Effect of interventions in pregnant women with mildly impair
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This study aimed to verify the effects of interventions in pregnant women with mild impaired glucose tolerance (IGT) who were newly diagnosed with gestational diabetes mellitus (GDM) based on the present Japan Society of Obstetrics and Gynecology (JSOG) criteria.

Mild IGT as a degree of IGT that would be diagnosed as GDM according to the present but not the previous JSOG criteria. We compared pregnancy and delivery outcomes in women with mild IGT who delivered a singleton at 22 weeks of gestation or later, between 2000 and 2009 (untreated group, n = 503) versus between 2011 and 2017 (treated group, n = 781).

The incidence of GDM related composite complications such as macrosomia, shoulder dystocia, neonatal hypoglycemia, neonatal hyperbilirubinemia, and neonatal respiratory distress syndrome was comparable in the untreated and treated groups (10.1% vs. 11.9%, p = 0.11). The pregnancy outcomes were also comparable, except for infant birth weights, which were lower in the treated group than in the untreated group (3014 g vs. 3094 g; p = 0.02).

Pregnancy outcomes were not affected by the interventions in pregnant women with mild IGT.

Read more : https://obgyn.onlinelibrary.wiley.com/doi/10.1111/jog.14783?af=R
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