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Q In women with gestational diabetes mellitus (GDM), does a screening and active management intervention reduce serious perinatal complications more than routine care?
Clinical impact ratings GP/FP/Primary care ★★★★★☆☆ IM/Ambulatory care ★★★★★★☆ GP/FP/Obstetrics ★★★★★★☆ Obstetrics ★★★★★☆☆ Endocrine ★★★★★☆☆
METHODS
Design:
randomised controlled trial (Australian Carbohydrate Intolerance Study in Pregnant Women [ACHOIS]).
Allocation:
{concealed*}†.
Blinding:
blinded {outcome assessors (except for shoulder dystocia), data analysts, and monitoring committee}†.*
Follow-up period:
birth to hospital discharge.
Setting:
16 hospitals in Australia.
Patients:
1000 women (mean age 30 y) with a singleton or twin pregnancy at 16–30 weeks’ gestation and ⩾1 risk factor for GDM on selective screening or a positive 50 g oral glucose challenge test (GCT) result, and a 75 g oral glucose tolerance test at 24–34 weeks’ gestation with fasting glucose <7.8 mmol/l after an overnight …
Footnotes
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↵† Information provided by author.
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For correspondence: Dr C Crowther, University of Adelaide, Adelaide, South Australia, Australia. caroline.crowther{at}adelaide.edu.au
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Sources of funding: National Health and Medical Research Council Australia and Queen Victoria Hospital Research Foundation.