Evidence map›Paper›PMID 34627198›Full record

ArticleBMC pregnancy and childbirth2021

Awareness of gestational diabetes mellitus foetal-maternal risks: an Italian cohort study on pregnant women.

Paola Quaresima, Federica Visconti, Fabiana Interlandi, Luigi Puccio, Patrizia Caroleo, Giuseppina Amendola, Michele Morelli, Roberta Venturella, Costantino Di Carlo

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  13. Risk of Subsequent Preeclampsia by Maternal Country of Birth: A Norwegian Population-Based Study.International journal of environmental research and public health · 2023
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  20. Assessing Outpatients' Knowledge, Attitude, and Practice Toward Managing Diabetes in Saudi Arabia.Inquiry : a journal of medical care organization, provision and financing
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Paola QuaresimaUnit of Obstetrics and Gynaecology, Department of Clinical and experimental Medicine, "Magna Græcia" University of Catanzaro, Viale Europa, 88100, Catanzaro, Italy. dr.paolaquaresima@gmail.com.
Federica ViscontiUnit of Obstetrics and Gynaecology, Department of Clinical and experimental Medicine, "Magna Græcia" University of Catanzaro, Viale Europa, 88100, Catanzaro, Italy.
Fabiana InterlandiUnit of Obstetrics and Gynaecology, Department of Clinical and experimental Medicine, "Magna Græcia" University of Catanzaro, Viale Europa, 88100, Catanzaro, Italy.
Luigi PuccioComplex Operative Structure Endocrinology-Diabetology, Pugliese-Ciaccio Hospital, 8100, Catanzaro, Italy.
Patrizia CaroleoComplex Operative Structure Endocrinology-Diabetology, Pugliese-Ciaccio Hospital, 8100, Catanzaro, Italy.
Giuseppina AmendolaUnit of Obstetrics and Gynaecology, Department of Clinical and experimental Medicine, "Magna Græcia" University of Catanzaro, Viale Europa, 88100, Catanzaro, Italy.
Michele MorelliComplex Operative Structure Obstetrics and Gynaecology, Annunziata Hospital, 87100, Cosenza, Italy.
Roberta VenturellaUnit of Obstetrics and Gynaecology, Department of Clinical and experimental Medicine, "Magna Græcia" University of Catanzaro, Viale Europa, 88100, Catanzaro, Italy.
Costantino Di CarloUnit of Obstetrics and Gynaecology, Department of Clinical and experimental Medicine, "Magna Græcia" University of Catanzaro, Viale Europa, 88100, Catanzaro, Italy.
Magna Graecia University · ITAzienda Ospedaliera Pugliese Ciaccio · ITOspedale Annunziata di Cosenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGestational diabetes mellitus (GDM) incidence is increasing worldwide. It represents a major risk factor for adverse foetal-maternal outcomes. Awareness among women in regard to GDM-related risks (in particular foetus ones) has been proven to have an impact on compliance with recommendations. Therefore we aimed to evaluate the efficacy of our post-diagnosis counselling, that informs affected women of the GDM related risks for complications, in determining an adequate level of understanding.

methodThis is a cohort study involving 400 women undergoing the 24-28 weeks 75 g oral glucose tolerance test. Two hundred women diagnosed with GDM received the post-diagnosis counselling (treatment group) and two hundred women diagnosed without did not receive any counselling (control group). Both populations were surveyed with a 5 question questionnaire regarding their awareness about GDM foetal-maternal related risks. Their level of education about GDM foetal-maternal related risks, estimated according to the number of correct answers, was scored as: primary (score 0-1), secondary (score 2-3) or tertiary (score 4-5).

resultsMost of the women in the treatment group after receiving the post-diagnosis counselling have demonstrated a secondary level of education 132/200 (66%). Their mean level of awareness was higher in comparison to the control group 2.6 ± 1.8 (SD) versus 2.14 ± 1.8 (SD) p value = 0.012. In particular, they've demonstrated to be more aware of the risks for the foetus to become macrosomic (p = 0.004) or to die in utero (p = 0.0001). A high level of education and to have had previous pregnancies positively affected correct answers.

conclusionsOur post-diagnosis counselling has played a role in improving women awareness about GDM foetal-maternal related risks. Future study will explore the impact of women's level of awareness on glycaemic control.

Indexed as

Health Knowledge, Attitudes, PracticeAdultCohort StudiesDiabetes, GestationalFemaleGlucose Tolerance TestHumansItalyPatient Education as TopicPregnancyPrenatal CareRisk FactorsSurveys and QuestionnairesAwarenessGestational diabetesIntrauterine foetal death

Identifiers

PMID34627198
PMCPMC8502344
OpenAlexW3207310764

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.