{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T23:52:33Z","timestamp":1768348353851,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T00:00:00Z","timestamp":1580083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare perinatal outcomes before and after implementation of the International Association of Diabetes and Pregnancy Study Groups (<jats:styled-content style=\"fixed-case\">IADPSG<\/jats:styled-content>) criteria for testing of gestational diabetes mellitus (<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A national, perinatal, registry\u2010based cohort study of prospectively collected data was conducted. Patients with diabetes type 1 or 2 were excluded. Outcomes of 135\u2009786 pregnancies before (January 1, 2004 to May 31, 2010) and 140\u2009524 after (June 1, 2011 to December 31, 2017) the introduction of <jats:styled-content style=\"fixed-case\">IADPSG<\/jats:styled-content> criteria were compared using Student <jats:italic>t<\/jats:italic> test and \u03c7<jats:sup>2<\/jats:sup> test (<jats:italic>P<\/jats:italic>&lt;0.05 was significant). Multivariable logistic regression was used to compare outcomes controlling for potential confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prevalence of <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> increased from 2.6% to 9.7% (adjusted odds ratio 3.92; 95% confidence interval 3.78\u20134.08). Incidence of large\u2010for\u2010gestational age (<jats:styled-content style=\"fixed-case\">LGA<\/jats:styled-content>), macrosomia (birth weight &gt;4500\u00a0g), Erb's palsy, and hypertensive disorders in pregnancy decreased despite increasing maternal age and pre\u2010pregnancy obesity. Rates of cesarean delivery increased in both <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> and non\u2010<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> groups, with a less pronounced increase in <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> mothers. Incidence of small\u2010for\u2010gestational age (<jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>) increased in <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> but not in non\u2010<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Implementation of <jats:styled-content style=\"fixed-case\">IADPSG<\/jats:styled-content> criteria in a country with a relatively low prevalence of <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> did not result in higher rates of cesarean delivery and was associated with reductions in <jats:styled-content style=\"fixed-case\">LGA<\/jats:styled-content> and hypertensive disorders in pregnancy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13098","type":"journal-article","created":{"date-parts":[[2020,1,11]],"date-time":"2020-01-11T06:46:30Z","timestamp":1578725190000},"page":"88-92","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Changes in perinatal outcomes after implementation of <scp>IADPSG<\/scp> criteria for screening and diagnosis of gestational diabetes mellitus: A national survey"],"prefix":"10.1002","volume":"149","author":[{"given":"Miha","family":"Lucovnik","sequence":"first","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Perinatology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili","family":"Steblovnik","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Perinatology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Verdenik","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Perinatology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Premru\u2010Srsen","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Perinatology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marjeta","family":"Tomazic","sequence":"additional","affiliation":[{"name":"Division of Internal Medicine Department for Endocrinology, Diabetes and Metabolic Disorders University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasa","family":"Tul","sequence":"additional","affiliation":[{"name":"Division of Obstetrics and Gynecology Department of Perinatology University Medical Centre Ljubljana  Ljubljana Slovenia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,1,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-S002"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902430"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc18-S013"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1848"},{"key":"e_1_2_7_7_1","unstructured":"World Health Organization.WHO recommendation on the diagnosis of gestational diabetes in pregnancy.2008.https:\/\/extranet.who.int\/rhl\/topics\/preconception-pregnancy-childbirth-and-postpartum-care\/antenatal-care\/who-recommendation-diagnosis-gestational-diabetes-pregnancy-0. 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