Universal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentina

cic.institucionOrigenLaboratorio de Investigación en Osteopatías y Metabolismo Minerales
cic.isFulltexttruees
cic.isPeerReviewedtruees
cic.lugarDesarrolloUniversidad Nacional de La Plataes
cic.versioninfo:eu-repo/semantics/publishedVersiones
dc.date.accessioned2021-10-07T17:09:07Z
dc.date.available2021-10-07T17:09:07Z
dc.identifier.urihttps://digital.cic.gba.gob.ar/handle/11746/11319
dc.titleUniversal versus selective screening for the detection, control and prognosis of gestational diabetes mellitus in Argentinaen
dc.typeArtículoes
dcterms.abstractIn all, 1,702 unselected pregnant women from the city of La Plata were tested for gestational diabetes mellitus (GDM) and evaluated to determine GDM prevalence and risk factors. In women with GDM, we evaluated compliance with guidelines for GDM management, and perinatal complications attributable to GDM. GDM prevalence was 5.8%, and its risk factors were pre-gestational obesity, previous hyperglycaemia, age[30 years, previous GDM (and its surrogate markers). In primi-gravida (PG) subjects, GDM was equally prevalent in the presence (4.2%) or absence (4.0%) of risk factors. In multi-gravida (MG) women, although risk factors doubled the prevalence of GDM (8.6%), in the absence of risk factors GDM prevalence was similar to that of PG women (3.9%). Half of all women with GDM received inadequate post-diagnosis obstetric control, and this induced a fourfold increase in infant perinatal complications. In conclusion, all nonhyperglycaemic 24–28-week pregnant women should be tested for GDM, although particular attention must be paid to MG women with risk factors.en
dcterms.creator.authorMcCarthy, Antonio Desmondes
dcterms.creator.authorCurciarello, Renataes
dcterms.creator.authorCastiglione, Nicoláses
dcterms.creator.authorFernández Tayeldín, Marinaes
dcterms.creator.authorCosta, Diegoes
dcterms.creator.authorArnol, Verónicaes
dcterms.creator.authorProspitti, Anabelaes
dcterms.creator.authorAliano, Analíaes
dcterms.creator.authorArchuby, Danielaes
dcterms.creator.authorGraieb, Augustoes
dcterms.creator.authorTorres, María J.es
dcterms.creator.authorEtcheverry, Susana B.es
dcterms.creator.authorApezteguia, María Cármenes
dcterms.extent97-103es
dcterms.identifier.otherdoi:10.1007/s00592-009-0107-6es
dcterms.identifier.otherISSN:0940-5429es
dcterms.identifier.otherISSN:1432-5233es
dcterms.isPartOf.issuevol. 47, no. 2es
dcterms.isPartOf.seriesActa Diabetologicaes
dcterms.issued2009
dcterms.languageIngléses
dcterms.licenseAttribution-NonCommercial-ShareAlike 4.0 International (BY-NC-SA 4.0)es
dcterms.subjectGestational diabetes mellitusen
dcterms.subjectUniversal and selective screeningen
dcterms.subjectRisk factorsen
dcterms.subjectParityen
dcterms.subjectObstetric controlen
dcterms.subjectPerinatal complicationsen
dcterms.subject.materiaCiencias Médicases
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