A randomized trial of effects of translation of intervention of gestational diabetes into the three-level prenatal care network of Tianjin, China

Main institutions: 
Tianjin Women and Children’s Health Centre
Other institutions: 
The Chinese University of Hong Kong
Chinese Academy of Sciences
Pennington Biomedical Research Centre
Principal investigator: 
Huiguang Tian
Other investigators: 
Xilin Yang
Fuxia Zhang
Gang Hu
Zhijie Yu
Ling Dong
Hong Zhang
Location of the project: 
Tianjin, China
Amount allocated: 
USD 393,812
Objectives: 

We established a provincial antenatal care network to screen for gestational diabetes mellitus (GDM) in Tianjin 10 years ago but the perinatal management of women with GDM remains suboptimal. Two large randomized trials have confirmed the benefits of tight control of hyperglycaemia on maternal health and foetal outcomes. In this proposal, we aim to translate a proven GDM-care protocol to daily practice using a shared care model within the three-tier antenatal care system in Tianjin, with a randomized design. The primary outcome is reduced incidence of deliveries of babies with birth weight ≥ 4500 grams. The secondary outcomes are reduced pregnancy-induced hypertension and macrosomia.

Date: 
July 1, 2010 - June 30, 2013