Cited by 8Gestational Diabetes Research and ManagementDiabetes, Cardiovascular Risks, and LipoproteinsDiabetes Management and Research

Incidence of gestational diabetes and birth complications in Switzerland: Screening in 1042 pregnancies

Orecchio, Andrea, Periard, Daniel, Kashef, Amged, Magnin, Jean-Luc, Hayoz, Daniel, Fontana, Enzo·2014·Gynecological Endocrinology

Abstract

To evaluate the incidence of gestational diabetes mellitus (GDM), gestational glucose intolerance (GGI), and birth major complications, a population of 1042 pregnant women was screened after the end of the second trimester with a two-step screening method. Patients with a positive 50-g screening test (plasma glucose ≥ 7.8 mmol/l at 1 h) underwent a 3-h standard 100-g oral glucose tolerance test. Clinical records of patients and newborns were analysed and compared to normotolerant patients group. GDM was found in 4.8% and GGI in 2.6% of all screened women of this study population. The patient group with GDM significantly differed from control, with a higher proportion of Asiatic women (32.0% versus 2.9%, p = 0.001) and high prevalence of previous GDM (26.0% versus 0.0%, p < 0.001). Major neonatal complications occurred more frequently in the dysmetabolic groups compared to normotolerant group. Macrosomia was not noted in our population. Asiatic origin and previous GDM were strongly associated with an increased incidence of GDM in multivariate analysis. This study represents the first epidemiological evaluation of GDM/GGI in Switzerland, with a two-step screening method. Incidence of GDM and GGI as well as birth complications resulted significant in our country.

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Crossref · 10.3109/09513590.2013.879853

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  • In Switzerland, there was a statistically significant association between GDM and Asiatic origin, and between GDM and GDM diagnosed during a previous pregnancy.

    “They found a statistically significant association between GDM and Asiatic origin, and GDM diagnosed during a previous pregnancy [131].”
  • In Switzerland, Orecchio et al. studied 1042 pregnant women in 2004-2005 and found GDM prevalence of 4.8%.

    “Orecchio et al. in 2004–2005 performed a study among 1042 pregnant women, and the prevalence was 4.8%.”

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Authors
Orecchio, A., Periard, D., Kashef, A., Magnin, J.-L., Hayoz, D., & Fontana, E.
Affiliations
HFR Freiburg Kantonsspital (CH)
Corresponding author
Orecchio, Andrea
Venue
Gynecological Endocrinology
Published
2014-05-28
Volume
30
Issue
8
Pages
561-564
ISSN
  • 0951-3590 (ISSN-L)
  • 1473-0766
OpenAlex
W1996555540
Cited by
8
References
2
Citations by year
2022: 4 · 2020: 1 · 2017: 1 · 2016: 2
FWCI
1.06
Type
journal article
Language
en
Open access
closed
Locations
  • Gynecological Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
Keywords
gestational diabetes mellitus, gestational glucose intolerance, childbirth complications, neonatal complications, oral glucose tolerance test, incidence, Asian ethnicity, previous gestational diabetes, Switzerland
MeSH terms
Feasibility Studies, Female, Glucose Tolerance Test, Humans, Infant, Newborn, Infant, Newborn, Diseases, Obstetric Labor Complications, Pregnancy, Pregnancy Outcome, Prenatal Diagnosis, Switzerland, Incidence, Diabetes, Gestational

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