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Scientific paper - Original scientific paper
Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?
Acta clinica Croatica, 55 (2016), 3; 422-427. https://doi.org/10.20471/acc.2016.55.03.11
Djaković, Ivka; Sabolović Rudman, Senka; Gall, Vesna; Košec, Andro; Markuš Sandrić, Marina; Košec, Vesna

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Djaković, I., Sabolović Rudman, S., Gall, V., Košec, A., Markuš Sandrić, M. & Košec, V. (2016). Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?. Acta clinica Croatica, 55. (3), 422-427. doi: 10.20471/acc.2016.55.03.11

Djaković, Ivka, et al. "Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?." Acta clinica Croatica, vol. 55, no. 3, 2016, pp. 422-427. https://doi.org/10.20471/acc.2016.55.03.11

Djaković, Ivka, Senka Sabolović Rudman, Vesna Gall, Andro Košec, Marina Markuš Sandrić and Vesna Košec. "Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?." Acta clinica Croatica 55, no. 3 (2016): 422-427. https://doi.org/10.20471/acc.2016.55.03.11

Djaković, I., et al. (2016) 'Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?', Acta clinica Croatica, 55(3), pp. 422-427. doi: 10.20471/acc.2016.55.03.11

Djaković I, Sabolović Rudman S, Gall V, Košec A, Markuš Sandrić M, Košec V. Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?. Acta clinica Croatica [Internet]. 2016 [cited 2024 October 29];55(3):422-427. doi: 10.20471/acc.2016.55.03.11

I. Djaković, S. Sabolović Rudman, V. Gall, A. Košec, M. Markuš Sandrić and V. Košec, "Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?", Acta clinica Croatica, vol. 55, no. 3, pp. 422-427, 2016. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:216513. [Accessed: 29 October 2024]

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Metadata
Title (english)Do changing diagnostic criteria for gestational diabetes influence pregnancy outcome?
Title (croatian)Utječu li novi dijagnostički kriteriji za gestacijski dijabetes na ishod trudnoća?
AuthorIvka Djaković https://orcid.org/0000-0003-2275-6389
AuthorSenka Sabolović Rudman
AuthorVesna Gall
AuthorAndro Košec
AuthorMarina Markuš Sandrić
AuthorVesna Košec
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Gynecology and Obstetrics
Abstract (english)
The incidence of pregnancy related diabetes has been steadily increasing during the past decade. The aim of this retrospective study was to evaluate the type and prevalence of gestational diabetes complications after implementing new diagnostic criteria for gestational diabetes. The incidence of gestational diabetes, maternal age, mode of delivery and birth weight were analyzed. Study patients were divided into three groups. The first group consisted of patients who gave birth during 2005, the second group during 2011 and the third group during 2012. In 2005, the World Health Organization criteria were used on diagnosing gestational diabetes, whereas in 2011 and 2012 the criteria issued by the International Association of Diabetes and Pregnancy Study Groups were considered. Th ere was no statistically significant difference among the groups according to maternal age, birth weight (p=0.203) and mode of delivery (p=0.883). Cesarean section was performed in about 30% of deliveries in all groups combined. There was no significant difference in the number of neonatal hypertrophy (p=0.348), although the distribution of hypertrophy showed a tendency towards higher values in 2005. Th e incidence of gestational diabetes was 2.2% in 2005, 6.6% in 2011 and 12% in 2012. In conclusion, difference in the incidence of pregnancy related diabetes appeared to have resulted directly from using different diagnostic criteria. The new criteria contributed to a relatively higher incidence of gestational diabetes but also achieved better gestational glycemic control and consequently better fetal growth regulation.
Abstract (croatian)
Incidencija gestacijskog dijabetesa je u stalnom porastu u proteklom desetljeću. Cilj ove retrospektivne studije bio je utvrditi komplikacije gestacijskog dijabetesa i ishode trudnoća nakon promjene kriterija za dijagnozu gestacijskog dijebetesa. Analizirana je incidencija dijabetesa u trudnoći, dob majki, način dovršenja porođaja i težina novorođenčadi. Ispitanice su bile podijeljene u tri skupine. U prvoj skupini su bile žene koje su rodile u 2005. godini, u drugoj skupini one koje su rodile 2011. godine, a u trećoj skupini one koje su rodile 2012. godine. Za dijagnozu gestacijskog dijabetesa 2005. godine korišteni su kriteriji Svjetske zdravstvene organizacije, a 2011. i 2012. godine kriteriji IADPSG (International Association of Diabetes and Pregnancy Study Groups). U ispitivanim skupinama nije nađena statistički značajna razlika s obzirom na dob rodilja. Nije bilo statistički značajne razlike u prosječnoj težini novorođenčadi (p=0,203) među ispitivanim skupinama. Također nije nađena statistički značajna razlika niti u načinu dovršenja porođaja (p=0,883). U ispitivanom uzorku carskim rezom rodilo je oko 30% trudnica. Nije bilo statistički značajne razlike u pojavnosti fetalne hipertrofije (p=0,348), ali je 2005. godine rođeno više djece u skupinama s većom porođajnom masom. Godine 2005. incidencija gestacijskog dijabetesa bila je 2,2%, 2011. godine 6,6%, a 2012. godine 12%. Razlika u incidenciji gestacijskog dijabetesa posljedica je primjene različitih dijagnostičkih kriterija. Novi kriteriji su doprinijeli porastu incidencije gestacijskog dijabetesa, ali i boljoj regulaciji glikemije te posljedično boljoj regulaciji fetalnoga rasta.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 55, no. 3, pp. 422-427
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2016.55.03.11
URN:NBNurn:nbn:hr:220:216513
Publication2016
Document URLhttps://hrcak.srce.hr/172588
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-10-18 11:24:17