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    Gestational diabetes incidence and delivery outcomes in Western China: A prospective cohort study

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    Fulltext not available
    Authors
    Mak, J.
    Lee, A.
    Pham, N.
    Pan, X.
    Tang, L.
    Lee, Andy
    Sun, X.
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Mak, J. and Lee, A. and Pham, N. and Pan, X. and Tang, L. and Lee, A. and Sun, X. 2018. Gestational diabetes incidence and delivery outcomes in Western China: A prospective cohort study. Birth.
    Source Title
    Birth
    DOI
    10.1111/birt.12397
    ISSN
    0730-7659
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/71021
    Collection
    • Curtin Research Publications
    Abstract

    © 2018 Wiley Periodicals, Inc. Background: Few studies have examined the age-standardized incidence of gestational diabetes mellitus (GDM) for comparison between populations. Information on delivery outcomes is also lacking for Chinese women with GDM. Therefore, the present study aimed to determine age-standardized GDM incidence and assess its association with maternal and neonatal outcomes. Methods: A total of 1901 pregnant women were recruited in Chengdu, Sichuan Province. GDM was diagnosed between 24 and 28 weeks’ gestation using oral glucose tolerance tests. Age-standardized incidence rates of GDM were calculated using the direct method. Delivery outcomes were extracted from medical records and compared between the GDM and non-GDM groups. Results: The age-standardized GDM incidence was 18.3% (95% CI 15.6-21.1) and increased with maternal age and prepregnancy body mass index (BMI). Women with GDM experienced longer length of stay in hospital, shorter gestation at delivery, and a higher risk of cesarean delivery. Their newborns were more likely to be macrosomic or small for gestational age, and to require neonatal intensive care. Conclusions: The incidence of GDM was high in Western China, especially among older and overweight women. Moreover, women with GDM had higher rates of adverse delivery outcomes. The findings lend further support for the screening, prevention, and management of GDM in Chinese women.

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