Seasonal variations in incidence and maternal–fetal outcomes of gestational diabetes
| العنوان: | Seasonal variations in incidence and maternal–fetal outcomes of gestational diabetes |
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| المؤلفون: | Abigail R.A. Aiken, Charlotte Patient, Helen R. Murphy, Claire L Meek, B. Devoy, Catherine E. Aiken, David Simmons |
| المساهمون: | Meek, CL [0000-0002-4176-8329], Murphy, HR [0000-0001-6876-8727], Aiken, CE [0000-0002-6510-5626], Apollo - University of Cambridge Repository |
| المصدر: | Diabetic Medicine |
| بيانات النشر: | John Wiley and Sons Inc., 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Endocrinology, Diabetes and Metabolism, Birth weight, 030209 endocrinology & metabolism, Context (language use), Infant, Newborn, Diseases, Cohort Studies, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Endocrinology, Pregnancy, Internal Medicine, Medicine, Birth Weight, Humans, 030212 general & internal medicine, Research Articles, Retrospective Studies, business.industry, Obstetrics, Cesarean Section, Incidence (epidemiology), Incidence, Infant, Newborn, Pregnancy Outcome, medicine.disease, Delivery mode, United Kingdom, Gestational diabetes, Diabetes, Gestational, Research: Pregnancy, Cohort, Gestation, Female, Seasons, business, Parity (mathematics) |
| الوصف: | Aims To determine whether the neonatal and delivery outcomes of gestational diabetes vary seasonally in the context of a relatively cool temperate climate. Methods A retrospect cohort of 23 735 women consecutively delivering singleton, live‐born term infants in a single tertiary obstetrics centre in the UK (2004–2008) was identified. A total of 985 (4.1%) met the diagnostic criteria for gestational diabetes. Additive dynamic regression models, adjusted for maternal age, BMI, parity and ethnicity, were used to compare gestational diabetes incidence and outcomes over annual cycles. Outcomes included: random plasma glucose at booking; gestational diabetes diagnosis; birth weight centile; and delivery mode. Results The incidence of gestational diabetes varied by 30% from peak incidence (October births) to lowest incidence (March births; P=0.031). Ambient temperature at time of testing (28 weeks) was strongly positively associated with diagnosis (P What's new? Gestational diabetes (GDM) shows seasonal variation in hot climates, but there is no consensus on whether this impacts on neonatal or delivery outcomes.Birth weights and emergency Caesarean section rates vary seasonally in GDM‐affected pregnancies. The highest average birth weight and greatest risk of emergency Caesarean delivery occur when fewest births are complicated by GDM (March births).There are seasonal differences in GDM outcomes, and consideration should be given to the differing environmental, dietary and lifestyle factors faced by women with GDM throughout the year. |
| وصف الملف: | application/pdf; application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| اللغة: | English |
| تدمد: | 1464-5491 0742-3071 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::af3c0d27cdf46b28d043a03cc820aabc http://europepmc.org/articles/PMC8597396 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....af3c0d27cdf46b28d043a03cc820aabc |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14645491 07423071 |
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