TY - JOUR A2 - Cosmi, Erich AU - Caissutti, Claudia AU - Berghella, Vincenzo PY - 2017 DA - 2017/04/10 TI - Scientific Evidence for Different Options for GDM Screening and Management: Controversies and Review of the Literature SP - 2746471 VL - 2017 AB - Background. Gestational diabetes (GDM) affects up to 7% of pregnant women and is associated with several maternal and perinatal morbidities. International organizations suggest several different recommendations regarding how to screen and to manage GDM. Objective. We aimed to analyze the most important and employed guidelines about screening and management of GDM and we investigated existing related literature. Results. We found several different criteria for screening for GDM, for monitoring GDM, and for starting pharmacological therapy. When using IADPSG criteria, GDM rate increased, perinatal outcomes improved, and screening became cost-effective. Compared to no treatment, treatment of women meeting criteria for GDM by IADPSG criteria but not by other less strict criteria has limited evidence for an effect on adverse pregnancy outcomes. SN - 2314-6133 UR - https://doi.org/10.1155/2017/2746471 DO - 10.1155/2017/2746471 JF - BioMed Research International PB - Hindawi KW - ER -