TY - JOUR
T1 - Risk factors and interventions related to maternal and pre-pregnancy obesity, pre-diabetes and diabetes for maternal, fetal and neonatal outcomes
T2 - A systematic review
AU - Lassi, Zohra S.
AU - Bhutta, Zulfiqar A.
PY - 2013
Y1 - 2013
N2 - Around the world, 60 million women of reproductive age have type 2 diabetes and 15% of the pregnant women have gestational diabetes mellitus (GDM). GDM accounts for 90% of all cases of diabetes in pregnancy, and if left unrecognized pose a higher risk of morbidity for mother and the fetus. Although GDM is a temporary phenomenon for the pregnant woman, but 5-10% of women with GDM develop type 2 diabetes after delivery and more than 50% within 5-10 years of delivery. However, the prevalence critically depends on the diagnostic methods and criteria. This review has undertaken an in-depth analysis to systematically assess the risk factors and interventions for screening, detection, prevention and management of pre-pregnancy obesity, pre-diabetes and diabetes at different levels of care (community, outreach, facility) and to draw research gaps and recommendations particularly for low- and middle-income countries.
AB - Around the world, 60 million women of reproductive age have type 2 diabetes and 15% of the pregnant women have gestational diabetes mellitus (GDM). GDM accounts for 90% of all cases of diabetes in pregnancy, and if left unrecognized pose a higher risk of morbidity for mother and the fetus. Although GDM is a temporary phenomenon for the pregnant woman, but 5-10% of women with GDM develop type 2 diabetes after delivery and more than 50% within 5-10 years of delivery. However, the prevalence critically depends on the diagnostic methods and criteria. This review has undertaken an in-depth analysis to systematically assess the risk factors and interventions for screening, detection, prevention and management of pre-pregnancy obesity, pre-diabetes and diabetes at different levels of care (community, outreach, facility) and to draw research gaps and recommendations particularly for low- and middle-income countries.
KW - diabetes
KW - gestational diabetes
KW - obesity
KW - pre-diabetes
KW - pre-gestational diabetes
UR - http://www.scopus.com/inward/record.url?scp=84887273569&partnerID=8YFLogxK
U2 - 10.1586/17474108.2013.841453
DO - 10.1586/17474108.2013.841453
M3 - Review article
AN - SCOPUS:84887273569
SN - 1747-4108
VL - 8
SP - 639
EP - 660
JO - Expert Review of Obstetrics and Gynecology
JF - Expert Review of Obstetrics and Gynecology
IS - 6
ER -