ArticleBMC pregnancy and childbirth2009
Surprisingly low compliance to local guidelines for risk factor based screening for gestational diabetes mellitus - A population-based study.
Article in BMC pregnancy and childbirth, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Screening and diagnosis of gestational diabetes mellitus in routine antenatal care: A retrospective analysis from western Kazakhstan.Preventive medicine reports · 2026Article
- Pre-pregnancy weight in Swedish women and the risk of gestational diabetes and subsequent type 2 diabetes-a population-based cohort study.EClinicalMedicine · 2026Article
- Gestational diabetes mellitus and subsequent cardiovascular disease in a period of rising diagnoses: Cohort study.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Associations between maternal metabolic conditions and neurodevelopmental conditions in offspring: the mediating effects of obstetric and neonatal complications.BMC medicine · 2023Article
- Midwives' and Diabetes Nurses' Experience of Screening and Care of Women with Gestational Diabetes Mellitus: A Qualitative Interview Study.Nursing research and practice · 2023Article
- Changed definition of disease and broader screening criteria had little impact on prevalence of gestational diabetes mellitus.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Antipsychotic Use During Pregnancy and Risk for Gestational Diabetes: A National Register-Based Cohort Study in Sweden.CNS drugs · 2022Article
- Practices and barriers to screening for hyperglycaemia in pregnancy among providers of antenatal care in Jos, Nigeria.African journal of laboratory medicine · 2022Article
- Adherence rates to a prediction tool identifying women with an increased gestational diabetes risk: An implementation study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- Improving Utilization of Aspirin for Prevention of Preeclampsia in a High-Risk Urban Cohort: A Prospective Cohort Study.American journal of perinatology · 2021Article
- Adherence to oral glucose tolerance testing in children in stage 1 of type 1 diabetes: The TEDDY study.Pediatric diabetes · 2021Observational
- Stillbirth is associated with increased risk of long-term maternal renal disease: a nationwide cohort study.American journal of obstetrics and gynecology · 2020Article
- Gestational Diabetes Mellitus-Innovative Approach to Prediction, Diagnosis, Management, and Prevention of Future NCD-Mother and Offspring.Frontiers in endocrinology · 2020Review
- Selective Screening Strategies for Gestational Diabetes: A Prospective Cohort Observational Study.Journal of diabetes research · 2017Observational
- Prevalence of Gestational Diabetes and Risk of Progression to Type 2 Diabetes: a Global Perspective.Current diabetes reports · 2016Review
- Screening for Gestational Diabetes Mellitus: Are Guidelines From High-Income Settings Applicable to Poorer Countries?Clinical diabetes : a publication of the American Diabetes Association · 2015Article
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3 authors.
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Abstract
backgroundScreening for gestational diabetes mellitus (GDM) is routine during pregnancy in many countries in the world. The screening programs are either based on general screening offered to all pregnant women or risk factor based screening stipulated in local clinical guidelines. The aims of this study were to investigate: 1) the compliance with local guidelines of screening for GDM and 2) the outcomes of pregnancy and birth in relation to risk factors of GDM and whether or not exposed to oral glucose tolerance test (OGTT).
methodsThis study design was a population-based retrospective cross-sectional study of 822 women. A combination of questionnaire data and data collected from medical records was applied. Compliance to the local guidelines of risk factor based screening for GDM was examined and a comparison of outcomes of pregnancy and delivery in relation to risk factor groups for GDM was performed.
resultsOf the 822 participants, 257 (31.3%) women fulfilled at least one criterion for being exposed to screening for GDM according to the local clinical guidelines. However, only 79 (30.7%) of these women were actually exposed to OGTT and of those correctly exposed for screening, seven women were diagnosed with GDM. Women developing risk factors for GDM during pregnancy had a substantially increased risk of giving birth to an infant with macrosomia.
conclusionSurprisingly low compliance with the local clinical guidelines for screening for GDM during pregnancy was found. Furthermore, the prevalence of the risk factors of GDM in our study was almost doubled compared to previous Swedish studies. Pregnant women developing risk factors of GDM during pregnancy were found to be at substantially increased risk of giving birth to an infant with macrosomia. There is a need of actions improving compliance to the local guidelines.
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