{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T02:24:24Z","timestamp":1781576664747,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T00:00:00Z","timestamp":1516665600000},"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":[[2018,10]]},"abstract":"Background<\/jats:title>The adoption of the International Association of Diabetes Study Groups (IADPSG<\/jats:styled-content>) criteria for gestational diabetes mellitus (GDM<\/jats:styled-content>) in Australia has been controversial. Obesity in pregnancy is also a growing concern.<\/jats:p><\/jats:sec>Aims<\/jats:title>To assess the impact of IADPSG<\/jats:styled-content> criteria on the incidence of GDM<\/jats:styled-content> and pregnancy outcomes, and to compare this to the effect of obesity, particularly among women who would not have GDM<\/jats:styled-content> by the Australasian Diabetes in Pregnancy Society 1998 criteria (ADIPS<\/jats:styled-content>1998).<\/jats:p><\/jats:sec>Material and Methods<\/jats:title>A retrospective observational cohort study linking results of 75\u00a0g glucose tolerance tests with demographic and pregnancy data was conducted.<\/jats:p><\/jats:sec>Results<\/jats:title>In our cohort of 6175 pregnancies, GDM<\/jats:styled-content> was present in 926 (15%) women by the ADIPS<\/jats:styled-content>1998 criteria; it increased to 1098 (17.8%) women by the IADPSG<\/jats:styled-content> criteria. Among the 5248 pregnancies which did not meet the ADIPS<\/jats:styled-content>1998 criteria and were not treated for GDM<\/jats:styled-content>, women with IADPSG GDM<\/jats:styled-content> had increased risk of gestational hypertension, pre\u2010eclampsia, induction of labour (IOL<\/jats:styled-content>), primary caesarean section (PCS<\/jats:styled-content>) and large for gestational age (LGA<\/jats:styled-content>) compared to women without GDM<\/jats:styled-content> (all P<\/jats:italic>\u00a0<\u00a00.05), whereas obese women had increased risk of gestational hypertension, pre\u2010eclampsia, IOL<\/jats:styled-content>, PCS<\/jats:styled-content>, small for gestational age (SGA<\/jats:styled-content>) and shoulder dystocia compared to women of normal weight (all P<\/jats:italic>\u00a0<\u00a00.05). On multivariate analysis, IADPSG GDM<\/jats:styled-content> was an independent risk factor only for IOL<\/jats:styled-content> (P<\/jats:italic>\u00a0=\u00a00.04) and LGA<\/jats:styled-content> (<0.001). Obesity was an independent risk factor for gestational hypertension, pre\u2010eclampsia, IOL<\/jats:styled-content>, PCS<\/jats:styled-content>, shoulder dystocia and SGA<\/jats:styled-content> (all P<\/jats:italic>\u00a0<\u00a00.001).<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Within our population, of women who are not currently treated for GDM<\/jats:styled-content>, obesity is associated with greater pregnancy risk than GDM<\/jats:styled-content> diagnosed by IADPSG<\/jats:styled-content> criteria.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12772","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T06:40:48Z","timestamp":1516689648000},"page":"553-559","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Impact of the IADPSG<\/scp> criteria for gestational diabetes, and of obesity, on pregnancy outcomes"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6323-8006","authenticated-orcid":false,"given":"N. 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