TY - JOUR T1 - Screening and active management reduced perinatal complications more than routine care in gestational diabetes JF - Evidence Based Medicine JO - Evid Based Med SP - 171 LP - 171 DO - 10.1136/ebm.10.6.171 VL - 10 IS - 6 A2 - , Y1 - 2005/12/01 UR - http://ebm.bmj.com/content/10/6/171.abstract N2 - Crowther CA, Hiller JE, Moss JR, et al. Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med 2005;352:2477–86.OpenUrlCrossRefPubMedWeb of Science 
 
 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 ★★★★★☆☆ 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 … ER -