title: Implementation of the International Association of Diabetes and Pregnancy Study Groups Criteria: Not Always a Cause for Concern.
abstract: BACKGROUND
  Controversy surrounds the decision to adopt the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria for the diagnosis of gestational diabetes mellitus (GDM) as fears that disease prevalence rates will soar have been raised.
  
  
  OBJECTIVE
  To investigate the prevalence of pregnancy complicated with GDM before and after the introduction of the IADPSG 2010 diagnostic criteria.
  
  
  METHODS
  A prospective audit of all women who delivered from July 1, 2010, to June 30, 2014, in a predefined geographic region within the North Metropolitan Health Service of Western Australia. Women were diagnosed with GDM according to Australian Diabetes in Pregnancy Society (ADIPS 1991) criteria until December 31, 2011, and by the IADPSG 2010 criteria after this date. Incidence of GDM and predefined pregnancy outcomes were audited.
  
  
  RESULTS
  Of 10,296 women, antenatal oral glucose tolerance test (OGTT) results and follow-up data were obtained for 10,103 women (98%), of whom 349 (3.5%) were diagnosed with GDM. The rate of GDM utilising ADIPS criteria was 3.4% and the rate of utilising IADPSG criteria was 3.5% (p = 0.92).
  
  
  CONCLUSIONS
  IADPSG diagnostic criteria did not significantly increase the incidence of GDM in this low prevalence region.
authors.affiliation: Department of Obstetrics and Gynaecology, Joondalup Health Campus, Joondalup, WA 6027, Australia.
authors.forename: Pooja
authors.initials: P
authors.lastname: Sibartie
authors.affiliation: Department of Obstetrics and Gynaecology, Joondalup Health Campus, Joondalup, WA 6027, Australia; Institute for Health Research, University of Notre Dame Australia, Fremantle, WA 6160, Australia.
authors.forename: Julie
authors.initials: J
authors.lastname: Quinlivan
mesh_terms: D000328:Adult; D001786:Blood Glucose / Q000378:metabolism; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D006801:Humans; D008423:Maternal Age; D008485:Medical Audit; D011247:Pregnancy; D011256:Pregnancy Outcome; D011296:Prenatal Diagnosis / Q000379:methods; D011446:Prospective Studies; D014904:Western Australia / Q000453:epidemiology
chemical_list: D001786:Blood Glucose