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Quality of guidelines on the management of diabetes in pregnancy: a systematic review Full Text
BMC Pregnancy and Childbirth, 06/29/2012
Clinical Article
Greuter MJE et al. – The quality of most guidelines concerning the management of diabetes during pregnancy needs to be improved. A more systematic approach in the development of these guidelines, more attention for updating procedures and piloting of the guidelines and involvement of target users and patients is recommended.
Methods- Guidelines were selected by searching PubMed, the Guideline Clearing House and Google.
- All guidelines developed since 2000 on diabetes during pregnancy in English or Dutch were considered.
- Recommendations of the guidelines were compared.
- Furthermore, the quality was assessed by two authors independently, using the AGREE instrument.
- Eight guidelines were included.
- According to the AGREE instrument, the quality of most guidelines was low.
- The domains editorial independence, stakeholder involvement, and rigour of development had the lowest scores.
- Recommendations were mainly comparable on glycemic control, preconceptional counseling and prenatal care and labour.
- Differences between recommendations were found for screening on GDM and induction of labour.