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The impact of new guidelines on screening for gestational diabetes mellitus
Date Issued
2013-02
Date Available
2018-05-10T15:44:09Z
Abstract
Gestational diabetes mellitus (GDM) has important maternal and fetal implications. In 2010, the Health Service Executive published guidelines on GDM. We examined the impact of the new guidelines in a large maternity unit. In January 2011, the hospital replaced the 100g Oral Glucose Tolerance Test (OGTT) with the new 75g OGTT. We compared the first 6 months of 2011 with the first 6 months of 2010. The new guidelines were associated with a 22% increase in women screened from 1375 in 2010 to 1679 in 2011 (p<0.001). Of the women screened, the number diagnosed with GDM increased from 10.1% (n=139) to 13.2% (n=221) (p<0.001).The combination of increased screening and a more sensitive OGTT resulted in the number of women diagnosed with GDM increasing 59% from 139 to 221 (p=0.02).This large increase has important resource implications but, if clinical outcomes are improved, there should be a decrease in long-term costs.
Type of Material
Journal Article
Publisher
Irish Medical Organisation
Journal
Irish Medical Journal
Volume
106
Issue
2
Start Page
57
End Page
59
Copyright (Published Version)
2013 Irish Medical Organisation
Keywords
Language
English
Status of Item
Peer reviewed
This item is made available under a Creative Commons License
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