Comparison of the validity of the criteria for gestational diabetes mellitus by WHO and by the Japan Society of Obstetrics and Gynecology by the outcomes of pregnancy.
Data for 416 Japanese pregnant women who received a 75g oral glucose tolerance test (OGTT) for determination of gestational diabetes mellitus (GDM) in 13 hospitals in Japan were analyzed retrospectively. Comparison of the diagnostic criteria of the World Health Organization (WHO) and the Japan Society of Obstetrics and Gynecology (JSOG) revealed pregnant women who met the latter criteria for GDM to have significantly higher incidences of low Apgar scores, respiratory problems, neonatal hypoglycemia, preterm delivery and requirements for insulin therapy and cesarean section. The women who met the WHO criteria but not the JSOG criteria had minor complications. These observations suggest that the GDM criteria of the JSOG are more appropriate than the WHO criteria from the standpoint of therapeutic intervention for pregnant women.
Department of Obstetrics and Gynecology, School of Medicine, Mie University, 2-174 Edobashi, Tsu-City, Mie 514-8507, Japan.
A
A
Sugaya
T
T
Sugiyama
M
M
Nagata
N
N
Toyoda
D000328:Adult; D001034:Apgar Score; D001786:Blood Glucose / Q000378:metabolism; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D016640:Diabetes, Gestational / Q000097:blood / Q000145:classification*; D005260:Female; D005865:Gestational Age; D005951:Glucose Tolerance Test; D006176:Gynecology; D006801:Humans; D007231:Infant, Newborn; D007564:Japan; D009774:Obstetrics; D010298:Parity; D018579:Patient Selection; D011247:Pregnancy; D011256:Pregnancy Outcome; D015203:Reproducibility of Results; D012955:Societies, Medical; D044465:White People; D014944:World Health Organization
D001786:Blood Glucose