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The prevalence of hyperglycaemia in pregnancy in Australia
Author(s) -
Moses Robert G.,
Wong Veronica C.K.,
Lambert Kelly,
Morris Gary J.,
San Gil Fernando
Publication year - 2016
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12447
Subject(s) - gestational diabetes , pregnancy , medicine , population , public health , diabetes mellitus , ethnic group , diabetes in pregnancy , obstetrics , epidemiology , gestation , environmental health , demography , endocrinology , nursing , political science , genetics , sociology , biology , law
Background The Australasian Diabetes in Pregnancy Society ( ADIPS ) has recently endorsed the World Health Organization ( WHO ) terminology and classification of hyperglycaemia in pregnancy. The prevalence is likely to increase, but no prospective data are available for a representative Australian population. Aims To determine the prevalence of hyperglycaemia in pregnancy ( HIP ) using results from both the public and private sectors in a population that has a similar ethnicity to the overall Australian population. Material and Methods The results of all pregnancy oral glucose tolerance tests ( POGTT ) in the public sector and by a dominant private pathology provider in a major city have been prospectively collected for a three‐year period and analysed using the ADIPS ( WHO ) criteria. Results The prevalence of hyperglycaemia in pregnancy ( HIP ) was 13.1% with diabetes mellitus in pregnancy ( DIP ) being 0.4% and gestational diabetes mellitus ( GDM ) being 12.7%. Conclusion The new criteria will diagnose about one‐third more women with GDM than the previous ADIPS criteria. This will have resource and health implications. Focussed local health economic data will be important.