Critical Analysis And Management Report

Running head: CRITICAL ANALYSIS 1
CRITICAL ANALYSIS
Name of the student
Name of the University
Author note

CRITICAL ANALYSIS 2
In this study, the authors have performed an experiment about occurrence and results of
gestational diabetes (GDM) mellitus by means of the method International Association of
Diabetes in Pregnancy Study Group (IADSPG) among pregnant women. The focus of the study
was to investigate the impact of IADPSG method on the occurrence of GDM and perinatal
outcomes of women who undergone a 75g Oral Glucose Tolerance Test (OGTT) during their
pregnancy. For this study, two groups were considered. One group is screening of pregnant
women with a one-step method by 75g OGTT and was diagnosed with GDM at different time
point that is pre-IADSPG group. Another group was provided the diagnosis with the help of
IADSPG that means post-IADSPG group. The entire study duration was from July 1, 2014 to
January, 2016.
Type of study design
The protocol of the study followed the procedure of retrospective cohort study (Setia,
2016). The retrospective cohort study is an observational research in which the researchers
followed a previous period of time. Retrospective studies are considered when the results of the
study are already established. The present researchers then go back to the time to detect an
individual cohort before making a decision. They also make an effort to establish their criteria at
that point of time. After that, the investigators can conclude if the criteria can follow the outcome
or not. The feature of a retrospective cohort study is group of individuals that share a common
exposure factor is compared with another group that is not exposed to that factor. The study is
used to decide a condition of disease or death (Manja, & Lakshminrusimha, 2014). In this case,
the study was also conducted between two groups one is pre-IADSPG and post-IADSPG and
also the previous period was chosen to research this. Another most important characteristic of

CRITICAL ANALYSIS 3
retrospective cohort study is the determination of condition such as disease or death. In this
study, the occurrence of gestational diabetes is determined using the IADSPG method.
Consistency of the findings with the gathered information
The reported findings are inconsistent with the reported information. In the study by
Kong, Lim & Thompson (2015), they reported that after implementation of IADSPG approach,
the GDM rate elevated from 8.0% to 23% by performing a retrospective cohort study. They also
exhibited that there was no significant differences in fetal consequences for example, large
gestational age, mean gestational age at birth, prematurity. In case of maternal occurrence, there
were also no significant changes because there is 1.5% increase in the rate of GDM diagnosis at
the time of implementation of that new approach. In another study, it is also revealed that the
IADPSG method increased the risk of GDM rather than other criteria. Also, there were no
significant changes in development of LGA newborns (Oriot et al., 2014). The study by
Feldman, Tieu & Yasumura showed that the one-step IADPSG group was accompanied by
elevated risk of GDM from 17% to 27%. Along with this, the method was not satisfactory in
decreasing the rate of LGA in neonatal, NICU admissions, shoulder dystocia, macrosomia, and
preeclampsia. This method had increased rate of primary cesarean delivery rate.
Reported relationships and their association
Although the relationship is not shown in other studies, the reported relationships make
sense and are conflicting in some cases. The projected relationships are associated with the help
of different models. Adjusted model represented that the result are significant in lowering the
rate of pre-eclampsia, NICU admission, labour induction after adopting the approach. Reduction
of gestational hypertension was also showed in another study and it was proved after changing