{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T21:12:17Z","timestamp":1762377137982,"version":"3.38.0"},"reference-count":15,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T00:00:00Z","timestamp":1650326400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Obstet Med"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> In April 2020, the diagnostic criteria for gestational diabetes mellitus (GDM) changed in Queensland, with the goal of reducing exposure of pregnant women to COVID-19. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> A retrospective clinical audit was conducted at a regional hospital to compare the incidence of GDM, and specific maternal and neonatal outcomes four months before and after the change in guidelines was implemented. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Less than 50% of diagnostic tests were performed according to new guidelines. There was a non-significant increase in the incidence of GDM (13.3% to 15.3%), and pharmacological treatments. Instrumental deliveries ( p\u2009=\u20090.01) and shoulder dystocia ( p\u2009=\u20090.04) increased following the change in guidelines. There were no differences in the incidence of elective and emergency caesarean delivery, macrosomia and fetal weight. Maternal pre-pregnancy body mass index (BMI) was higher in the COVID-19 GDM cohort ( p\u2009=\u20090.02). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Despite the change in guidelines, there was a non-significant increase in the incidence of diagnosis of gestational diabetes. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1753495x221094899","type":"journal-article","created":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T06:33:07Z","timestamp":1650436387000},"page":"104-108","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of new diagnostic pathway for gestational diabetes in time of COVID-19"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1554-2745","authenticated-orcid":false,"given":"Betrice","family":"Walker","sequence":"first","affiliation":[{"name":"Sunshine Coast University Hospital, Birtinya, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jenna","family":"Edey","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital Herston, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne","family":"Hall","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathleen","family":"Braniff","sequence":"additional","affiliation":[{"name":"Mackay Base Hospital, Mackay, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare","family":"Heal","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,19]]},"reference":[{"key":"bibr1-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.1998.tb140192.x"},{"volume-title":"Incidence of gestational diabetes in Australia","year":"2019","author":"Australian Institute of Health and Welfare","key":"bibr2-1753495X221094899"},{"key":"bibr3-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-s225"},{"key":"bibr4-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-159-2-201307160-00661"},{"key":"bibr5-1753495X221094899","unstructured":"Nankervis A, McIntyre H, Moses R, et al. Australasian Diabetes In Pregnancy Society (ADIPS) Consensus guidelines for the testing and diagnosis of gestational diabetes mellitus in Australia. 2014."},{"key":"bibr6-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0707943"},{"key":"bibr7-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-023293"},{"key":"bibr8-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003790"},{"key":"bibr9-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13544"},{"key":"bibr10-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2026028"},{"key":"bibr11-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-2745-1"},{"key":"bibr12-1753495X221094899","unstructured":"Australasian Diabetes in Pregnancy Society (ADIPS) tADSA, the Australian Diabetes Educators Association (ADEA) and Diabetes Australia (DA). Diagnostic testing for gestational diabetes mellitus (GDM) during the COVID-19 pandemic: Antenatal and postnatal testing advice, https:\/\/www.adips.org\/documents\/RevisedGDMCOVID-19GuidelineFINAL30April2020pdf.pdf (2020, accessed April 2021)."},{"key":"bibr13-1753495X221094899","unstructured":"Queensland Clinical Guidelines. Gestational Diabetes Mellitus. 2020. [Cited January 2021], https:\/\/www.health.qld.gov.au\/__data\/assets\/pdf_file\/0024\/950505\/f-gdm-diagnosis-covid.pdf."},{"volume-title":"Gestational diabetes mellitus","year":"2015","author":"Queensland Clinical Guidelines","key":"bibr14-1753495X221094899"},{"key":"bibr15-1753495X221094899","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-510X(09)71300-0"}],"container-title":["Obstetric Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X221094899","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1753495X221094899","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1753495X221094899","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T19:30:45Z","timestamp":1740857445000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1753495X221094899"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,19]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1177\/1753495X221094899"],"URL":"https:\/\/doi.org\/10.1177\/1753495x221094899","relation":{},"ISSN":["1753-495X","1753-4968"],"issn-type":[{"type":"print","value":"1753-495X"},{"type":"electronic","value":"1753-4968"}],"subject":[],"published":{"date-parts":[[2022,4,19]]}}}