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Thomas Jefferson University

Department of Obstetrics and Gynecology Faculty Papers

Screening

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Scientific Evidence For Different Options For Gdm Screening And Management: Controversies And Review Of The Literature., Claudia Caissutti, Vincenzo Berghella Apr 2017

Scientific Evidence For Different Options For Gdm Screening And Management: Controversies And Review Of The Literature., Claudia Caissutti, Vincenzo Berghella

Department of Obstetrics and Gynecology Faculty Papers

Background. Gestational diabetes (GDM) affects up to 7% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage GDM. Objective. We aimed to analyze the most important and employed guidelines about screening and management of GDM and we investigated existing related literature. Results. We found several different criteria for screening for GDM, for monitoring GDM, and for starting pharmacological therapy. When using IADPSG criteria, GDM rate increased, perinatal outcomes improved, and screening became cost-effective. Compared to no treatment, treatment of women meeting criteria for GDM …