To investigate pregnancy outcomes and determine the expense of antenatal care for women with normal pregnancies and pregnant woman diagnosed with gestational diabetes following Carpenter-Coustan only and NDDG criteria
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Abstract
To study pregnancy outcomes and antenatal care costs among pregnant women who were tested for diabetes using the Carpenter - Coustan (CC only) and National Diabetes Data Group (NDDG) criteria. A retrospective cohort study was done on pregnant women who received antenatal care and gave birth at Thoen Hospital between October 1, 2017 and September 30, 2021. The population was split into three groups depending on inclusion and exclusion criteria: 1. Normal pregnancies 2. Diabetes group identified by CC only criteria 3. Diabetes group was defined using NDDG criteria. As descriptive statistics, ANOVA, Kruskal-Wallis H Test, Independent T-Test, Mann-Whitney U Test, chi-square test, and Fisher's Exact test were used. The group of gestational diabetes based on both criteria increased antenatal visits and costs. In pregnancy outcomes, individuals diagnosed using the CC only criteria were no different from normal group. The rate of caesarean section increased for the group using the NDDG criteria as well as hypertension. Therefore, the group using NDDG criteria should receive treatment and appointments according to the guidelines. The group with the CC only criteria who have travel and financial problems may use a follow-up like a normal group, but with focus on counselling and strict behaviour.
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