Adverse pregnancy outcomes among women in Norway with gestational diabetes using three diagnostic criteria
The aim of this study was to examine the risk of adverse perinatal outcomes in women diagnosed with GDM by the World Health Organization (WHO) 1999 criteria, and in those retrospectively identified by the Norwegian-2017 and WHO-2013 criteria but not by WHO-1999 criteria. We also examine the effect o...
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| Veröffentlicht in: | PloS one 2023-07, Vol.18 (7), p.e0280750-e0280750 |
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| description | The aim of this study was to examine the risk of adverse perinatal outcomes in women diagnosed with GDM by the World Health Organization (WHO) 1999 criteria, and in those retrospectively identified by the Norwegian-2017 and WHO-2013 criteria but not by WHO-1999 criteria. We also examine the effect of maternal overweight/obesity and ethnicity.
We used pooled data from four Norwegian cohorts (2002-2013), encompassing 2970 mother-child pairs. Results from universally offered 75-g oral glucose tolerance tests measuring fasting plasma glucose (FPG) and 2-hour glucose (2HG) were used to assign women into three diagnostic groups: Diagnosed and treated by WHO-1999 (FPG≥7.0 or (2HG ≥7.8 mmol/L), identified by WHO-2013 (FPG ≥5.1 or 2HG ≥8.5 mmol/L), and identified by Norwegian-2017 criteria (FPG ≥5.3 or 2HG ≥9.0 mmol/L). Perinatal outcomes included large-for-gestational-age (LGA) infants, cesarean section, operative vaginal delivery, preterm birth and preeclampsia.
Compared to the non-GDM group, women diagnosed with GDM by either of the three criteria had an increased risk of large-for-gestational-age infants (adjusted odds ratios (OR) 1.7-2.2). Those identified by the WHO-2013 and Norwegian-2017 criteria but not diagnosed and treated by WHO-1999 criteria had an additional increased risk of cesarean section (OR 1.36, 95% CI 1.02,1.83 and 1.44, 95% CI 1.03,2.02, respectively) and operative vaginal delivery (OR 1.35, 95% CI 1.1,1.7 and 1.5, 95% CI 1.1,2.0, respectively). The proportions of LGA neonates and cesarean section were higher for women with GDM in both normal-weight and overweight/obese women. Asians had a lower risk of delivering large-for-gestational-age infants than Europeans applying national birthweight references, but maternal glucose values were similarly positively associated with birthweight in all ethnic groups.
Women who met the WHO-2013 and Norwegian-2017 criteria, but were not diagnosed by the WHO-1999 criteria and therefore not treated, had an increased risk of LGA, cesarean section and operative vaginal delivery compared to women without GDM. |
| doi_str_mv | 10.1371/journal.pone.0280750 |
| format | Article |
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We used pooled data from four Norwegian cohorts (2002-2013), encompassing 2970 mother-child pairs. Results from universally offered 75-g oral glucose tolerance tests measuring fasting plasma glucose (FPG) and 2-hour glucose (2HG) were used to assign women into three diagnostic groups: Diagnosed and treated by WHO-1999 (FPG≥7.0 or (2HG ≥7.8 mmol/L), identified by WHO-2013 (FPG ≥5.1 or 2HG ≥8.5 mmol/L), and identified by Norwegian-2017 criteria (FPG ≥5.3 or 2HG ≥9.0 mmol/L). Perinatal outcomes included large-for-gestational-age (LGA) infants, cesarean section, operative vaginal delivery, preterm birth and preeclampsia.
Compared to the non-GDM group, women diagnosed with GDM by either of the three criteria had an increased risk of large-for-gestational-age infants (adjusted odds ratios (OR) 1.7-2.2). Those identified by the WHO-2013 and Norwegian-2017 criteria but not diagnosed and treated by WHO-1999 criteria had an additional increased risk of cesarean section (OR 1.36, 95% CI 1.02,1.83 and 1.44, 95% CI 1.03,2.02, respectively) and operative vaginal delivery (OR 1.35, 95% CI 1.1,1.7 and 1.5, 95% CI 1.1,2.0, respectively). The proportions of LGA neonates and cesarean section were higher for women with GDM in both normal-weight and overweight/obese women. Asians had a lower risk of delivering large-for-gestational-age infants than Europeans applying national birthweight references, but maternal glucose values were similarly positively associated with birthweight in all ethnic groups.
