Analysis of the incidence of maternal-fetal complications after using the IADPSG criteria for the diagnosis of gestational diabetes - an integrative review
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i6e-195072Keywords:
Incidence, Gestational Diabetes, Outcomes, IADPSGAbstract
Introduction: Gestational Diabetes Mellitus (GDM) is defined as any degree of glucose intolerance, with onset or first recognition during pregnancy that resolves after delivery. Hyperglycemia during the pregnancy-puerperal cycle is responsible for the increased risk of unwanted perinatal outcomes and maternal-fetal complications. The introduction of new criteria by the International Association of Diabetes and Pregnancy Study Groups (IADPSG) aims to improve such long-term outcomes. Objective: To analyze the incidence of maternal-fetal complications after using the IADPSG criteria for the diagnosis of gestational diabetes. Methods: The study is an integrative literature review, using the PUBMED databases and the Biblioteca Virtual em Saúde (BVS), which includes the MEDLINE, SciELO, and LILACS databases. The descriptors applied were “gestational diabetes”, “outcomes”, “incidence” and “IADPSG”, exchanged for the boolean “AND”. Articles published in the last 10 years were selected, totaling 264 articles. In the end, 16 publications were selected following the eligibility criteria. Results: An increase in the prevalence of the diagnosis of GDM was evidenced with the application of the IADPSG criteria. It can be seen that most maternal, fetal and perinatal complications had their respective incidences reduced. This result is probably associated with the treatment of these pregnant women when diagnosed early with the IADPSG criteria. Despite the discordance of results, most authors support the use of the IADPSG recommendations for the diagnosis of GDM. Conclusion: The implementation of the IADPSG criteria showed a significant reduction in maternal complications and a reduction in some fetal and perinatal complications analyzed in the present study. Thus, the use of the IADPSG criterion to assess the reduction in the incidence of maternal and fetal adverse outcomes requires continuity in research in order to determine the advantages of using this criterion when compared to the others.
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Copyright (c) 2022 Carolina Arissa Tsutida, Carolina Dusi Mendes, Giovana Luiza Corrêa, Fernanda Emanuelle Mallmann, Andressa Miguel Leitão
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