Publications by authors named "A Kotaska"
Background: Rates of gestational diabetes are reported to be increasing in many jurisdictions, but the reasons for this are poorly understood. We sought to evaluate the relative contribution of screening practices for gestational diabetes (including completion and methods of screening) and population characteristics to risk of gestational diabetes in British Columbia, Canada, from 2005 to 2019.
Methods: We used a population-based cohort from a provincial registry of perinatal data, linked to laboratory billing records.
Background: Increased weight gain and decreased physical activity have been reported in some populations since the coronavirus disease 2019 (COVID-19) pandemic, but this has not been well characterized in pregnant populations.
Objectives: Our objective was to characterize the impact of the COVID-19 pandemic and associated countermeasures on pregnancy weight gain and infant birthweight in a US cohort.
Methods: Washington State pregnancies and births (1 January, 2016 to 28 December, 2020) from a multihospital quality improvement organization were examined for pregnancy weight gain, pregnancy weight gain z-score adjusted for pregestational BMI and gestational age, and infant birthweight z-score, using an interrupted time series design that controls for underlying time trends.
Article Synopsis
- The study aimed to analyze changes in the frequency and methods of gestational diabetes mellitus (GDM) screening in British Columbia (BC) between 2004 and 2019, considering local and national guideline updates.
- Researchers found that screening completion increased significantly, with a rise in one-step screening method usage from 2% to 45% after a 2010 guideline change, though it dropped to 42.8% following later recommendations.
- Results showed that individuals at higher risk for GDM and those in urban areas were more likely to undergo one-step screening, highlighting regional disparities and variations in screening practices over time.