Journal article

Implications of the introduction of new criteria for the diagnosis of gestational diabetes: a health outcome and cost of care analysis

Thomas J Cade, Alexander Polyakov, Shaun P Brennecke

BMJ OPEN | BMJ PUBLISHING GROUP | Published : 2019

Abstract

OBJECTIVE: To identify effects on health outcomes from implementing new criteria diagnosing gestational diabetes mellitus(GDM) and to analyse costs-of-care associated with this change. DESIGN: Quasi-experimental study comparing data from the calendar year before (2014) and after (2016) the change. SETTING: Single, tertiary-level, university-affiliated, maternity hospital. PARTICIPANTS: All women giving birth in the hospital, excluding those with pre-existing diabetes or multiple pregnancy. MAIN OUTCOME MEASURES: Primary outcomes were caesarean section, birth weight >90th percentile for gestation, hypertensive disorder of pregnancy and preterm birth less than 37 weeks. A number of secondary o..

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