Maternal and neonatal outcomes with different screening strategies for gestational diabetes mellitus: a retrospective cohort study.

ABSTRACT:

Objective

To evaluate the effect of an expanded gestational diabetes mellitus (GDM) screening strategy on perinatal outcomes.

Methods

This retrospective cohort study included gravidas screened for GDM at a single academic center. The "before" cohort (estimated due dates (EDD) March 2018-April 2019) was screened using the standard 2-step method. The "after" cohort (EDD November 2019-July 2023) was screened using an expanded strategy that included the potential for GDM diagnosis based on 1-2 weeks of home glucose monitoring following isolated fasting hyperglycemia on the 3-hour glucose tolerance test (GTT). The primary outcomes were primary cesarean delivery (PCD) and neonatal intensive care unit (NICU) admission. Binomial regression and Kruskal Wallis tests were used to compa

SUBMITTER: Shao SJ 

PROVIDER: S-EPMC12256285 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature