Surprisingly low compliance to local guidelines for risk factor based screening for gestational diabetes mellitus - A population-based study 英文参考文献.docVIP

BMC Pregnancy and Childbirth BioMedCentral Research article Open Access Surprisingly low compliance to local guidelines for risk factor based screening for gestational diabetes mellitus - A population-based study Margareta Persson*1, Anna Winkvist2 and Ingrid Mogren1 Address: 1Department of clinical science, Obstetrics and gynecology, Ume? University, Ume?, Sweden and 2Institution of medicine, Department of clinical nutrition, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden Email: Margareta Persson* - margareta.persson@obgyn.umu.se; Anna Winkvist - anna.winkvist@nutrition.gu.se; Ingrid Mogren - ingrid.mogren@obgyn.umu.se * Corresponding author Published: 16 November 2009 Received: 18 December 2008 Accepted: 16 November 2009 BMC Pregnancy and Childbirth 2009, 9:53 doi:10.1186/1471-2393-9-53 This article is available from: /1471-2393/9/53 ? 2009 Persson et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: Screening for gestational diabetes mellitus (GDM) is routine during pregnancy in many countries in the world. The screening programs are either based on general screening offered to all pregnant women or risk factor based screening stipulated in local clinical guidelines. The aims of this study were to investigate: 1) the compliance with local guidelines of screening for GDM and 2) the outcomes of pregnancy and birth in relation to risk factors of GDM and whether or not exposed to oral glucose tolerance test (OGTT). Methods: This study design was a population-based retrospective cross-sectional study of 822 women. A combination of questionnaire data and data collected from medical records was applied. Compliance to the local guidelines of risk factor based scre