Document Detail


The benefit of early treatment without rescreening in women with a history of gestational diabetes.
MedLine Citation:
PMID:  23039851     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract In this centre women with a history of gestational diabetes (GDM) are treated without rescreening from early pregnancy in any subsequent pregnancies, commencing with a low glycaemic diet and insulin if and when indicated. The objective of this study was to see if this practice reduced the incidence of macrosomia compared with the index pregnancy. The analysis was confined to women who required insulin in the subsequent pregnancy. Among 369 women who were prospectively identified with a history of previous GDM, 95 required insulin- the study cohort. Insulin treatment was commenced at an earlier gestation in the subsequent pregnancy. The incidence of macrosomia was significantly less in the subsequent pregnancy in the group of women who required insulin in both pregnancies (p=0.02).This data suggests early treatment is of benefit to this high risk group in the reduction of macrosomia.
Authors:
Nicola Maher; Fionnuala McAuliffe; Michael Foley
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-8
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1UCD Obstetrics & Gynaecology, School of Medicine and Medical Science, University College Dublin.
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