engleski

Impact of the Implementation of New WHO Diagnostic Criteria for Gestational Diabetes Mellitus on Prevalence and Perinatal Outcomes: A Population- Based Study

Objectives To determine the incidence, associated factors and influence of gestational diabetes (GD) on perinatal outcome before and after implementation of new WHO guidelines. Methods A cross sectional study was performed using data from medical birth certificates collected in 2010 and 2014. Associated factors include age, height, weight before and at the end of pregnancy, while perinatal outcome was assessed by onset of labor, mode of delivery and Apgar score. Results Were based on 81.748 deliveries and 83.198 newborns. Prevalence of GD increased from 2.2% in 2010 to 4.7% in 2014. GD was a significant predictor of low Apgar score (OR 1.656), labor induction (OR 2.068) and caesarean section (OR 1.567) in 2010, while in 2014 GD was predictive for labor induction (OR 1.715) and caesarean section (OR 1.458) only. Age was predictive for labor induction only in 2014 and for caesarean section in both years, while BMI before pregnancy was predictive for all observed perinatal outcomes in both years. Conclusions Despite implementation of new guidelines, GD remains burdened with increased risk of labor induction and caesarean section, but no longer with low Apgar score while BMI remains an important predictor for all three perinatal outcomes.

gestational diabetes ; epidemiology ; guidelines ; prevalence ; perinatal outcome ; BMI ; obstetrics

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