Methods A retrospective analysis were carried on the clinical data, which including demographic characteristics, postpartum information, pregnancy status, childbirth status and newborn information, of 813 pregnant women in the First Affiliated Hospital of Sun Yat-sen University in 26 years from January 1, 1993 to December 31, 2018. They met the PGDM diagnostic criteria proposed by the International Diabetes and Pregnancy Study Group (IADPSG) in 2010. According to the actual hyperglycemia screening method and management strategy at that time, the enrolled patients were divided into three groups: World Health Organization (WHO) standard group, American Diabetes Association (ADA) standard group, International Association of Diabetes and Pregnancy Study Group (IADPSG) standard group. Under different screening criteria and management methods, pregnancy treatment and pregnancy outcomes were analyzed.
Results Compared with the three groups, the average hospital stay at the termination of pregnancy (19.93, 10.56, 6.46, t=265.016, P=0.000) and the total number of hospital stays during pregnancy (24.72, 15.32, 9.30, t=192.723, P=0.000) were the least in the IADPSG standard group. In addition, the proportion of receiving dexamethasone to promote fetal lung therapy during pregnancy was 37.50%, 38.50% and 27.50% ( χ2=9.799, P=0.007), respectively. The proportion of cesarean section was 76.60%, 67.50% and 62.50%, respectively. Correspondingly, the normal delivery rate was respectively 23.40%, 32.50%, 37.50%) was in WHO standard group, ADA standard group and IADPSG standard group ( χ2=15.777, P=0.000). And the incidence of hypertension during pregnancy or preeclampsia in the three groups (17.70%, 10.30%, 9.30%, χ2=11.560, P=0.003), the incidence of macrosomia (12.70%, 8.50%, 4.80%, χ2=7.148, P=0.001), the ratio of neonatal transfer to pediatric department (44.80%, 57.30%, 38.30%, χ2=14.100, P=0.001) and the ratio of neonatal hyperbilirubinemia (18.10%, 17.90%, 6.30%, χ2=25.788, P=0.000) showed a downward trend.