{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:00Z","timestamp":1740126840506,"version":"3.37.3"},"reference-count":43,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003This study aimed to compare obstetrical outcomes between women diagnosed with gestational diabetes mellitus (GDM) in the third trimester after testing negative for GDM in two-step screening in the second trimester and women diagnosed in the second trimester.<\/jats:p><jats:p>\n            Study Design\u2003This retrospective study compared obstetrical outcomes between 375 women diagnosed with GDM in the second trimester and 125 diagnosed in the third trimester.<\/jats:p><jats:p>\n            Results\u2003Among women diagnosed with GDM in the third versus second trimester, the incidences were higher of morbid obesity (body mass index \u226535\u2009kg\/m2), macrosomia, and cesarean section (CS) due to suspected macrosomia: 23.2 versus 9.8%, p\u2009&lt;\u20090.001; 44.0 versus 10.1%, p\u2009&lt;\u20090.001; and 24.8 versus 6.3%, p\u2009&lt;\u20090.001, respectively. For those diagnosed in the third versus second trimester, the incidences were lower of hypertensive disorders of pregnancy and intrauterine growth restriction, and a lower proportion of women needed pharmacological therapy for glucose control: 2.4 versus 9.0%, p\u2009=\u20090.016; 0.8 versus 8.2%, p\u2009&lt;\u20090.001; and 12.0 versus 29.7%, p\u2009&lt;\u20090.001, respectively. Multivariate analysis supported a correlation between third-trimester-diagnosed GDM and macrosomia, and between second-trimester-diagnosed GDM and hypertensive disorders of pregnancy.<\/jats:p><jats:p>\n            Conclusion\u2003Among women diagnosed with GDM in the third compared with the second trimester, the incidence of morbid obesity was higher; accordingly, the risks were higher for large for gestational age infants and delivery by CS, and lower for hypertensive disorders. Guidelines regarding repeat oral glucose tolerance testing in the third trimester should be considered following prospective studies.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/s-0042-1759865","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T23:48:10Z","timestamp":1671666490000},"page":"e1053-e1060","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Obstetrical Outcome following Diagnosis of Gestational Diabetes in the Third Trimester (&gt;29 Weeks) versus Second Trimester (24\u201328 Weeks): A Retrospective Comparative Study"],"prefix":"10.1055","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0131-3936","authenticated-orcid":false,"given":"Raneen","family":"Abu Shqara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Obstetrics and Gynecology, the Azrieli faculty of medicine, Bar Ilan university, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yara","family":"Nakhleh Francis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Obstetrics and Gynecology, the Azrieli faculty of medicine, Bar Ilan university, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shany","family":"Or","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, the Azrieli faculty of medicine, Bar Ilan university, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lior","family":"Lowenstein","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Obstetrics and Gynecology, the Azrieli faculty of medicine, Bar Ilan university, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2060-3234","authenticated-orcid":false,"given":"Maya","family":"Frank Wolf","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Galilee Medical Center, Nahariya, Israel"},{"name":"Obstetrics and Gynecology, the Azrieli faculty of medicine, Bar Ilan university, Safed, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"issue":"S 01","key":"ref1","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.2337\/dc13-S067","article-title":"Diagnosis and classification of diabetes mellitus","volume":"36","author":"American Diabetes Association","year":"2013","journal-title":"Diabetes Care"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"E104","DOI":"10.5888\/pcd11.130415","article-title":"Prevalence estimates of gestational diabetes mellitus in the United 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