title: Systematic review; Nutritional therapy in gestational diabetes mellitus.
abstract: BACKGROUND
  Several methods of dietetic counseling can be used in the nutritional therapy in gestational diabetes mellitus (GDM). The main methods are the traditional method (TM) and the carbohydrate counting (CCM).
  
  
  OBJECTIVE
  Presenting a systematic review of the literature on the impact of nutritional therapy in GDM, through TM and CCM, evaluating the results for maternal and child health.
  
  
  METHODS
  We searched databases PubMed, Scopus, Web of Science, Lilacs and CAPES Digital Bank of Thesis. The methodological quality of all the studies included was made using the Jadad score.
  
  
  CONCLUSIONS
  We have found five studies that evaluated the effects of nutritional therapy, through the TM, on the maternal and child health. None study evaluating the CCM was detected in pregnant women with GDM Nutritional therapy given during antenatal care was effective in reducing pregnancy complications (preeclampsia, excessive gestational weight gain, necessity for cesarean delivery, for insulin therapy and for shoulder dystocia), perinatal complications (macrosomia, neonatal hypoglycemia, and birth weight) and also in better glycemic control. The use of nutritional therapy should be highlighted within the antenatal care for pregnant women with GDM, giving the satisfactory results on metabolic control and on pregnancy outcomes. Studies examining the CCM to GDM patients should be conducted to show its effects on maternal and child health.
authors: Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ).. claudiasaunders@nutricao.ufrj.br.
authors: Helaine
authors: H
authors: Thomaz de Lima
authors: Instituto de Nutrição Josué de Castro/UFRJ..
authors: Eliane
authors: E
authors: Lopes Rosado
authors: Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ)..
authors: Paulo Augusto
authors: PA
authors: Ribeiro Neves
authors: Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ). Maternidade Escola/UFRJ. GPSMI. Instituto de Nutrição Josué de Castro/UFRJ. Brazil..
authors: Raphaela
authors: R
authors: Corrêa Monteiro Machado
authors: Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ). Maternidade Escola/UFRJ. GPSMI. Instituto de Nutrição Josué de Castro/UFRJ. Brazil..
authors: Larissa
authors: L
authors: Mello de Oliveira
authors: Research Group on Maternal and Child Health (Grupo de Pesquisa em Saúde Materna e Infantil - GPSMI). Instituto de Nutrição Josué de Castro/Universidade Federal do Rio de Janeiro (UFRJ).. claudiasaunders@nutricao.ufrj.br.
authors: Cláudia
authors: C
authors: Saunders
mesh_terms: D000328:Adult; D016640:Diabetes, Gestational / Q000178:diet therapy*; D004040:Dietary Carbohydrates; D005260:Female; D006801:Humans; D044623:Nutrition Therapy / Q000379:methods*; D011247:Pregnancy
chemical_list: D004040:Dietary Carbohydrates