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Author :
Publisher :
ISBN 13 : 9781587633362
Total Pages : pages
Book Rating : 4.6/5 (333 download)
Download or read book Therapeutic Management, Delivery, and Postpartum Risk Assessment and Screening in Gestational Diabetes written by and published by . This book was released on 2008 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Wanda K. Nicholson
Publisher :
ISBN 13 : 9781587633362
Total Pages : 96 pages
Book Rating : 4.6/5 (333 download)
Download or read book Therapeutic Management, Delivery, and Postpartum Risk Assessment and Screening in Gestational Diabetes written by Wanda K. Nicholson and published by . This book was released on 2008-01-01 with total page 96 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : U. S. Department of Health and Human Services
Publisher : Createspace Independent Pub
ISBN 13 : 9781489501714
Total Pages : 140 pages
Book Rating : 4.5/5 (17 download)
Download or read book Future Research Needs for the Management of Gestational Diabetes written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-17 with total page 140 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gestational diabetes mellitus (GDM), the most common medical complication of pregnancy, is defined as carbohydrate intolerance of variable degree, with an onset or first recognition occurring during pregnancy. Studies estimate that GDM affects about 7 percent of births occurring in the United States. GDM is associated with both maternal and neonatal complications. Women with GDM are at high risk for developing noninsulin dependent (type 2) diabetes mellitus. In 2008, the Johns Hopkins University Evidence-based Practice Center (JHU EPC) completed an Agency for Healthcare Research and Quality (AHRQ) funded evidence report on glucose management, delivery management, postpartum risk assessment, and diagnostic tests for type 2 diabetes in women with GDM. The report focused on the following four key questions (KQs): Key Question I. What are the risks and benefits of an oral diabetes agent (e.g., glyburide), as compared to all types of insulin, for GDM? Key Question II. What is the evidence that elective labor induction, cesarean delivery, or timing of induction is associated with benefits or harm to the mother and neonate? Key Question III. What risk factors are associated with the development of type 2 diabetes after a pregnancy with GDM? Key Question IV. What are the performance characteristics of diagnostic tests for type 2 diabetes in women with GDM? The report authors made the following conclusions: (1) maternal glucose levels do not differ substantially in those treated with insulin vs. insulin analogues or oral agents; (2) average infant birth weight may be lower in mothers treated with insulin than with glyburide; (3) induction at 38 weeks may reduce the macrosomia rate, with no increase in cesarean delivery rates; (4) anthropometric measures, fasting blood glucose (FBG), and 2-hour glucose value are the strongest risk factors associated with development of type 2 diabetes; (5) FBG had high specificity, but variable sensitivity, when compared to the 75-gm oral glucose tolerance test (OGTT) in the diagnosis of type 2 diabetes after delivery. Overall, the evidence was graded either as low strength or insufficient to address the key questions. Because of the widespread deficiencies in the literature, the research team identified broad research gaps and suggested higher quality clinical studies to address each key question. Therefore, the framework for identifying and describing research gaps identified in this report may be unique and most applicable to future reports with uniformly low or insufficient strength of evidence. In January 2010, AHRQ requested that the JHU EPC develop and pilot test a process to identify research needs. The objective of the project was to help AHRQ establish a standard process for identifying research needs in its evidence reports and to identify research needs for the management of GDM.
Author : A. Seval Ozgu-Erdinc
Publisher : Frontiers Media SA
ISBN 13 : 2832521738
Total Pages : 129 pages
Book Rating : 4.8/5 (325 download)
Download or read book Gestational diabetes mellitus risk assessment, screening, diagnosis, and management before, during and after pregnancy written by A. Seval Ozgu-Erdinc and published by Frontiers Media SA. This book was released on 2023-04-26 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Alyce M. Thomas
Publisher : American Dietetic Associati
ISBN 13 : 0880913495
Total Pages : 178 pages
Book Rating : 4.8/5 (89 download)
Download or read book American Dietetic Association Guide to Gestational Diabetes Mellitus written by Alyce M. Thomas and published by American Dietetic Associati. This book was released on 2005 with total page 178 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gestational diabetes mellitus is a growing concern in women's health. This reference examines the pathophysiology, classification, screening, and diagnosis of gestational diabetes, and provides information on testing methods used to monitor maternal and fetal health, nutrition requirements in pregnancy, medical nutrition therapy, insulin therapy in pregnancy, and postpartum considerations. Practical forms, including questionnaires, assessment forms, and food plan calculations are included.
