Diabetes in pregnancy among indigenous women in Australia, Canada, New Zealand and the United States: a systematic review of the evidence for screening in early pregnancy

摘要: Recently proposed international guidelines for screening gestational diabetes mellitus (GDM) recommend additional in early pregnancy sub-populations at a high risk of type 2 (T2DM), such as indigenous women. However, there are criteria that should be met to ensure the benefits outweigh risks population-based screening. This review examines published evidence women related these criteria. Any publications were included referred among Australia, Canada, New Zealand and United States (n = 145). The bias was appraised. There is sufficient describing epidemiology pregnancy, demonstrating it imposes significant disease burden on their infants birth across lifecourse (n = 120 studies). Women with pre-existing T2DM have higher than who develop GDM during pregnancy. insufficient address remaining five criteria, including following: understanding current practice rates (n = 7); acceptability (n = 0); efficacy cost (n = 3); availability effective treatment after diagnosis (n = 6); systems follow-up (n = 5). Given impact particularly undiagnosed T2DM, offers potential researchers, policy makers clinicians must work together communities strategies implementation minimizing risks. Evidence primary prevention, urgently needed