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
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..View full abstract
The Royal Australian and New Zealand College of Obstetrics and Gynaecology, who awarded the Luke Proposch Perinatal Research Scholarship to the corresponding author to financially support this research. The corresponding author had full access to the data in the study and final responsibility for the decision to submit for publication.