AIMS We aimed to investigate the impact of Gestational Diabetes Mellitus (GDM) complications on compliance with postpartum Diabetes screening. METHODS A retrospective cohort study was conducted comparing screening rates of women with and without GDM associated complications who delivered at the Soroka University Medical Center, between 2016 and 2017. The screening test of choice was a 2-hour 75 g oral glucose tolerance test, taken 6-12 weeks after delivery. GDM associated complications included one or more of the following: polyhydramnios, macrosomia, shoulder dystocia or cesarean section. Univariate analysis was used in order to examine if GDM associated complications were associated with postpartum diabetes screening. RESULTS During the study period a 164 women were included, of which, 82 women had suffered from GDM associated complications and comprised the study group and 82 women with GDM but without complications comprised the comparison group. Women in the study group were significantly older with a higher parity order. Induction rates were significantly higher among the comparison group, whereas, cesarean section rates were higher among the study group. No difference was noted with regard to neonatal outcomes. Women in the study group were not found to be more likely to be given screening recommendations at discharge (P = 0.50), at their postpartum visit (P = 0.36) or to perform DM screening postpartum (P = 0.17). CONCLUSION Women with GDM associated complications had a higher rate of compliance to postpartum DM screening recommendations. However, in the current study this difference did not reach statistical significance.

中文翻译：

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坚持产后糖尿病筛查，相关的妊娠并发症是否有所作为？

目的我们旨在调查妊娠糖尿病（GDM）并发症对产后糖尿病筛查依从性的影响。方法进行了一项回顾性队列研究，比较了2016年至2017年在索罗卡大学医学中心分娩的有或没有GDM相关并发症的女性的筛查率。选择的筛查测试是2小时75 g口服葡萄糖耐量测试分娩后6-12周。GDM相关并发症包括以下一种或多种：羊水过多，巨大儿，肩难产或剖宫产。使用单变量分析来检查与GDM相关的并发症是否与产后糖尿病筛查有关。结果在研究期间，包括164名妇女，其中 研究组有82例患有GDM相关并发症的妇女，而比较组则有82例没有并发症的GDM妇女。研究组中的女性年龄较大，均等顺序较高。在比较组中，诱导率明显更高，而在研究组中，剖宫产率更高。新生儿结局方面未见差异。研究组的妇女在出院时（P = 0.50），产后访视（P = 0.36）或产后进行DM筛查（P = 0.17）的可能性更大。结论伴有GDM相关并发症的女性对产后DM筛查建议的依从性较高。然而，