{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T12:05:48Z","timestamp":1749470748903,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T00:00:00Z","timestamp":1551225600000},"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":[[2019,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Gestational diabetes mellitus (<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>) is glucose intolerance first diagnosed during pregnancy not due to overt diabetes. Recent changes to the diagnostic guidelines have been shown to increase the apparent occurrence of <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to compare retrospectively the neonatal outcomes between groups defined using the new and old criteria to assess the impact of guideline changes on pregnancy outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was of singleton babies delivered of 641 women, who had oral glucose tolerance testing and pregnancy care at a single tertiary centre between 2011 and 2015.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared to the population of women not now considered to have <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> by International Association of Diabetes and Pregnancy Study Groups criteria (two\u2010hour glucose concentration \u22648.4\u00a0mmol\/L), neonates born to women with the new lower fasting criterion (5.1\u20135.4\u00a0mmol\/L) and\/or the new 60\u2010min group (glucose \u226510\u00a0mmol\/L) combined were significantly more likely to have birthweight \u226590th percentile (22% vs 5%, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001). In contradistinction, there was a significant excess number of small\u2010for\u2010dates babies (birthweight \u226410th percentile) in all subgroups previously diagnosed and treated for <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> by the Australian Diabetes in Pregnancy Society criteria (17% vs 7%, <jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.001). Rates for lower uterine segment caesarean section, admission to the neonatal intensive care unit \/ special care nursery and Apgar scores at one and five\u00a0minutes were not statistically different across all groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Outcomes support the lowering of the fasting criterion to extend management of <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> to limit growth of large birthweight neonates. An unexpected outcome was that in women previously treated for <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>, there were increased numbers of low\u2010birthweight neonates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12956","type":"journal-article","created":{"date-parts":[[2019,2,27]],"date-time":"2019-02-27T23:15:07Z","timestamp":1551309307000},"page":"693-698","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Are the changes in diagnostic criteria for gestational diabetes mellitus reflected in perinatal outcomes? A retrospective assessment"],"prefix":"10.1111","volume":"59","author":[{"given":"David M. T.","family":"Ehmann","sequence":"first","affiliation":[{"name":"The Australian National University Medical School Australian National University  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter E.","family":"Hickman","sequence":"additional","affiliation":[{"name":"The Australian National University Medical School Australian National University  Canberra Australian Capital Territory Australia"},{"name":"Chemical Pathology ACT Pathology The Canberra Hospital  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5071-8817","authenticated-orcid":false,"given":"Julia M.","family":"Potter","sequence":"additional","affiliation":[{"name":"The Australian National University Medical School Australian National University  Canberra Australian Capital Territory Australia"},{"name":"Chemical Pathology ACT Pathology The Canberra Hospital  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,27]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1172\/JCI200524531"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000371628"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-0719"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAT.0000000000000259"},{"key":"e_1_2_6_8_1","first-page":"QE1","article-title":"Screening and diagnosis of Gestational Diabetes mellitus, where do we stand","volume":"10","author":"Rani R","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1998.tb140192.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.11331c"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12394"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2016.1193142"},{"key":"e_1_2_6_13_1","unstructured":"ABS.gov.au.Australian Census 2016. [Cited 2017 April 17]. Available from URL:http:\/\/www.censusdata.abs.gov.au\/census_services\/getproduct\/census\/2016\/quickstat\/8ACTE?opendocument."},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(89)90371-2"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902430"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000412"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318203ebe0"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc14-0179"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-1641"},{"key":"e_1_2_6_20_1","unstructured":"AIHW.gov.au.Australia's Mothers and Babies 2014. Available from URL:https:\/\/www.aihw.gov.au\/reports-statistics\/population-groups\/mothers-babies\/data"}],"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.12956","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12956","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajo.12956","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.12956","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T04:21:20Z","timestamp":1693196480000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.12956"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,27]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2019,10]]}},"alternative-id":["10.1111\/ajo.12956"],"URL":"https:\/\/doi.org\/10.1111\/ajo.12956","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2019,2,27]]},"assertion":[{"value":"2018-04-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-01-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}