Author : U. S. Department of Health and Human Services
Publisher : Createspace Independent Pub
ISBN 13 : 9781483943923
Total Pages : 330 pages
Book Rating : 4.9/5 (439 download)
Download or read book Screening and Diagnosing Gestational Diabetes Mellitus written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-03-23 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gestational diabetes mellitus (GDM) is defined as glucose intolerance first discovered in pregnancy. Pregestational diabetes mellitus refers to any type of diabetes diagnosed before pregnancy. Pregnant women with pregestational diabetes experience an increased risk of poor maternal, fetal, and neonatal outcomes. The extent to which GDM predicts adverse outcomes for mother, fetus, and neonate is less clear. Depending on the diagnostic criteria used and the population screened, the prevalence of GDM ranges from 1.1 to 25.5 percent of pregnancies in the United States. The incidence of GDM has increased over the past decades in parallel with the increase in rates of obesity and type 2 diabetes mellitus, and this trend is expected to continue. It is unclear how much the increase in obesity will affect the proportion of women diagnosed with overt diabetes during pregnancy versus transient pregnancy-induced glucose intolerance. GDM is usually diagnosed after 20 weeks' gestation when placental hormones that have the opposite effect of insulin on glucose metabolism increase substantially. Women with adequate insulin secreting capacity overcome this insulin resistance of pregnancy by secreting more endogenous insulin to maintain normal blood glucose. Women with less adequate pancreatic reserve are unable to produce sufficient insulin to overcome the increase in insulin resistance, and glucose intolerance results. Glucose abnormalities in women with GDM usually resolve postpartum, but commonly recur in subsequent pregnancies. Women with GDM have an increased risk of future development of overt diabetes. The cumulative incidence of diabetes after a diagnosis of GDM varies widely depending on maternal body mass index (BMI), ethnicity, and time since index pregnancy, and it may reach levels as high as 60 percent. When glucose abnormalities persist postpartum in a woman with GDM, her diabetes is recategorized as overt diabetes. When this occurs, the likelihood that this woman had pregestational (i.e., overt) diabetes increases, especially if the diagnosis of GDM occurred before 20 weeks' gestation and glucose levels were markedly elevated in pregnancy. Based on systematic reviews published in 2003 and 2008, the USPSTF concluded that there was insufficient evidence upon which to make a recommendation regarding routine screening of all pregnant women for GDM. The primary aims of this review were to (1) identify the test properties of screening and diagnostic tests for GDM, (2) evaluate the potential benefits and harms of screening at greater than or equal to 24 weeks and less than 24 weeks' gestation, (3) assess the effects of different screening and diagnostic thresholds on outcomes for mothers and their offspring, and (4) determine the effects of treatment in modifying outcomes for women diagnosed with GDM. The benefits and harms of treatments were considered in this review to determine the downstream effects of screening on health outcomes. The intent of this review was also to assess whether evidence gaps in the previous USPSTF reviews have been filled. Key questions include: Key Question 1: What are the sensitivities, specificities, reliabilities, and yields of current screening tests for GDM? (a) After 24 weeks' gestation? (b) During the first trimester and up to 24 weeks' gestation? Key Question 2: What is the direct evidence on the benefits and harms of screening women (before and after 24 weeks' gestation) for GDM to reduce maternal, fetal, and infant morbidity and mortality? Key Question 3: In the absence of treatment, how do health outcomes of mothers who meet various criteria for GDM and their offspring compare to those who do not meet the various criteria? Key Question 4: Does treatment modify the health outcomes of mothers who meet various criteria for GDM and their offspring? Key Question 5: What are the harms of treating GDM and do they vary by diagnostic approach?
