Document Detail


Gestational diabetes. Incidence, maternal characteristics, and perinatal outcome.
MedLine Citation:
PMID:  3996764     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Accurate estimates of the incidence of abnormal glucose tolerance during pregnancy are virtually nonexistent. Screening select populations of women with risk factors for the condition and the nonrandom, non-population-based nature of most studies have given rise to wide variances in reported incidence. We analyzed data from the states of Mississippi and Washington and from the National Natality and Fetal Mortality Surveys conducted in 1980 in an attempt to provide more accurate population-based estimates of the incidence of gestational diabetes mellitus (GDM). In the national surveys GDM was noted (screening and diagnostic criteria were unavailable) as a complication in 0.38% of all sampled pregnancies; overt (type I and type II) diabetes was noted in 0.78%. Mean maternal age for the GDM group was 28.4 yr; 85% were white (81% controls) and 15% non-white (19% controls). Prepregnancy weights were higher in the GDM group by an average of 20 lb. However, mean weight gain was less in this group than in controls (23 versus 29 lb). Perinatal mortality was noted in approximately 2.8% (1.3% in controls) of the offspring in GDM-complicated pregnancies and congenital malformations in 6.4% (7.9% in controls). Methodologic problems were encountered and included lack of screening and diagnostic criteria, underreporting, and underrecording.
Authors:
S J Sepe; F A Connell; L S Geiss; S M Teutsch
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diabetes     Volume:  34 Suppl 2     ISSN:  0012-1797     ISO Abbreviation:  Diabetes     Publication Date:  1985 Jun 
Date Detail:
Created Date:  1985-07-23     Completed Date:  1985-07-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0372763     Medline TA:  Diabetes     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  13-6     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
African Continental Ancestry Group
Birth Weight
Body Weight
Congenital Abnormalities / epidemiology
Diabetes Mellitus, Type 1 / epidemiology
Diabetes Mellitus, Type 2 / epidemiology
European Continental Ancestry Group
Female
Fetal Death / epidemiology
Humans
Infant
Infant Mortality
Infant, Newborn
Maternal Age
Mississippi
Pregnancy
Pregnancy in Diabetics / complications,  epidemiology*
Risk
Washington

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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