{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T15:33:02Z","timestamp":1767022382756,"version":"3.48.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T00:00:00Z","timestamp":1742774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1177234"],"award-info":[{"award-number":["APP1177234"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100021333","name":"Illawarra Shoalhaven Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100021333","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>During COVID\u201019, the diagnosis and treatment of GDM differed from conventional criteria. In Australia, during the alternative testing period, women with fasting glucose\u2009&lt;\u20094.7\u2009mmol\/L were not diagnosed with GDM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the maternal and neonatal outcomes of pregnant women with fasting blood glucose\u2009&lt;\u20094.7\u2009mmol\/L for whom the diagnosis and treatment pathways differed before and during COVID\u201019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      An Australian population\u2010based data linkage study involving 3891 women with fasting blood glucose\u2009&lt;\u20094.7\u2009mmol\/L between 24 and 32\u2009weeks of gestation categorised into three groups: women diagnosed with GDM by postprandial hyperglycaemia (PPGDM;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009226); normal glucose tolerance group (NGT;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093125) and women not tested for postprandial hyperglycaemia, mostly during COVID\u201019 (LFBG;\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009540). Perinatal outcomes were compared using generalised linear models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were no differences between PPGDM and NGT groups in the risk of large for gestational age infants (RR 0.98, 95% CI: 0.63\u20131.52) although the mean birth weight (MD \u2212103.43, 95% CI: \u2212175.46 to \u221231.40)) was lower in the PPGDM group. The maternal and neonatal outcomes in the LFBG group were mostly comparable to the NGT group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In our study, the Australian COVID\u201019 GDM screening protocol, which includes initial fasting glucose testing, reduced the need for an OGTT in 67% of pregnant women. Diagnosis and treatment for postprandial hyperglycaemia in women with lower FBG should consider the benefits, as well as the financial, logistical and psychological costs involved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.70014","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T10:18:49Z","timestamp":1742811529000},"page":"654-661","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Postprandial Hyperglycaemia Screening and Pregnancy Outcomes\u2010Lessons From\n                    <scp>COVID<\/scp>\n                    \u201019"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9266-9817","authenticated-orcid":false,"given":"Beenu","family":"Bastian","sequence":"first","affiliation":[{"name":"School of Medical Indigenous and Health Sciences University of Wollongong  Wollongong New South Wales Australia"},{"name":"Illawarra Shoalhaven Diabetes Service Illawarra Shoalhaven Local Health District  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa Gaye","family":"Smithers","sequence":"additional","affiliation":[{"name":"School of Health and Society University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ansar","family":"Kunjunju","sequence":"additional","affiliation":[{"name":"The Wollongong Hospital Illawarra Shoalhaven Local Health District  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia","family":"Pape","sequence":"additional","affiliation":[{"name":"Illawarra Shoalhaven Diabetes Service Illawarra Shoalhaven Local Health District  Wollongong New South Wales Australia"},{"name":"The Wollongong Hospital Illawarra Shoalhaven Local Health District  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique","family":"Francois","sequence":"additional","affiliation":[{"name":"School of Medical Indigenous and Health Sciences University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2214956"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1210\/endrev\/bnac003"},{"key":"e_1_2_7_4_1","unstructured":"AIHW (Australian Institute of Health and Welfare) \u201cIncidence of gestational diabetes 2000\u201301 to 2020\u201321 Australia \u201d2022."},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-S015"},{"volume-title":"ADIPS Consensus Guidelines for the Testing and Diagnosis of Hyperglycaemia in Pregnancy in Australia and New Zealand","year":"2014","author":"Nankervis A. 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