Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 05 Aug 2005
Modified on : 02 Dec 2007

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Bibliographical entry (without author) :

Gestational Diabetes Mellitus — Time to Treat. Editorial. The New England Journal of Medicine 2005;352:2544-2546.

Author(s) :

Greene MF, Solomon CG.

Year of publication :

2005

URL(s) :

http://content.nejm.org/cgi/content/full/352/24/25…

Résumé (français)  :

Abstract (English)  :

Gestational diabetes mellitus, broadly defined as carbohydrate intolerance beginning or first recognized during pregnancy,1,2 was originally described decades ago and has since been the subject of extensive research. Yet the most recent guidelines of the U.S. Preventive Services Task Force, noting the absence of data to establish a clear link between screening and improved outcomes of affected pregnancies, concluded that "the evidence is insufficient to recommend for or against routine screening for gestational diabetes."
…
Unresolved questions include whether gestational diabetes — diagnosed in 3 to 7 percent of all pregnant women in the United States — poses serious risks to the offspring, and if it does, whether treatment reduces those risks.
…
This study provides critical evidence that identifying and treating gestational diabetes can substantially reduce the risk of adverse perinatal outcomes without, at least in this trial, increasing the rate of cesarean delivery.
…

Sumário (português)  :

Resumen (español)  :

Comments :

Texte en acces libre.

Argument (français) :

La plus recente etude randomisee montre les benefices du depistage et traitements du diabete gestationnel.

Argument (English):

Argumento (português):

Argumento (español):

Keywords :

➡ c-section/caesarean ; evidence-based medicine/midwifery ; gestational diabetes ; dystocy

Author of this record :

Cécile Loup — 05 Aug 2005