International survey on gestational diabetes

Doyle, Mary‐Anne; Khan, Shajia; Al-Mohanadi, Dabia; Keely, Erin

doi:10.3109/14767058.2012.670415

Cited by 8 publications

(6 citation statements)

References 3 publications

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“…A contributing factor to this large variation in practices is probably the differing recommendations by both international and local scientific professional organizations. Various large surveys completed by responders from many different countries highlight the strong variability that exists internationally in screening, diagnosis and management of women with GDM [ 16 - 18 ]. Comparison between countries is very difficult due to the different diagnostic strategies and subpopulations.…”

Section: Discussionmentioning

confidence: 99%

Screening for pregestational and gestational diabetes in pregnancy: a survey of obstetrical centers in the northern part of Belgium

Benhalima

Crombrugge

Devlieger

et al. 2013

Diabetol Metab Syndr

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BackgroundThere is lack of consensus concerning the best screening strategy for gestational diabetes (GDM). The aim of our survey was therefore to investigate attitudes and practices of all obstetrical centers in the northern part of Belgium regarding screening for pregestational diabetes in early pregnancy and screening for GDM. We also aimed to identify the penetrance of the ‘International Association of Diabetes in Pregnancy Study Groups’ (IADPSG) screening strategy for GDM.MethodsThe survey was conducted from May 2012 till January 2013. The survey was distributed to every obstetrical center in the northern part of Belgium by email and/or mail with reminders by phone and personal contact.ResultsFrom the 65 obstetrical centers, 69% responded. Of all centers, 27% had a structured database on the number of women with GDM. Of all centers, 82% screened for pregestational diabetes in early pregnancy and 56% of centers screened for GDM before 24 weeks. Screening before 24 weeks was mostly based on risk factors. Screening for GDM after 24 weeks, was done universally in 87% of centers. The mean estimated prevalence of GDM was 7 ± 5%. The most commonly used screening strategy was a two-step approach with a glucose challenge test (GCT) and 100 g oral glucose tolerance test (OGTT), used by 56% of centers, with 23 centers using the Carpenter & Coustan criteria. The 75 g OGTT with the IADPSG criteria was used by 33% of centers but 4 of these centers still used a GCT before proceeding to the full OGTT.ConclusionsThis survey demonstrates that in the northern part of Belgium, there still is a large variation in screening strategy for pregestational diabetes in early pregnancy and GDM. Only 25% of centers have already implemented the one-step IADPSG screening strategy.

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Section: Discussionmentioning

confidence: 99%

Screening for pregestational and gestational diabetes in pregnancy: a survey of obstetrical centers in the northern part of Belgium

Benhalima

Crombrugge

Devlieger

et al. 2013

Diabetol Metab Syndr

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“…An instrument development process was undertaken due to the absence of a pre‐existing, validated tool assessing the outcomes of interest. A literature review was used to find similar tools, and the survey included 15 questions adapted from existing questionnaires relating to GDM service provision and demographic characteristics. For the remaining questions, the Queensland Clinical Guideline for GDM was used to compile a list of tasks and recommendations for GDM management.…”

Section: Methodsmentioning

confidence: 99%

Diagnosis and management practices for gestational diabetes mellitus in Australia: Cross‐sectional survey of the multidisciplinary team

Meloncelli

Barnett

Pelly

et al. 2018

Aust NZ J Obst Gynaeco

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“…12 This is a concerning fact as elevated blood sugars in pregnancy can be detrimental to a fetal development, in some cases even fatal. As such, it is important to utilize multiple screening modalities in order to identify these complications in utero.…”

Section: Discussionmentioning

confidence: 99%

The Role of Ultrasound in the Diagnosis of Complications Associated with Maternal Diabetes

Appleton¹,

Barnard²,

Jantz³

et al. 2013

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Gestational diabetes mellitus (GDM) is defined as glucose intolerance that begins or is first recognized during pregnancy. Numerous clinical factors are associated with an increased likelihood of GDM, such as increasing age, obesity, ethnicity, family history of diabetes and past obstetric history. There is a well-documented relationship between maternal hyperglycemia and increased rate of macrosomia, cesarean section, stillbirth, fetal congenital malformations, shoulder dystocia, hypoglycemia, hyperbilirubinemia, pre-eclampsia, preterm delivery, childhood obesity, and increased risk of maternal development of type 2 DM later on in her life. This case-based review is designed to provide health care workers a framework on using various ultrasound imaging modalities in early detection of the effects of gestational diabetes, and the specific conditions and/or anomalies seen in diabetic pregnancies.

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International survey on gestational diabetes

Cited by 8 publications

References 3 publications

Screening for pregestational and gestational diabetes in pregnancy: a survey of obstetrical centers in the northern part of Belgium

Screening for pregestational and gestational diabetes in pregnancy: a survey of obstetrical centers in the northern part of Belgium

Diagnosis and management practices for gestational diabetes mellitus in Australia: Cross‐sectional survey of the multidisciplinary team

The Role of Ultrasound in the Diagnosis of Complications Associated with Maternal Diabetes

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