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https://hdl.handle.net/2440/7966
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Type: | Journal article |
Title: | Gestational diabetes versus obesity as risk factors for pregnancy -induced hypertensive disorders and fetal macrosomia |
Author: | van Hoorn, J. Dekker, G. Jeffries, W. |
Citation: | Australian and New Zealand Journal of Obstetrics and Gynaecology, 2002; 42(1):29-34 |
Publisher: | Australian NZ J Obstet Gynaec |
Issue Date: | 2002 |
ISSN: | 0004-8666 1479-828X |
Abstract: | Objective: To determine whether one should aim for glycaemia that is statistically ‘normal’ or for levels of glycaemia low enough to prevent macrosomia (if such a threshold exists) when glucose intolerance is detected during pregnancy Design: An audit of pregnancy outcomes in women with impaired glucose tolerance in pregnancy as compared to a local age-matched reference group with normal glucose tolerance. Results: Our study suggests that for most patients, more intensive therapy would not have been justified. Maternal smoking appeared to convey some ‘advantages’ in terms of neonatal outcomes, with reduction in large-for-gestational-age (LGA) infants and jaundice in babies of impaired glucose tolerance (IGT) mothers. Conclusions: These observations demonstrate the importance of considering risk factors other than GTT results in analysing pregnancy outcomes, while emphasizing that ‘normalisation’ of fetal size should not be our only therapeutic endpoint. Our detailed outcome review allows us to reassure patients with GDM that with current treatment protocols, they should have every expectation of a positive pregnancy outcome. |
Keywords: | Humans Diabetes, Gestational Fetal Macrosomia Pre-Eclampsia Hypertension Obesity Birth Weight Glucose Tolerance Test Pregnancy Outcome Prevalence Proportional Hazards Models Risk Factors Chi-Square Distribution Case-Control Studies Retrospective Studies Pregnancy Pregnancy, High-Risk Reference Values Adult Middle Aged South Australia Female |
Description: | The definitive version is available at www.blackwell-synergy.com |
DOI: | 10.1111/j.0004-8666.2002.00029.x |
Appears in Collections: | Aurora harvest 4 Obstetrics and Gynaecology publications |
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