliveries in all groups combined. There was no significant difference in the number of neonatal hypertrophy (p=0.348), although the distribution of hypertrophy showed a tendency towards higher values in 2005. Th e incidence of gestational diabetes was 2.2% in 2005, 6.6% in 2011 and 12% in 2012. In conclusion, difference in the incidence of pregnancy related diabetes appeared to have resulted
directly from using different diagnostic criteria. The new criteria contributed to a relatively higher incidence of gestational diabetes but also achieved better gestational glycemic control and consequently better fetal growth regulation.

Ključne riječi

Diabetes, gestational – diagnosis; Fetal growth

Hrčak ID:

172588

URI

https://hrcak.srce.hr/172588

Datum izdavanja:

9.11.2016.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.659 *