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Review: little evidence exists on the benefits and harms of screening for and treating gestational diabetes

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T A Hillier

Dr T A Hillier, Kaiser Permanente Northwest, Portland, OR, USA

QUESTION

What are the benefits and harms of screening for and treating gestational diabetes mellitus (GDM)?

REVIEW SCOPE

The review sought to answer the following questions: Are screening tests for GDM accurate? Does screening and treatment for GDM reduce perinatal morbidity and mortality in the mother and infant? What are the harms associated with these interventions? Neonatal outcomes were mortality and morbidity; maternal outcomes were mortality, pre-eclampsia, and pregnancy-induced hypertension.

REVIEW METHODS

Medline and 5 other databases (2000 to Nov 2007) and references were searched for studies that used a 1-step or 2-step screening method and recognised diagnostic criteria for GDM. Experts were …

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