{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-YT8J3HPQ/d058359c-1c57-46dc-bc97-a909ed478b52/PDF","dcterms:extent":"365 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:DOC-YT8J3HPQ/fec56f82-a93b-411f-8c4b-e5d131f659f2/TEXT","dcterms:extent":"40 KB"}],"edm:TimeSpan":{"@rdf:about":"2002-2026","edm:begin":{"@xml:lang":"en","#text":"2002"},"edm:end":{"@xml:lang":"en","#text":"2026"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:DOC-YT8J3HPQ","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/urn:nbn:si:spr-py0w57lr"},{"@xml:lang":"sl","#text":"Zdravstveno varstvo"}],"dcterms:issued":"2023","dc:creator":["Kopše Zorko, Klara","Munda, Ana","Okanovič, Gaj","Pongrac Barlovič, Draženka","Steblovnik, Lili","Šturm Indihar, Blažka"],"dc:contributor":"Pongrac Barlovič, Draženka","dc:format":[{"@xml:lang":"sl","#text":"številka:1"},{"@xml:lang":"sl","#text":"letnik:62"},{"@xml:lang":"sl","#text":"str. 22 - 29"}],"dc:identifier":["ISSN:0351-0026","DOI:10.2478/sjph-2023-0004","COBISSID_HOST:138433539","URN:URN:NBN:SI:doc-YT8J3HPQ"],"dc:language":"en","dc:publisher":{"@xml:lang":"sl","#text":"Nacionalni inštitut za javno zdravje"},"dc:subject":[{"@xml:lang":"en","#text":"COVID-19"},{"@xml:lang":"en","#text":"early screening"},{"@xml:lang":"en","#text":"gestational diabetes"},{"@xml:lang":"en","#text":"LGA"},{"@xml:lang":"sl","#text":"nosečnostna sladkorna bolezen"},{"@xml:lang":"en","#text":"perinatal outcomes"},{"@xml:lang":"sl","#text":"porodni zapleti"},{"@xml:lang":"sl","#text":"telemedicina"},{"@xml:lang":"en","#text":"telemedicine"},{"@xml:lang":"sl","#text":"zgodnje presejanje"}],"dcterms:temporal":{"@rdf:resource":"2002-2026"},"dc:title":{"@xml:lang":"sl","#text":"Maternal and perinatal outcomes during the COVID-19 epidemic in pregnancies complicated by gestational diabetes| fortification model and economic evaluation| model obogatitve in ekonomsko vrednotenje| Obogatitev jajc z vitaminom D v kombinaciji z mlekom pri ženskah, starih med 44 in 65 let|"},"dc:description":{"@xml:lang":"sl","#text":"Introduction: Gestational diabetes (GDM) is one of the most common complications in pregnancy, with a prevalence that continues to rise. At the time of the COVID-19 epidemic, immediate reorganisation and adjustment of the system was needed. Telemedicine support was offered in order to provide high-quality treatment to pregnant women. However, the success of the treatment is unknown. We therefore aimed to evaluate COVID-19 epidemic effects on pregnancy outcomes in GDM. Methods: The maternal outcomes (insulin treatment, gestational weight gain, caesarean section, hypertensive disorders) and perinatal outcomes (rates of large and small for gestational age, preterm birth and a composite child outcome) of women visiting a university hospital diabetes clinic from March to December 2020 were compared with those treated in the same period in 2019. Results: Women diagnosed with GDM during the COVID-19 epidemic (n=417), were diagnosed earlier (23.9 11.7–26.0 vs. 25.1 21.8–26.7 gestational week), had higher fasting glucose (5.2 5.0–5.4 vs. 5.1 4.8–5.3 mmol/l) and earlier pharmacological therapy initiation, and had achieved lower HbA1c by the end of followup (5.1% (32.2 mmol/mol) 4.9% (30.1 mmol/mol)–5.4% (35.0 mmol/mol) vs. 5.2% (33.3 mmol/mol) 5.0% (31.1 mmol/mol) – 5.4%·(35.5 mmol/mol), p<0.001) compared to a year before (n=430). No significant differences in perinatal outcomes were found. Conclusions: Although GDM was diagnosed at an earlier gestational age and higher fasting glucose concentration was present at the time of diagnosis, the COVID-19 epidemic did not result in worse glucose control during pregnancy or worse pregnancy outcomes in Slovenia"},"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:DOC-YT8J3HPQ","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:DOC-YT8J3HPQ"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:DOC-YT8J3HPQ/d058359c-1c57-46dc-bc97-a909ed478b52/PDF"},"edm:rights":{"@rdf:resource":"http://creativecommons.org/licenses/by-nc-nd/4.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Nacionalni inštitut za javno zdravje"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:DOC-YT8J3HPQ/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:DOC-YT8J3HPQ"}}}}