Women who met the WHO-2013 and Norwegian-2017 criteria, but were not diagnosed by the WHO-1999 criteria and therefore not treated, had an increased risk of LGA, cesarean section and operative vaginal delivery compared to women without GDM.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0280750</identifier><identifier>PMID: 37410781</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Biology and Life Sciences ; Birth weight ; Body mass index ; Body weight ; Cesarean section ; Childbirth & labor ; Clinical outcomes ; Criteria ; Data collection ; Dextrose ; Diabetes in pregnancy ; Diabetes mellitus ; Diagnosis ; Diagnostic systems ; Ethnicity ; Gestational age ; Gestational diabetes ; Glucose ; Glucose tolerance ; Health aspects ; Health risks ; Infants ; Medical diagnosis ; Medicine and Health Sciences ; Minority & ethnic groups ; Neonates ; Obesity ; Obstetrics ; Overweight ; Physical Sciences ; Pre-eclampsia ; Preeclampsia ; Pregnancy ; Pregnancy complications ; Pregnant women ; Premature birth ; Risk ; Risk factors ; Type 2 diabetes ; Vagina ; Variables</subject><ispartof>PloS one, 2023-07, Vol.18 (7), p.e0280750-e0280750</ispartof><rights>Copyright: © 2023 Rai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>2023 Rai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>info:eu-repo/semantics/openAccess</rights><rights>2023 Rai et al 2023 Rai et al</rights><rights>2023 Rai et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c667t-2d3f419477af375f7af760247ea63b57e1cb710481b1dd83a8e19b2ed5cafbf93</cites><orcidid>0000-0002-2820-123X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10325062/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10325062/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,26544,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37410781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rai, Anam Shakil</creatorcontrib><creatorcontrib>Sletner, Line</creatorcontrib><creatorcontrib>Jenum, Anne Karen</creatorcontrib><creatorcontrib>Øverby, Nina Cecilie</creatorcontrib><creatorcontrib>Stafne, Signe Nilssen</creatorcontrib><creatorcontrib>Qvigstad, Elisabeth</creatorcontrib><creatorcontrib>Pripp, Are Hugo</creatorcontrib><creatorcontrib>Sagedal, Linda Reme</creatorcontrib><title>Adverse pregnancy outcomes among women in Norway with gestational diabetes using three diagnostic criteria</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The aim of this study was to examine the risk of adverse perinatal outcomes in women diagnosed with GDM by the World Health Organization (WHO) 1999 criteria, and in those retrospectively identified by the Norwegian-2017 and WHO-2013 criteria but not by WHO-1999 criteria. We also examine the effect of maternal overweight/obesity and ethnicity.
We used pooled data from four Norwegian cohorts (2002-2013), encompassing 2970 mother-child pairs. Results from universally offered 75-g oral glucose tolerance tests measuring fasting plasma glucose (FPG) and 2-hour glucose (2HG) were used to assign women into three diagnostic groups: Diagnosed and treated by WHO-1999 (FPG≥7.0 or (2HG ≥7.8 mmol/L), identified by WHO-2013 (FPG ≥5.1 or 2HG ≥8.5 mmol/L), and identified by Norwegian-2017 criteria (FPG ≥5.3 or 2HG ≥9.0 mmol/L). Perinatal outcomes included large-for-gestational-age (LGA) infants, cesarean section, operative vaginal delivery, preterm birth and preeclampsia.
Compared to the non-GDM group, women diagnosed with GDM by either of the three criteria had an increased risk of large-for-gestational-age infants (adjusted odds ratios (OR) 1.7-2.2). Those identified by the WHO-2013 and Norwegian-2017 criteria but not diagnosed and treated by WHO-1999 criteria had an additional increased risk of cesarean section (OR 1.36, 95% CI 1.02,1.83 and 1.44, 95% CI 1.03,2.02, respectively) and operative vaginal delivery (OR 1.35, 95% CI 1.1,1.7 and 1.5, 95% CI 1.1,2.0, respectively). The proportions of LGA neonates and cesarean section were higher for women with GDM in both normal-weight and overweight/obese women. Asians had a lower risk of delivering large-for-gestational-age infants than Europeans applying national birthweight references, but maternal glucose values were similarly positively associated with birthweight in all ethnic groups.
Women who met the WHO-2013 and Norwegian-2017 criteria, but were not diagnosed by the WHO-1999 criteria and therefore not treated, had an increased risk of LGA, cesarean section and operative vaginal delivery compared to women without GDM.</description><subject>Age</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Cesarean section</subject><subject>Childbirth & labor</subject><subject>Clinical outcomes</subject><subject>Criteria</subject><subject>Data collection</subject><subject>Dextrose</subject><subject>Diabetes in pregnancy</subject><subject>Diabetes mellitus</subject><subject>Diagnosis</subject><subject>Diagnostic systems</subject><subject>Ethnicity</subject><subject>Gestational age</subject><subject>Gestational diabetes</subject><subject>Glucose</subject><subject>Glucose tolerance</subject><subject>Health aspects</subject><subject>Health 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pregnancy outcomes among women in Norway with gestational diabetes using three diagnostic criteria</title><author>Rai, Anam Shakil ; Sletner, Line ; Jenum, Anne Karen ; Øverby, Nina Cecilie ; Stafne, Signe Nilssen ; Qvigstad, Elisabeth ; Pripp, Are Hugo ; Sagedal, Linda Reme</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c667t-2d3f419477af375f7af760247ea63b57e1cb710481b1dd83a8e19b2ed5cafbf93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Biology and Life Sciences</topic><topic>Birth weight</topic><topic>Body mass index</topic><topic>Body weight</topic><topic>Cesarean section</topic><topic>Childbirth & labor</topic><topic>Clinical outcomes</topic><topic>Criteria</topic><topic>Data collection</topic><topic>Dextrose</topic><topic>Diabetes in pregnancy</topic><topic>Diabetes mellitus</topic><topic>Diagnosis</topic><topic>Diagnostic 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Line</au><au>Jenum, Anne Karen</au><au>Øverby, Nina Cecilie</au><au>Stafne, Signe Nilssen</au><au>Qvigstad, Elisabeth</au><au>Pripp, Are Hugo</au><au>Sagedal, Linda Reme</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adverse pregnancy outcomes among women in Norway with gestational diabetes using three diagnostic criteria</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-07-06</date><risdate>2023</risdate><volume>18</volume><issue>7</issue><spage>e0280750</spage><epage>e0280750</epage><pages>e0280750-e0280750</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The aim of this study was to examine the risk of adverse perinatal outcomes in women diagnosed with GDM by the World Health Organization (WHO) 1999 criteria, and in those retrospectively identified by the Norwegian-2017 and WHO-2013 criteria but not by WHO-1999 criteria. We also examine the effect of maternal overweight/obesity and ethnicity.
