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Incidence of adverse outcomes associated with gestational diabetes mellitus in low‐ and middle‐income countries
Author(s) -
Wang Zheng,
Kanguru Lovney,
Hussein Julia,
Fitzmaurice Ann,
Ritchie Katherine
Publication year - 2013
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.10.032
Subject(s) - medicine , incidence (geometry) , gestational diabetes , low and middle income countries , diabetes mellitus , low income , obstetrics , pediatrics , pregnancy , developing country , gestation , endocrinology , socioeconomics , physics , genetics , economic growth , sociology , optics , biology , economics
Background The contribution of medical conditions such as diabetes mellitus to maternal and neonatal ill‐health in low‐ and middle‐income countries is not well documented. Objectives To ascertain the incidence of adverse outcomes associated with gestational diabetes mellitus (GDM) in these countries. Search strategy Electronic databases were searched between 1990 and 2011. Selection criteria Observational, experimental, and quasi‐experimental studies reporting adverse outcomes associated with GDM in mothers and their infants in low‐ and middle‐income countries were included. Data collection and analysis Titles and abstracts were screened, and full‐text articles were independently assessed by at least 2 reviewers. Characteristics of studies were tabulated and quality assessment performed. Median and interquartile range (IQR) were computed for each adverse outcome. Main results 25 articles were included from an initial 1282 citations. High median incidences of cesarean (43.8%; IQR, 34.9%–65.9%), neonatal jaundice (17.1%; IQR, 8.5%–22.9%), and macrosomia (17.0%; IQR, 8.3%–32.5%) were reported in women with GDM. Conclusions The high incidence of some complications of GDM is a concern and may indicate poorer care for women with GDM in low‐resource settings. The wide IQRs found indicate uncertainty about the burden of GDM in these settings.