{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:22:39Z","timestamp":1761744159234,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,7,16]],"date-time":"2015-07-16T00:00:00Z","timestamp":1437004800000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2015,10]]},"abstract":"Background<\/jats:title>Gestational diabetes mellitus (GDM<\/jats:styled-content>) affects 5\u20138% of pregnant women in Australia and is linked to adverse maternal and neonatal outcomes. Earlier diagnosis and treatment has been suggested to improve these outcomes.<\/jats:p><\/jats:sec>Aim<\/jats:title>To describe the experience of a change in GDM<\/jats:styled-content> screening policy at a large tertiary hospital.<\/jats:p><\/jats:sec>Materials and Methods<\/jats:title>A 6\u2010month audit was performed following a policy change involving introduction of screening for all women early in pregnancy (by either random blood glucose level (BGL<\/jats:styled-content>) or oral glucose tolerance testing (OGTT<\/jats:styled-content>), depending on their perceived risk of developing GDM<\/jats:styled-content>), followed by universal OGTT<\/jats:styled-content> at 26\u201328\u00a0weeks' gestation. The prevalence of GDM<\/jats:styled-content> (including changes expected from new Australasian Diabetes in Pregnancy Society (ADIPS<\/jats:styled-content>) criteria), maternal and neonatal outcomes and adherence to new screening policy are reported.<\/jats:p><\/jats:sec>Results<\/jats:title>The prevalence of GDM<\/jats:styled-content> was 7.9% (1.6% early, 6.3% later diagnoses). More women with early diagnoses required insulin. Early testing with random BGL<\/jats:styled-content> for low\u2010risk women only identified 1.7% of those with GDM<\/jats:styled-content>. Early OGTT<\/jats:styled-content> for high\u2010risk women identified 24.9% of GDM<\/jats:styled-content> diagnoses. Adherence to the new screening protocol was generally poor, with 26% adherence at booking, 64% at 26\u00a0weeks' gestation and 27% with unknown GDM status.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>While early testing with OGTT<\/jats:styled-content> for high\u2010risk women may be helpful, the value of early testing with random BGL<\/jats:styled-content> for low\u2010risk women is questionable. The new ADIPS<\/jats:styled-content> criteria are likely to increase the number of women diagnosed with GDM<\/jats:styled-content> (with an emphasis on earlier diagnosis), but the absolute increase remains small.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12346","type":"journal-article","created":{"date-parts":[[2015,7,16]],"date-time":"2015-07-16T12:40:19Z","timestamp":1437050419000},"page":"427-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Changing the protocol for gestational diabetes mellitus screening"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4531-4698","authenticated-orcid":false,"given":"Dora","family":"Ng","sequence":"first","affiliation":[{"name":"Department of Obstetrics & Gynaecology Mater Mothers Hospital Raymond Tce South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Beckmann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynaecology Mater Mothers Hospital Raymond Tce South Brisbane Queensland Australia"},{"name":"Mater Research Institute University of Queensland Raymond Tce South Brisbane Queensland Australia"},{"name":"University of Queensland School of Medicine Raymond Tce South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold David","family":"Mcintyre","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland Raymond Tce South Brisbane Queensland Australia"},{"name":"University of Queensland School of Medicine Raymond Tce South Brisbane Queensland Australia"},{"name":"Mater Hospital Raymond Tce South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelley A","family":"Wilkinson","sequence":"additional","affiliation":[{"name":"Mater Research Institute University of Queensland Raymond Tce South Brisbane Queensland Australia"},{"name":"Mater Hospital Raymond Tce South Brisbane Queensland Australia"},{"name":"Department of Nutrition & Dietetics Mater Health Services Raymond Tce South Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,16]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1998.tb140192.x"},{"key":"#cr-split#-e_1_2_5_3_1.1","unstructured":"Templeton and Pieris\u2010Caldwell.Gestational diabetes mellitus in Australia 2005\u201006. Australian Institute of Health and Welfare"},{"key":"#cr-split#-e_1_2_5_3_1.2","unstructured":"2008. [Accessed 20 February 2015.] Available from URL:http:\/\/www.aihw.gov.au\/WorkArea\/DownloadAsset.aspx?id=6442455091."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/diab.40.2.S74"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902430"},{"key":"e_1_2_5_7_1","unstructured":"World Health Organization.Diagnostic Criteria and Classification of Hyperglycaemia First Detected in Pregnancy.2013. [Accessed 20 February 2015.] Available from URL:http:\/\/apps.who.int\/iris\/bitstream\/10665\/85975\/1\/WHO_NMH_MND_13.2_eng.pdf."},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-s206"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1991.tb142140.x"},{"key":"e_1_2_5_10_1","unstructured":"RANZCOG.Diagnosis of Gestational Diabetes Mellitus. College Statement C\u2010Obs7. July2014. [Accessed 20 February 2015.] Available from URL:http:\/\/www.ranzcog.edu.au\/college-statements-guidelines.html."},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1848"},{"key":"e_1_2_5_12_1","unstructured":"NankervisA McIntyreHD MosesR et\u00a0al.ADIPS Consensus Guidelines for the Testing and Diagnosis of Gestational Diabetes Mellitus in Australia. Modified June2014. [Accessed 20 February 2015.] Available from URL:http:\/\/adips.org\/downloads\/2014ADIPSGDMGuidelinesVJune2014FINALforWEB.pdf."},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(12)80023-8"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/2230-8210.94268"},{"issue":"1","key":"e_1_2_5_15_1","doi-asserted-by":"crossref","first-page":"162S","DOI":"10.1097\/01.AOG.0000447165.22404.99","article-title":"Outcome of pregnancy when gestational diabetes mellitus is diagnosed before or after 24\u00a0weeks of gestation","volume":"123","author":"Ngai I","year":"2014","journal-title":"Obstet Gynecol"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2010.01219.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-0533"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.11.006"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-1157"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2011.tb03001.x"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-0179"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-14-41"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajo.12346","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T17:11:07Z","timestamp":1696525867000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,16]]},"references-count":22,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1111\/ajo.12346"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12346","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2015,7,16]]},"assertion":[{"value":"2014-11-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-07-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}