Author : Dorothy Reycroft Hollingsworth
Publisher :
ISBN 13 :
Total Pages : 200 pages
Book Rating : 4.3/5 (91 download)
Download or read book Pregnancy, Diabetes, and Birth written by Dorothy Reycroft Hollingsworth and published by . This book was released on 1984 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: This book is designed to cover all aspects of pregnancies in women with diabetes mellitus. It includes information concerning preconception counseling, the metabolic alterations of normal and diabetic pregnancies, management of women with both types (I and II) of diabetes, and gestational diabetes. Although more risks are involved in pregnancies of diabetic women, proper care and careful monitoring by a health care team throughout the pregnancy can reduce complications and help to insure the birth of a healthy baby.
Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309669820
Total Pages : 369 pages
Book Rating : 4.3/5 (96 download)
Download or read book Birth Settings in America written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-05-01 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
Author : National Research Council
Publisher : National Academies Press
ISBN 13 : 0309131138
Total Pages : 868 pages
Book Rating : 4.3/5 (91 download)
Download or read book Weight Gain During Pregnancy written by National Research Council and published by National Academies Press. This book was released on 2010-01-14 with total page 868 pages. Available in PDF, EPUB and Kindle. Book excerpt: As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
Author : Monica L. Hunsberger
Publisher :
ISBN 13 : 9781109914757
Total Pages : 155 pages
Book Rating : 4.9/5 (147 download)
Download or read book An Assessment of Risk Factors for Gestational Diabetes Mellitus (GDM) and Provider Practices for Post-GDM Care written by Monica L. Hunsberger and published by . This book was released on 2007 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Part II of this study explored the nature and extent of care offered by physicians during pregnancy and in the postpartum period using a mailed survey designed for this research. Two hundred and eighty three physicians in obstetrics and gynecology and family practice completed a survey assessing physician care patterns, beliefs, opinions and attitudes regarding GDM care. Results indicated that over 95% of Oregon physicians were testing for GDM during gestation. In the postpartum period very few physicians were testing for glucose intolerance. Only 19% of the same physicians that always tested for GDM are testing blood glucose levels in the postpartum period. Results of logistic regression that assessed variables associated with level of postpartum care indicated that female physicians were more likely to offer more comprehensive postpartum care as compared to male physicians. Logistic regression also indicated that subjective norms were associated with physician's likelihood of screening women for glucose intolerance in the postpartum period. The findings from this study will assist health care professionals in identifying women at greatest risk for GDM and identifies established care guidelines need to be brought into clinical practice.
Author :
Publisher : World Health Organization
ISBN 13 : 9241545879
Total Pages : 393 pages
Book Rating : 4.2/5 (415 download)
Download or read book Managing Complications in Pregnancy and Childbirth written by and published by World Health Organization. This book was released on 2003 with total page 393 pages. Available in PDF, EPUB and Kindle. Book excerpt: The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.
Author : Janette Brand Miller
Publisher :
ISBN 13 : 9780733623561
Total Pages : 296 pages
Book Rating : 4.6/5 (235 download)
Download or read book Low Glycemic Index Diet written by Janette Brand Miller and published by . This book was released on 2008 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Low GI Diet is the only science-based diet that is proven to help you lose weight and develop a lifetime of healthy eating habits that can help you achieve optimum health and wellbeing and protect against illness and disease. This guide features: an effective 12-week action plan based on low GI eating, exercise, and activity goals for each week which will enable you to lose up to ten per cent of your current body weight; plus an ongoing maintenance program tips to help you maintain weight loss for life delicious recipes and meal plans the GI tables with the GI values of all your favourite foods. The result: A slimmer, fitter, healthier you for the rest of your life! Brought to you by the authors of the worldwide bestselling The New Glucose Revolution series on the glycemic index, The Low GI Diet explains how choosing low GI carbohydrates can help you feel fuller for longer and increase your energy levels making weight loss achievable and sustainable. A companion volume to the newly revised and updated The Low GI Handbook. Start losing weight and improving your overall health today.
Author : Lisa E. Moore
Publisher : Springer
ISBN 13 : 3319655183
Total Pages : 254 pages
Book Rating : 4.3/5 (196 download)
Download or read book Diabetes in Pregnancy written by Lisa E. Moore and published by Springer. This book was released on 2017-12-18 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive and easily accessible reference for physicians caring for pregnant women with diabetes. Covering patients with type 1, type 2, and gestational diabetes, this handbook offers guidance on the different methods of treatment necessary for each population. Chapters cover the entire scope of patient care, including: diagnosis, patient education, dietary recommendations, medications, management during labor, potential fetal complications, and postpartum management. Obstetricians, gynecologists, primary care physicians, and residents will use this text to quickly answer any question they have on diabetes and pregnancy.
Author : Raul Artal Mittelmark
Publisher :
ISBN 13 :
Total Pages : 264 pages
Book Rating : 4.3/5 (91 download)
Download or read book Exercise in Pregnancy written by Raul Artal Mittelmark and published by . This book was released on 1986 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Catherine Kim
Publisher : Springer Science & Business Media
ISBN 13 : 1848821204
Total Pages : 381 pages
Book Rating : 4.8/5 (488 download)
Download or read book Gestational Diabetes During and After Pregnancy written by Catherine Kim and published by Springer Science & Business Media. This book was released on 2014-01-02 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gestational Diabetes Mellitus is becoming an increasingly prevalent disease as obesity and other chronic diseases are on the rise. It requires careful and informed clinical management as the care received during pregnancy affects not only perinatal health but the risk of developing type 2 diabetes even decades into the future, in both the mother and the child.From epidemiology and pathophysiology to diagnosis and management, covering recent breakthroughs in research and up-to-date developments in clinical practice, Gestational Diabetes During and After Pregnancy offers the reader a comprehensive and current look at Gestational Diabetes. Anyone involved in the research, public health or clinical aspects of Gestational Diabetes will find this volume a valuable aid in consolidating all recent developments regarding this disease.
Author : Clive Petry
Publisher : CRC Press
ISBN 13 : 1439879974
Total Pages : 236 pages
Book Rating : 4.4/5 (398 download)
Download or read book Gestational Diabetes written by Clive Petry and published by CRC Press. This book was released on 2014-02-07 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Given the rapid increase in the worldwide incidence of gestational diabetes, the need for defining the risks and effects associated with raised glucose concentrations in pregnancy is great. Recent large studies are helping to define the risks, as well as identify the benefits of reducing glucose intolerance. Written by an esteemed list of internati
Author : Miroslav Radenkovic
Publisher : BoD – Books on Demand
ISBN 13 : 9533075813
Total Pages : 395 pages
Book Rating : 4.5/5 (33 download)
Download or read book Gestational Diabetes written by Miroslav Radenkovic and published by BoD – Books on Demand. This book was released on 2011-11-02 with total page 395 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gestational diabetes mellitus is defined as hyperglycemia with onset or first recognition during pregnancy. The incidence of gestational diabetes is still increasing and this pathological condition has strong association with adverse pregnancy outcomes. Since gestational diabetes can have long-term pathological consequences for both mother and the child, it is important that it is promptly recognized and adequately managed. Treatment of gestational diabetes is aimed to maintain euglycemia and it should involve regular glucose monitoring, dietary modifications, life style changes, appropriate physical activity, and when necessary, pharmacotherapy. Adequate glycemic control throughout the pregnancy can notably reduce the occurrence of specific adverse perinatal and maternal outcomes. In a long-term prospect, in order to prevent development of diabetes later in life, as well to avoid associated complications, an adequate education on lifestyle modifications should start in pregnancy and continue postpartum.
