Comparison of the validity of the criteria for gestational diabetes mellitus by WHO and by the Japan Society of Obstetrics and Gynecology by the outcomes of pregnancy

Ayumi Sugaya, Takashi Sugiyama, Mitsuhide Nagata, Nagayasu Toyoda

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)

Abstract

Data for 416 Japanese pregnant women who received a 75g oral glucose tolerance test (OGTT) for determination of gestational diabetes mellitus (GDM) in 13 hospitals in Japan were analyzed retrospectively. Comparison of the diagnostic criteria of the World Health Organization (WHO) and the Japan Society of Obstetrics and Gynecology (JSOG) revealed pregnant women who met the latter criteria for GDM to have significantly higher incidences of low Apgar scores, respiratory problems, neonatal hypoglycemia, preterm delivery and requirements for insulin therapy and cesarean section. The women who met the WHO criteria but not the JSOG criteria had minor complications. These observations suggest that the GDM criteria of the JSOG are more appropriate than the WHO criteria from the standpoint of therapeutic intervention for pregnant women. (C) 2000 Elsevier Science Ireland Ltd.

Original languageEnglish
Pages (from-to)57-63
Number of pages7
JournalDiabetes Research and Clinical Practice
Volume50
Issue number1
DOIs
Publication statusPublished - 2000 Sep

Keywords

  • Complications of mother and infant
  • Diagnostic criteria
  • Gestational diabetes mellitus

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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