Perinatal outcomes following nonadherence to guideline-based screening for gestational diabetes: A population-based cohort study.

ABSTRACT:

Introduction

The optimal approach for gestational diabetes mellitus (GDM) screening remains controversial. Since 2003, all Canadian guidelines have recommended universal GDM screening. Some countries, such as Sweden, use selective GDM screening among those with pre-existing risk factors. In Canada, antenatal care model (midwife, general practitioner or obstetrician) is partially self-selected; thus, patient populations may differ between care models. Despite the Canadian policy of universal GDM screening, screening nonadherence is more frequent in midwife-led care. We examined perinatal outcomes according to GDM screening adherence vs. nonadherence in this population.

Material and methods

We conducted a population-based cohort study of singleton pregnancies and infants using

SUBMITTER: Nethery E 

PROVIDER: S-EPMC11981101 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature