Screening for gestational diabetes in Europe: where do we stand and how to move forward?: A scientific paper commissioned by the European Board & College of Obstetrics and Gynaecology (EBCOG).
The incidence of gestational diabetes (GDM) is rising globally and it represents an important modifiable risk factor for adverse pregnancy outcomes. GDM is also associated with negative long-term health outcomes for both mothers and offspring. Acceptance and implementation of the 2013 World Health Organization (WHO) criteria varies globally and within Europe. There is at present no consensus on the optimal approach to GDM screening in Europe. More uniformity in GDM screening across Europe will lead to an opportunity for more timely diagnosis and treatment for GDM in a greater number of women. More targeted research is necessary to evaluate optimal screening strategies based on the 2013 WHO criteria across different European populations with a focus on implementation strategy. Future research should address these important questions so that solid recommendations for GDM screening can be made to European health organizations based on screening uptake rates, maternal well-being, maternal and neonatal health outcomes, equity and cost-effectiveness. Here we describe the ongoing controversy on GDM screening and diagnosis, and provide an overview of important topics for future research concerning GDM screening in Europe.
Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Belgium. Electronic address: katrien.benhalima@uzleuven.be.
Katrien
K
Benhalima
Center for Pregnant Women with Diabetes, Department of Obstetrics, Rigshospitalet, The Clinical Institute of Medicine, Faculty of Health and Medicine Sciences, University of Copenhagen, Denmark.
Peter
P
Damm
Department of Obstetrics & Gynecology, UZ Gasthuisberg, KU Leuven, Belgium.
André
A
Van Assche
Department of Endocrinology, UZ Gasthuisberg, KU Leuven, Belgium.
Chantal
C
Mathieu
Department of Obstetrics & Gynecology, UZ Gasthuisberg, KU Leuven, Belgium.
Roland
R
Devlieger
Department of Obstetrics & Gynecology, Victoria Hospital, Kirkcaldy, Scotland, UK.
Tahir
T
Mahmood
Endocrinology School of Medicine and Galway Diabetes Research Centre (GDRC), National University of Ireland, Galway (NUIG), Ireland.
Fidelma
F
Dunne
D016640:Diabetes, Gestational / Q000175:diagnosis*; D005060:Europe; D005260:Female; D005951:Glucose Tolerance Test; D006801:Humans; D008403:Mass Screening; D011247:Pregnancy; D011256:Pregnancy Outcome; D012307:Risk Factors
Controversy; EBCOG; Europe; Gestational diabetes; Screening