We used pooled data from four Norwegian cohorts (2002-2013), encompassing 2970 mother-child pairs. Results from universally offered 75-g oral glucose tolerance tests measuring fasting plasma glucose (FPG) and 2-hour glucose (2HG) were used to assign women into three diagnostic groups: Diagnosed and treated by WHO-1999 (FPG≥7.0 or (2HG ≥7.8 mmol/L), identified by WHO-2013 (FPG ≥5.1 or 2HG ≥8.5 mmol/L), and identified by Norwegian-2017 criteria (FPG ≥5.3 or 2HG ≥9.0 mmol/L). Perinatal outcomes included large-for-gestational-age (LGA) infants, cesarean section, operative vaginal delivery, preterm birth and preeclampsia.
Compared to the non-GDM group, women diagnosed with GDM by either of the three criteria had an increased risk of large-for-gestational-age infants (adjusted odds ratios (OR) 1.7-2.2). Those identified by the WHO-2013 and Norwegian-2017 criteria but not diagnosed and treated by WHO-1999 criteria had an additional increased risk of cesarean section (OR 1.36, 95% CI 1.02,1.83 and 1.44, 95% CI 1.03,2.02, respectively) and operative vaginal delivery (OR 1.35, 95% CI 1.1,1.7 and 1.5, 95% CI 1.1,2.0, respectively). The proportions of LGA neonates and cesarean section were higher for women with GDM in both normal-weight and overweight/obese women. Asians had a lower risk of delivering large-for-gestational-age infants than Europeans applying national birthweight references, but maternal glucose values were similarly positively associated with birthweight in all ethnic groups.
Women who met the WHO-2013 and Norwegian-2017 criteria, but were not diagnosed by the WHO-1999 criteria and therefore not treated, had an increased risk of LGA, cesarean section and operative vaginal delivery compared to women without GDM.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>37410781</pmid><doi>10.1371/journal.pone.0280750</doi><tpages>e0280750</tpages><orcidid>https://orcid.org/0000-0002-2820-123X</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-07, Vol.18 (7), p.e0280750-e0280750 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2833945622 |
| source | Public Library of Science (PLoS) Journals Open Access; NORA - Norwegian Open Research Archives; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Age Biology and Life Sciences Birth weight Body mass index Body weight Cesarean section Childbirth & labor Clinical outcomes Criteria Data collection Dextrose Diabetes in pregnancy Diabetes mellitus Diagnosis Diagnostic systems Ethnicity Gestational age Gestational diabetes Glucose Glucose tolerance Health aspects Health risks Infants Medical diagnosis Medicine and Health Sciences Minority & ethnic groups Neonates Obesity Obstetrics Overweight Physical Sciences Pre-eclampsia Preeclampsia Pregnancy Pregnancy complications Pregnant women Premature birth Risk Risk factors Type 2 diabetes Vagina Variables |
| title | Adverse pregnancy outcomes among women in Norway with gestational diabetes using three diagnostic criteria |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T13%3A03%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Adverse%20pregnancy%20outcomes%20among%20women%20in%20Norway%20with%20gestational%20diabetes%20using%20three%20diagnostic%20criteria&rft.jtitle=PloS%20one&rft.au=Rai,%20Anam%20Shakil&rft.date=2023-07-06&rft.volume=18&rft.issue=7&rft.spage=e0280750&rft.epage=e0280750&rft.pages=e0280750-e0280750&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0280750&rft_dat=%3Cgale_plos_%3EA756090044%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2833945622&rft_id=info:pmid/37410781&rft_galeid=A756090044&rft_doaj_id=oai_doaj_org_article_68e2cd411f574f2880306023ad40e2b0&rfr_iscdi=true |