| Title: | Ten years of experience with screening for diabetes in pregnancy according to IADPSG criteria in Slovenia |
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| Authors: | ID Steblovnik, Lili (Author) ID Košir-Pogačnik, Renata (Author) ID Sladič, Mateja (Author) |
| Files: | PDF - Presentation file, download (527,60 KB) MD5: F7F090F76B4CD30233BA2ABA9FED8DE3
URL - Source URL, visit https://www.degruyterbrill.com/document/doi/10.1515/jpm-2025-0357/html
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| Language: | English |
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| Typology: | 1.02 - Review Article |
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| Organization: | UKC LJ - Ljubljana University Medical Centre
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| Abstract: | This review presents analysis of gestational diabetes mellitus (GDM) in Slovenia based on national data and published research over a decade. Slovenia adopted the International Association of Diabetes and Pregnancy Study Groups (IADPSG) recommendations in 2011 and integrated them into routine antenatal care by 2023. Universal screening has increased the prevalence of GDM from 4 % before 2010 to 21 % in 2023. The analysed perinatal outcomes improved: the overall rates of large for gestational age (LGA) neonates and Erb’s palsy decreased (AOR 0.93, 95 % CI 0.91–0.96 and AOR 0.72, 95 % CI 0.60–0.86 respectively) as did rates of preeclampsia (AOR 0.72, 95 % CI 0.68–0.76) and gestational hypertension (AOR 0.80, 95 % CI 0.77–0.83). The population of pregnant women changed, mean age at delivery, pre-pregnancy body mass index (BMI), proportion of obesity and parity increased. A dose-response relationship was found between pre-pregnancy BMI and GDM as there was synergistic effect of parity and maternal obesity on excessive fetal growth. Despite the nutrition interventions and tight control of blood glucose levels LGA infants could not be completely prevented. Beyond metabolic effects, GDM imposes a significant psychological burden; distinct psychological profiles were identified, emphasizing the need for tailored psychosocial support. |
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| Keywords: | gestational diabetes mellitus, prenatal screening, obesity, pregnancy outcomes |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2026 |
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| Number of pages: | str. 123-128 |
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| Numbering: | Vol. 54, issue 1 |
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| PID: | 20.500.12556/DiRROS-28431  |
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| UDC: | 618.2/.7 |
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| ISSN on article: | 1619-3997 |
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| DOI: | 10.1515/jpm-2025-0357  |
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| COBISS.SI-ID: | 261989891  |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 18. 12. 2025;
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| Publication date in DiRROS: | 19.03.2026 |
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| Views: | 221 |
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| Downloads: | 115 |
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