Perspectives on diagnostic strategies for HIP-dealing with the barriers and challenges: USA.

Publication/Presentation Date

11-1-2018

Abstract

BACKGROUND: Gestational diabetes (GDM) affects up to 7-18% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage hyperglycemia in pregnancy (HIP).

OBJECTIVE: We aimed to analyze the most important and employed guidelines about screening and management of HIP and we investigated existing related literature.

RESULTS: We found several different criteria for screening for HIP, with the main difference being between non-USA-based IADPSG (One-step) approach, and the USA-based (Two-step) approach. The use of IADPSG approach (One-step) is associated with an increase in the incidence of GDM, improvement of several maternal and perinatal outcomes, and cost-effectiveness, compared to the USA-based Two-step criteria.

CONCLUSIONS: As the One-Step approach endorsed by IADPSG, WHO, and FIGO is associated with maternal and perinatal benefits, it should be preferred to the Two-Step approach currently endorsed by the USA-based societies such as ACOG and SMFM. The hope is to approve universal screening guidelines based on the One-step approach to improve health care and reduce costs and adverse outcomes for women with GDM.

Volume

145

First Page

73

Last Page

83

ISSN

1872-8227

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

30201395

Department(s)

Administration and Leadership

Document Type

Article

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