Cochrane · systematic review · CD007222
Screening for gestational diabetes mellitus based on different risk profiles and settings for improving maternal and infant health
Tieu, J, McPhee, AJ, Crowther, CA, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
29
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 20 · 69%Very low 2 · 6.9%Low 7 · 24.1%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Universal screening versus risk‐factor screening for gestational diabetes for improving maternal health
Population: pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gestational diabetes mellitus Universal screening vs risk‐factor screening | RR 1.85 [1.12, 3.04] | 1 study · 3152 participants | Low Downgraded: imprecision |
Hypertensive disorders of pregnancy Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Caesarean birth Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Perineal trauma Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Gestational weight gain Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal depression Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes mellitus Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Universal screening versus risk‐factor screening for gestational diabetes for improving infant health
Population: pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Perinatal mortality Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Mortality or morbidity composite Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Hypoglycaemia Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood adiposity Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood type 2 diabetes mellitus Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood neurosensory disability Universal screening vs risk‐factor screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Primary care screening versus secondary care screening for gestational diabetes for improving maternal health
Population: pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Gestational diabetes mellitus Primary care screening vs secondary care screening | RR 0.91 [0.5, 1.66] | 1 study · 690 participants | Low Downgraded: imprecision |
Hypertensive disorders of pregnancy: hypertension Primary care screening vs secondary care screening | RR 1.41 [0.77, 2.59] | 1 study · 690 participants | Low Downgraded: imprecision |
Hypertensive disorders of pregnancy: pre‐eclampsia toxemia Primary care screening vs secondary care screening | RR 0.8 [0.36, 1.78] | 1 study · 690 participants | Low Downgraded: imprecision |
Caesarean birth Primary care screening vs secondary care screening | RR 1 [0.8, 1.27] | 1 study · 690 participants | Low Downgraded: imprecision |
Perineal trauma Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Gestational weight gain Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Postnatal depression Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Type 2 diabetes mellitus Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Primary care screening versus secondary care screening for gestational diabetes for improving infant health
Population: pregnant women, excluding women already diagnosed with GDM in this pregnancy and those with pre‐existing diabetes mellitus
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Large‐for‐gestational age Primary care screening vs secondary care screening | RR 1.37 [0.96, 1.96] | 1 study · 690 participants | Low Downgraded: imprecision |
Perinatal mortality Primary care screening vs secondary care screening | RR 1.1 [0.1, 12.12] | 1 study · 690 participants | Very low Downgraded: imprecision |
Neonatal mortality or morbidity composite: neonatal complications Primary care screening vs secondary care screening | RR 0.99 [0.57, 1.71] | 1 study · 690 participants | Low Downgraded: imprecision |
Hypoglycaemia Primary care screening vs secondary care screening | RR 1.1 [0.28, 4.38] | 1 study · 690 participants | Very low Downgraded: imprecision |
Childhood/adulthood adiposity Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood type 2 diabetes mellitus Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |
Childhood/adulthood neurosensory disability Primary care screening vs secondary care screening | no estimate extracted | 0 studies · 0 participants | Ungraded |