Journal
DIABETES RESEARCH AND CLINICAL PRACTICE
Volume 50, Issue 1, Pages 57-63Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/S0168-8227(00)00135-2
Keywords
gestational diabetes mellitus; diagnostic criteria; complications of mother and infant
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Data for 416 Japanese pregnant women who received a 75g oral glucose tolerance test (OGTT) for determination of gestational diabetes mellitus (GDM) in 13 hospitals in Japan were analyzed retrospectively. Comparison of the diagnostic criteria of the World Health Organization (WHO) and the Japan Society of Obstetrics and Gynecology (JSOG) revealed pregnant women who met the latter criteria for GDM to have significantly higher incidences of low Apgar scores, respiratory problems, neonatal hypoglycemia, preterm delivery and requirements for insulin therapy and cesarean section. The women who met the WHO criteria but not the JSOG criteria had minor complications. These observations suggest that the GDM criteria of the JSOG are more appropriate than the WHO criteria from the standpoint of therapeutic intervention for pregnant women. (C) 2000 Elsevier Science Ireland Ltd. All rights reserved.
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