Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement
UMass Chan Affiliations
Prevention Research CenterDepartment of Population and Quantitative Health Sciences
Document Type
Journal ArticlePublication Date
2021-08-10Keywords
Analytical, Diagnostic and Therapeutic Techniques and EquipmentFemale Urogenital Diseases and Pregnancy Complications
Health Services Administration
Maternal and Child Health
Preventive Medicine
Metadata
Show full item recordAbstract
Importance: Gestational diabetes is diabetes that develops during pregnancy. Prevalence of gestational diabetes in the US has been estimated at 5.8% to 9.2%, based on traditional diagnostic criteria, although it may be higher if more inclusive criteria are used. Pregnant persons with gestational diabetes are at increased risk for maternal and fetal complications, including preeclampsia, fetal macrosomia (which can cause shoulder dystocia and birth injury), and neonatal hypoglycemia. Gestational diabetes has also been associated with an increased risk of several long-term health outcomes in pregnant persons and intermediate outcomes in their offspring. Objective: The USPSTF commissioned a systematic review to evaluate the accuracy, benefits, and harms of screening for gestational diabetes and the benefits and harms of treatment for the pregnant person and infant. Population: Pregnant persons who have not been previously diagnosed with type 1 or type 2 diabetes. Evidence Assessment: The USPSTF concludes with moderate certainty that there is a moderate net benefit to screening for gestational diabetes at 24 weeks of gestation or after to improve maternal and fetal outcomes. The USPSTF concludes that the evidence on screening for gestational diabetes before 24 weeks of gestation is insufficient, and the balance of benefits and harms of screening cannot be determined. Recommendation: The USPSTF recommends screening for gestational diabetes in asymptomatic pregnant persons at 24 weeks of gestation or after. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for gestational diabetes in asymptomatic pregnant persons before 24 weeks of gestation. (I statement).Source
US Preventive Services Task Force, Davidson KW, Barry MJ, Mangione CM, Cabana M, Caughey AB, Davis EM, Donahue KE, Doubeni CA, Kubik M, Li L, Ogedegbe G, Pbert L, Silverstein M, Stevermer J, Tseng CW, Wong JB. Screening for Gestational Diabetes: US Preventive Services Task Force Recommendation Statement. JAMA. 2021 Aug 10;326(6):531-538. doi: 10.1001/jama.2021.11922. Erratum in: JAMA. 2021 Oct 5;326(13):1331. PMID: 34374716. Link to article on publisher's site
DOI
10.1001/jama.2021.11922Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29955PubMed ID
34374716Notes
Full author list omitted for brevity. For the full list of authors, see article.
Related Resources
ae974a485f413a2113503eed53cd6c53
10.1001/jama.2021.11922