{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:04:00Z","timestamp":1768442640383,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,12,12]],"date-time":"2014-12-12T00:00:00Z","timestamp":1418342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet. Med."],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate prevalence and pregnancy outcomes using the International Association of Diabetes and Pregnancy Study Groups (<jats:styled-content style=\"fixed-case\">IADPSG<\/jats:styled-content>) criteria and screening protocol vs. a standard two\u2010step screening approach for gestational diabetes mellitus in Chinese twin pregnancies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective cohort study for pregnancies during 2007\u20132013 was performed in a tertiary hospital in Shanghai, China. Data were abstracted from the medical records of twin pregnancies delivered at the hospital. During the period 2007\u20132011, this hospital used a two\u2010step approach with a 50\u00a0g screening with a cut\u2010off value of \u2265\u00a07.8\u00a0mmol\/l followed by a 100\u00a0g diagnostic oral glucose tolerance test (<jats:styled-content style=\"fixed-case\">OGTT<\/jats:styled-content>) utilizing Carpenter\u2013Coustan criteria. In 2012\u20132013, the hospital switched to the <jats:styled-content style=\"fixed-case\">IADPSG<\/jats:styled-content> protocol of universal 75\u00a0g <jats:styled-content style=\"fixed-case\">OGTT<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 1461 twin pregnancies, 643 were screened utilizing IADPSG criteria and 818 using the two\u2010step protocol. Gestational diabetes mellitus was diagnosed more frequently in the IADPSG group than in the two\u2010step group [20.4% and 7.0%, respectively; adjusted odds ratio (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>)\u00a0=\u00a03.22; 95% confidence interval (CI)\u00a0=\u00a02.30\u20134.52]. During the IADPSG period, the incidence of pre\u2010eclampsia was 38% lower in non\u2010gestational diabetes mellitus affected pregnancies compared with the two\u2010step period (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>\u00a0=\u00a00.62; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a00.44\u20130.87). We observed no significant differences in most perinatal outcomes between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Compared with a standard two\u2010step approach to screening and diagnosis, the <jats:styled-content style=\"fixed-case\">IADPSG<\/jats:styled-content> screening method resulted in a three\u2010fold increase in the incidence of gestational diabetes mellitus in twin pregnancies, with a 38% lower risk of pre\u2010eclampsia but no significant difference in most perinatal outcomes in non\u2010gestational diabetes mellitus affected pregnancies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.12636","type":"journal-article","created":{"date-parts":[[2014,11,19]],"date-time":"2014-11-19T05:12:37Z","timestamp":1416373957000},"page":"367-373","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Utilization of International Association of Diabetes and Pregnancy Study Groups criteria vs. a two\u2010step approach to screening for gestational diabetes mellitus in Chinese women with twin pregnancies"],"prefix":"10.1111","volume":"32","author":[{"given":"X.","family":"Liu","sequence":"first","affiliation":[{"name":"Obstetrics Department International Peace Maternity &amp; Child Health Hospital, Shanghai Jiaotong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.","family":"Chen","sequence":"additional","affiliation":[{"name":"Obstetrics Department International Peace Maternity &amp; Child Health Hospital, Shanghai Jiaotong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Q.","family":"Zhou","sequence":"additional","affiliation":[{"name":"Obstetrics Department International Peace Maternity &amp; Child Health Hospital, Shanghai Jiaotong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Shi","sequence":"additional","affiliation":[{"name":"Obstetrics Department International Peace Maternity &amp; Child Health Hospital, Shanghai Jiaotong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W. W.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Obstetrics Department International Peace Maternity &amp; Child Health Hospital, Shanghai Jiaotong University Shanghai China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443615.2013.832177"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12349"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802663194"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000447330.83496.38"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1848"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31823974e2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa042973"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902430"},{"issue":"2","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"S251","DOI":"10.2337\/dc07-s225","article-title":"Summary and recommendations of the\u00a0Fifth International Workshop Conference on Gestational\u00a0Diabetes\u00a0Mellitus","volume":"30","author":"Metzger BE","year":"2007","journal-title":"Diabetes Care"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199803000-00017"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1210\/jcem.87.4.8405"},{"key":"e_1_2_9_14_1","first-page":"1611","article-title":"Melbye M","volume":"178","author":"Boyd HA","year":"2013","journal-title":"Associations of personal and family preeclampsia history with the risk of early\u2010, intermediate\u2010 and late\u2010onset preeclampsia Am J Epidemiol"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.11.039"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2011.03366.x"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12523"}],"container-title":["Diabetic Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.12636","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fdme.12636","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dme.12636","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T04:12:41Z","timestamp":1696306361000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dme.12636"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,12]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.1111\/dme.12636"],"URL":"https:\/\/doi.org\/10.1111\/dme.12636","archive":["Portico"],"relation":{},"ISSN":["0742-3071","1464-5491"],"issn-type":[{"value":"0742-3071","type":"print"},{"value":"1464-5491","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,12]]},"assertion":[{"value":"2014-11-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-12-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}