{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T22:22:21Z","timestamp":1787869341177,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,1,13]],"date-time":"2013-01-13T00:00:00Z","timestamp":1358035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The contribution of medical conditions such as diabetes mellitus to maternal and neonatal ill\u2010health in low\u2010 and middle\u2010income countries is not well documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To ascertain the incidence of adverse outcomes associated with gestational diabetes mellitus (GDM) in these countries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Search strategy<\/jats:title><jats:p>Electronic databases were searched between 1990 and 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Selection criteria<\/jats:title><jats:p>Observational, experimental, and quasi\u2010experimental studies reporting adverse outcomes associated with GDM in mothers and their infants in low\u2010 and middle\u2010income countries were included.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data collection and analysis<\/jats:title><jats:p>Titles and abstracts were screened, and full\u2010text articles were independently assessed by at least 2 reviewers. Characteristics of studies were tabulated and quality assessment performed. Median and interquartile range (IQR) were computed for each adverse outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main results<\/jats:title><jats:p>25 articles were included from an initial 1282 citations. High median incidences of cesarean (43.8%; IQR, 34.9%\u201365.9%), neonatal jaundice (17.1%; IQR, 8.5%\u201322.9%), and macrosomia (17.0%; IQR, 8.3%\u201332.5%) were reported in women with GDM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The high incidence of some complications of GDM is a concern and may indicate poorer care for women with GDM in low\u2010resource settings. 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