BJOG : an international journal of obstetrics and gynaecology · 2026
Evaluation of Clinical Practice Guidelines on Timing and Onset of Labour in Gestational Diabetes Mellitus: A Scoping Review.
СтатьяScoping ReviewНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lynch Kathy, Poprzeczny Amanda, Fereday Jennifer, Humphrey Tracy
Аннотация
BACKGROUND: Gestational diabetes mellitus (GDM) is the most common pregnancy complication globally, yet recommendations for the timing and onset of labour vary. Clinical practice guidelines (CPGs) aim to improve safety and quality by guiding decision making through evidence-based recommendations.
OBJECTIVES: Scoping review with embedded guideline appraisal to assess the consistency of recommendations regarding the timing and onset of labour for women with GDM and whether variation was associated with guideline quality.
SEARCH STRATEGY: Databases (MEDLINE, CINAHL, EBSCO, Scopus, Embase, JBI Guidelines) and websites of relevant professional organisations were searched.
SELECTION CRITERIA: Guidelines and consensus statements published from 2015 to January 2025, available in English from high-income countries, were included.
DATA COLLECTION AND ANALYSIS: Guideline quality was assessed using the AGREE-II tool, and recommendations were analysed descriptively.
MAIN RESULTS: Of 1422 records screened, 24 CPGs met the inclusion criteria. The quality of the included CPGs varied, with inconsistent applicability and stakeholder involvement (mean AGREE-II domain scores 55%), developmental rigour (43%), and editorial independence (37%). On the basis of the AGREE-II scores, only 3 CPGs were recommended for use without modifications. Even among higher quality guidelines, recommendations for the onset and timing of labour varied, from 37 to 40+ 6 weeks.
CONCLUSIONS: Considerable variation exists with regard to the quality of CPGs and recommendations about the timing of birth for women with GDM. These findings highlight the importance of shared decision making and the need for further research to assist women and their maternity care providers in discussing optimal birth timing.
OBJECTIVES: Scoping review with embedded guideline appraisal to assess the consistency of recommendations regarding the timing and onset of labour for women with GDM and whether variation was associated with guideline quality.
SEARCH STRATEGY: Databases (MEDLINE, CINAHL, EBSCO, Scopus, Embase, JBI Guidelines) and websites of relevant professional organisations were searched.
SELECTION CRITERIA: Guidelines and consensus statements published from 2015 to January 2025, available in English from high-income countries, were included.
DATA COLLECTION AND ANALYSIS: Guideline quality was assessed using the AGREE-II tool, and recommendations were analysed descriptively.
MAIN RESULTS: Of 1422 records screened, 24 CPGs met the inclusion criteria. The quality of the included CPGs varied, with inconsistent applicability and stakeholder involvement (mean AGREE-II domain scores 55%), developmental rigour (43%), and editorial independence (37%). On the basis of the AGREE-II scores, only 3 CPGs were recommended for use without modifications. Even among higher quality guidelines, recommendations for the onset and timing of labour varied, from 37 to 40+ 6 weeks.
CONCLUSIONS: Considerable variation exists with regard to the quality of CPGs and recommendations about the timing of birth for women with GDM. These findings highlight the importance of shared decision making and the need for further research to assist women and their maternity care providers in discussing optimal birth timing.