{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T21:17:14Z","timestamp":1778102234130,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T00:00:00Z","timestamp":1563494400000},"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":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In 2010, the recommended diagnostic thresholds for gestational diabetes mellitus (<jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>) were amended, which has increased <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> diagnoses, as well as pressure on the services involved in <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> management, specifically impacting dietetic workloads. The present study examined the associations between dietetic intervention in women with <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> and maternal and neonatal health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present study involved 1233 adult women with <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> who delivered at The Royal Women's Hospital (<jats:styled-content style=\"fixed-case\">RWH<\/jats:styled-content>), Melbourne, Australia, between July 2015 and May 2017. Retrospective data assessing <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>\u2010care (therapy type, diagnosis time and model of care, maternal and neonatal health outcomes, and outpatient dietetic consultations) were retrieved from patient medical records. Unadjusted and adjusted linear and logistic regression were used to assess associations of <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> care dietetic intervention and <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> care and dietetic intervention with maternal and neonatal health outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women receiving dietetic intervention had a decreased likelihood of infant admission to the neonatal intensive care unit or special care nursery than women who not receiving dietetic intervention [adjusted odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>)\u00a0=\u00a00.41, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI)<\/jats:styled-content>\u00a0=\u00a00.22\u20130.75; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004). Women requiring pharmacotherapy were more likely to experience maternal complications (adjusted <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a03.13, 95% <jats:styled-content style=\"fixed-case\">CI\u00a0=\u00a0<\/jats:styled-content>2.23\u20134.41; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) and had a greater number of dietetic consultations (\u03b2\u2010coefficient\u00a0=\u00a00.28, 95% <jats:styled-content style=\"fixed-case\">CI\u00a0=\u00a0<\/jats:styled-content>0.17\u20130.39; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.001) compared to women managed through diet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dietetic intervention plays a key role in optimising maternal and neonatal health outcomes for women with <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content>. Exploring further the impact of dietetic intervention in women diagnosed with <jats:styled-content style=\"fixed-case\">GDM<\/jats:styled-content> is key with respect to understanding the optimal delivery of care for these women. The type and number of consultations included in a dietetic intervention should be investigated further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12682","type":"journal-article","created":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T13:14:51Z","timestamp":1563542091000},"page":"728-736","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Associations of dietetic management with maternal and neonatal health outcomes in women diagnosed with gestational diabetes: a retrospective cohort study"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6829-9975","authenticated-orcid":false,"given":"G.","family":"Absalom","sequence":"first","affiliation":[{"name":"School of Exercise and Nutrition Sciences Deakin University Burwood VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Zinga","sequence":"additional","affiliation":[{"name":"Department of Nutrition &amp; Dietetics The Royal Women's Hospital Parkville VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2722-6128","authenticated-orcid":false,"given":"C.","family":"Margerison","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition (IPAN) School of Exercise and Nutrition Sciences Deakin University Geelong VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4391-9431","authenticated-orcid":false,"given":"P.","family":"van der Pligt","sequence":"additional","affiliation":[{"name":"Institute for Physical Activity and Nutrition (IPAN) School of Exercise and Nutrition Sciences Deakin University Geelong VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,19]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Nankervis A McIntyre HD Moses Ret\u00a0al. 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