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在怀孕24周后对孕妇进行妊娠糖尿病查,对孕妇和婴儿的健康有适度的益处. 在24周之前的早期查缺乏足够的证据来确定其益处和危害.

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科学领域:

  • 产科和妇科
  • 内分泌学
  • 预防医学

背景情况:

  • 孕期糖尿病 (GDM) 影响美国5.8%-9.2%的孕妇,增加孕妇和胎儿并发症的风险.
  • 这些并发症包括妊娠前症,胎儿巨症,出生损伤,新生儿低血糖症以及母亲和孩子的长期健康问题.
  • 美国预防服务工作组 (USPSTF) 审查了关于GDM查和治疗的证据.

研究的目的:

  • 评估GDM查的准确性,益处和危害.
  • 评估GDM治疗对孕妇和新生儿的益处和危害.

主要方法:

  • 系统审查由USPSTF委托进行.
  • 针对没有先前存在的1型或2型糖尿病的孕妇.
  • 评估了GDM干预的查准确性,益处和危害.

主要成果:

  • 在怀孕24周或之后查GDM的中等净益率.
  • 没有足够的证据来确定24周前查的益处和危害.
  • 查旨在改善母亲和胎儿的结果.

结论:

  • 在无症状的孕妇中,USPSTF建议在怀孕24周或更晚时对GDM进行查.
  • 目前的证据不足以评估怀孕24周之前的查.
  • 在推时间进行查可以减轻与GDM相关的风险.