Gestational diabetes & diabetes in pregnancy

Prevalence of gestational diabetes mellitus, maternal obesity and associated perinatal outcomes over 10 years in an Australian tertiary maternity provider

Diabetes Res Clin PractPublished Retrospective cohort study

Authors' conclusion

From 2011 to 2020 GDM, obesity and T2DM prevalence increased significantly, with associated increased IOL, without change in LGA rates. Prospective studies are required to explore interactions between GDM, obesity, LGA and obstetric interventions.

Study context

Population
Singleton births from 20 weeks' gestation, 1 January 2011 to 31 December 2020, tertiary hospital in Melbourne, Australia
Participants
52,795 pregnancies
Outcome
Prevalence trends for GDM, T2DM, maternal obesity and LGA, and changes in perinatal outcomes after International Association of Diabetes in Pregnancy Study Groups (IADPSG) criteria uptake in 2015
Follow-up
2011–2020
Methodological detailssingle tertiary hospital
  • Single tertiary hospital

Main finding

As reported in the abstract

Prevalence trends 2011–2020
Gestational diabetes mellitus (GDM) prevalence, 2011 to 2020 (increased 2.7 times)
8.9% to 23.7%
GDM prevalence, annual increase
8.59% (95% CI 7.77, 9.42)
T2DM rate, annual increase
11.69% (95% CI 7.72, 16.67)
Obesity prevalence, annual increase
3.18% (95% CI 2.58, 3.78)
Induction of labour prevalence, annual increase
8.35% (95% CI 5.69, 11.06)

Observational data: associations, not effects.

Original publication

Prevalence of gestational diabetes mellitus, maternal obesity and associated perinatal outcomes over 10 years in an Australian tertiary maternity provider. Diabetes Res Clin Pract. Published 19 June 2023. doi:10.1016/j.diabres.2023.110793

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