Elevated blood glucose recommendation guidelines that produce positive maternal and perinatal outcomes at the University of Kansas Obstetrics Clinic

Abstract

Abstract Background: Gestational Diabetes Mellitus (GDM) is a risk factor for adverse perinatal outcomes such as large for gestational age (LGA) birth, neonatal hypoglycemia and cesarean delivery. Objective: To examine the current screening and management practices at the University of Kansas Obstetrics (KUMC OB) clinic in regard to perinatal outcomes, and adherence to recommendations from the International Association of Diabetes and Pregnancy Study Groups (IADPSG). Design: In this retrospective analysis of 48 pregnant women with GDM, we compared IADPSG recommendations to current KUMC OB practices by investigating gestational age at screening, blood glucose levels, and perinatal outcomes. Results: Screening within recommended timeframe occurred in 59.5%, cesarean delivery in 40.4%, neonatal hypoglycemia in 2.7%. More women who managed GDM by diet had related complications at delivery than women who were treated with medications. Conclusion: KUMC OB produces patient outcomes that are expected when adhering to IADPSG recommendations for screening and management of GDM.