KDA
- Current
- Browse
- Collections
-
For contributors
- For Authors
- Instructions to authors
- Article processing charge
- e-submission
- For Reviewers
- Instructions for reviewers
- How to become a reviewer
- Best reviewers
- For Readers
- Readership
- Subscription
- Permission guidelines
- About
- Editorial policy
Search
- Page Path
- HOME > Search
Original Article
- Metabolic Risk/Epidemiology
- Effect of Different Types of Diagnostic Criteria for Gestational Diabetes Mellitus on Adverse Neonatal Outcomes: A Systematic Review, Meta-Analysis, and Meta-Regression
- Fahimeh Ramezani Tehrani, Marzieh Saei Ghare Naz, Razieh Bidhendi-Yarandi, Samira Behboudi-Gandevani
- Diabetes Metab J. 2022;46(4):605-619. Published online March 8, 2022
- DOI: https://doi.org/10.4093/dmj.2021.0178
- 5,131 View
- 298 Download
- 7 Web of Science
- 7 Crossref
-
Abstract
PDF
Supplementary Material
PubReader 
ePub - Background
Evidence supporting various diagnostic criteria for diagnose gestational diabetes mellitus (GDM) are consensus-based, needs for additional evidence related to outcomes. Therefore, the aim of this systematic-review and meta-analysis was to assess the impact of different GDM diagnostic-criteria on the risk of adverse-neonatal-outcomes.
Methods
Electronic databases including Scopus, PubMed, and Web of Sciences were searched to retrieve English original, population-based studies with the universal GDM screening approach, up to January-2020. GDM diagnostic criteria were classified in seven groups and International Association of the Diabetes and Pregnancy Study Groups (IADPSG) was considered as reference one. We used the Mantel–Haenszel method to calculate the pooled odds of events. The possibility of publication bias was examined by Begg’s test.
Results
A total of 55 population-based studies consisting of 1,604,391 pregnant women with GDM and 7,770,855 non-GDM counterparts were included. Results showed that in all diagnostic-criteria subgroups, the risk of adverse neonatal outcomes including macrosomia, hyperbilirubinemia, respiratory distress syndrome, neonatal hypoglycemia, neonatal intensive care unit admission, preterm birth, and birth-trauma were significantly higher than the non-GDM counterparts were significantly higher than non-GDM counterparts. Meta-regression analysis revealed that the magnitude of neonatal risks in all diagnostic-criteria subgroups are similar.
Conclusion
Our results showed that the risk of adverse-neonatal-outcome increased among women with GDM, but the magnitude of risk was not different among those women who were diagnosed through more or less intensive strategies. These findings may help health-care-providers and policy-makers to select the most cost-effective approach for the screening of GDM among pregnant women. -
Citations
Citations to this article as recorded by
- Hyperglycemia in pregnancy did not worsen the short-term outcomes of very preterm infants: a propensity score matching study
Ying Li, Wei Shen, Rong Zhang, Jian Mao, Ling Liu, Yan-Mei Chang, Xiu-Zhen Ye, Yin-Ping Qiu, Li Ma, Rui Cheng, Hui Wu, Dong-Mei Chen, Ling Chen, Ping Xu, Hua Mei, San-Nan Wang, Fa-Lin Xu, Rong Ju, Xiao-Mei Tong, Xin-Zhu Lin, Fan Wu
Frontiers in Pediatrics.2024;[Epub] CrossRef - Diabetesscreening in der Schwangerschaft
Ute Schäfer-Graf
Die Gynäkologie.2023; 56(2): 103. CrossRef - One-step versus two-step screening for diagnosis of gestational diabetes mellitus in Iranian population: A randomized community trial
Fahimeh Ramezani Tehrani, Maryam Rahmati, Farshad Farzadfar, Mehrandokht Abedini, Maryam Farahmand, Farhad Hosseinpanah, Farzad Hadaegh, Farahnaz Torkestani, Majid Valizadeh, Fereidoun Azizi, Samira Behboudi-Gandevani
Frontiers in Endocrinology.2023;[Epub] CrossRef - Predictors of Neonatal Intensive Care Unit Admission and Adverse Outcomes Related to Gestational Diabetes
Abdullah M Al-shahrani
Cureus.2023;[Epub] CrossRef - Positive association between circulating Caveolin-1 and microalbuminuria in overt diabetes mellitus in pregnancy
Y. Shu, Y. Xiong, Y. Song, S. Jin, X. Bai
Journal of Endocrinological Investigation.2023; 47(1): 201. CrossRef - Early-to-mid pregnancy sleep and circadian markers in relation to birth outcomes: An epigenetics pilot study
Erica C. Jansen, Kelvin Pengyuan Zhang, Dana C. Dolinoy, Helen J. Burgess, Louise M. O’Brien, Elizabeth Langen, Naquia Unwala, Jessa Ehlinger, Molly C. Mulcahy, Jaclyn M. Goodrich
Chronobiology International.2023; 40(9): 1224. CrossRef - Various screening and diagnosis approaches for gestational diabetes mellitus and adverse pregnancy outcomes: a secondary analysis of a randomized non-inferiority field trial
Fahimeh Ramezani Tehrani, Ali Sheidaei, Maryam Rahmati, Farshad Farzadfar, Mahsa Noroozzadeh, Farhad Hosseinpanah, Mehrandokht Abedini, Farzad Hadaegh, Majid Valizadeh, Farahnaz Torkestani, Davood Khalili, Faegheh Firouzi, Masoud Solaymani-Dodaran, Afshin
BMJ Open Diabetes Research & Care.2023; 11(6): e003510. CrossRef
- Hyperglycemia in pregnancy did not worsen the short-term outcomes of very preterm infants: a propensity score matching study
First
Prev
