Analysis of Pregnancy Outcomes Using the New IADPSG Recommendation Compared with the Carpenter and Coustan Criteria in an Area with a Low Prevalence of Gestational Diabetes.
Analysis of Pregnancy Outcomes Using the New IADPSG Recommendation Compared with the Carpenter and Coustan Criteria in an Area with a Low Prevalence of Gestational Diabetes.
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DOI：
10.1155/2013/248121
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发表时间：
2013
影响因子：
2.8
通讯作者：
Mathieu C
中科院分区：
文献类型：
--
作者：
Benhalima K;Hanssens M;Devlieger R;Verhaeghe J;Mathieu C
目标。本文旨在评估以前根据 Carpenter 和 Coustan 标准（旧标准）分类为正常，现在根据 IADPSG 标准分类为妊娠糖尿病 (GDM) 的女性的特征和妊娠结局。方法。对 6727 例妊娠进行了回顾性分析。使用旧标准，222 人患有 GDM（旧 GDM）。根据 IADPSG 标准，382 人患有 GDM，其中 160 人按照旧标准（新 GDM）糖耐量正常。我们将新 GDM 组与旧 GDM 组以及具有正常糖耐量的女性与这两个标准进行了比较（NGT 组，6345）。结果。新 GDM 女性比老 GDM 女性更年轻（31.6 ± 4.7 岁 vs 33.3 ± 7.2 岁，P = 0.010）。 30.5% 的新 GDM 患者、32.4% 的旧 GDM 患者（P = 0.706）和 23.3% 的 NGT 女性（P = 0.001）接受了剖腹产手术。大于胎龄的发生率在新 GDM 中为 10.8%，在旧 GDM 中为 13.8% (P = 0.473)，在 NGT 女性中为 9.0% (P = 0.099)。肩难产发生率在新 GDM 中为 3.9%，在旧 GDM 中为 3.2%（P = 0.736），在 NGT 女性中为 1.4%（P = 0.007）。结论。使用 IADPSG 标准，更多的女性被确定为患有 GDM，并且与没有 GDM 的女性相比，这些女性出现不良妊娠结局的风险更高。
Aims. This paper aims to evaluate characteristics and pregnancy outcomes in women prior classified normal by Carpenter and Coustan criteria (old criteria) and now gestational diabetes (GDM) by the IADPSG criteria. Methods. Retrospective analysis of 6727 pregnancies is used. Using the old criteria, 222 had GDM (old GDM). Using the IADPSG criteria, 382 had GDM of which 160 had a normal glucose tolerance with the old criteria (new GDM). We compared the new GDM group with the old GDM group and women with normal glucose tolerance with both criteria (NGT group, 6345). Results. New GDM women were younger (31.6 ± 4.7 versus 33.3 ± 7.2 years, P = 0.010) than old GDM women. Caesarean section was performed in 30.5% of new GDM, in 32.4% of old GDM (P = 0.706), and in 23.3% of NGT women (P = 0.001). Large for gestational age occurred in 10.8% of new GDM, in 13.8% of old GDM (P = 0.473), and in 9.0% of NGT women (P = 0.099). Shoulder dystocia occurred in 3.9% of new GDM, in 3.2% of old GDM (P = 0.736), and in 1.4% of NGT women (P = 0.007). Conclusion. Using the IADPSG criteria, more women are identified as having GDM, and these women carry an increased risk for adverse gestational outcome compared to women without GDM.
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影响因子：
16.2
作者：
Sacks DA;Hadden DR;Maresh M;Deerochanawong C;Dyer AR;Metzger BE;Lowe LP;Coustan DR;Hod M;Oats JJ;Persson B;Trimble ER;HAPO Study Cooperative Research Group
通讯作者：
HAPO Study Cooperative Research Group
影响因子：
16.2
作者：
Agarwal MM;Dhatt GS;Shah SM
通讯作者：
Shah SM
影响因子：
3.5
作者：
Lapolla, A.;Dalfra, M. G.;Fedele, D.
通讯作者：
Fedele, D.
DOI：
10.1016/j.ejogrb.2003.09.005
发表时间：
2003-11-28
影响因子：
2.6
作者：
Bréart, G;Barros, H;Prati, S
通讯作者：
Prati, S
DOI：
10.1111/j.1471-0528.2009.02486.x
发表时间：
2010-04-01
影响因子：
5.8
作者：
Metzger, B. E.
通讯作者：
Metzger, B. E.