Hannah, Wesley, Bhavadharini, Balaji, Beks, Hannah, Deepa, Mohan, Anjana, Ranjit Mohan, Uma, Ram, Martin, Erik, McNamara, Kevin, Versace, Vincent, Saravanan, Ponnusamy and Mohan, Viswanathan (2022) Global burden of early pregnancy gestational diabetes mellitus (eGDM) : a systematic review. Acta diabetologica, 59 . pp. 403-427. doi:10.1007/s00592-021-01800-z ISSN 1432-5233.
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Abstract
Gestational diabetes mellitus (GDM) diagnosed during the first trimester of pregnancy is called 'early pregnancy Gestational Diabetes Mellitus' (eGDM). The burden of eGDM has only been studied sporadically. This review aims to understand the global burden of eGDM in terms of prevalence, risk factors, pregnancy outcomes, treatment and postpartum dysglycemia. METHODS: A review of epidemiologic studies reporting on early GDM screening as per Joanna Briggs Institute (JBI) methodology for prevalence reviews was conducted. A customized search strategy was used to search electronic databases namely, PubMed, CINAHL, EMBASE, Cochrane Library, Scopus, MEDLINE, Ovid, ScienceDirect, and Google Scholar. Three independent reviewers reviewed studies using Covidence software. Observational studies irrespective of study design and regardless of diagnostic criteria were included. Quality of evidence was appraised, and findings were synthesized. Of 58 included studies, 41 reported a prevalence of eGDM, ranging from 0.7 to 36.8%. Body mass index (BMI), previous history of GDM, family history of diabetes and multiparity were reported as eGDM risk factors. Adverse pregnancy outcomes associated with eGDM were macrosomia, caesarean delivery, induction of labour, hypertension, preterm delivery, and shoulder dystocia. The incidence of postpartum dysglycemia and the need for insulin was higher in women with eGDM. The risk of bias was moderate. Heterogeneity of studies is a limitation. Meta-analysis was not performed. There is heterogeneity in the prevalence of eGDM and intrapartum and postpartum ill effects for the mother and the offspring. There is a need to develop a universal screening protocol for eGDM. [Abstract copyright: © 2021. Springer-Verlag Italia S.r.l., part of Springer Nature.]
| Item Type: | Journal Article |
|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| SWORD Depositor: | Library Publications Router |
| Journal or Publication Title: | Acta diabetologica |
| Publisher: | Springer |
| ISSN: | 1432-5233 |
| Official Date: | March 2022 |
| Dates: | Date Event March 2022 Published 7 November 2021 Available 7 September 2021 Accepted |
| Volume: | 59 |
| Page Range: | pp. 403-427 |
| DOI: | 10.1007/s00592-021-01800-z |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Re-use Statement: | This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/[insert DOI] |
| Access rights to Published version: | Restricted or Subscription Access |
| URI: | https://wrap.warwick.ac.uk/160449/ |
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