TY - JOUR AU - Chamberlain, Catherine AU - Yore, Daniel AU - Li, Hang AU - Williams, Emily AU - Oldenburg, Brian AU - Oats, Jeremy AU - McNamara, Bridgette AU - Eades, Sandra PY - 2011 DA - 2011/12/23 TI - Diabetes in pregnancy among indigenous women in Australia, Canada, New Zealand, and the United States: a method for systematic review of studies with different designs JO - BMC Pregnancy and Childbirth SP - 104 VL - 11 IS - 1 AB - Diabetes in pregnancy, which includes gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM), is associated with poor outcomes for both mother and infant during pregnancy, at birth and in the longer term. Recent international guidelines recommend changes to the current GDM screening criteria. While some controversy remains, there appears to be consensus that women at high risk of T2DM, including indigenous women, should be offered screening for GDM early in pregnancy, rather than waiting until 24-28 weeks as is current practice. A range of criteria should be considered before changing screening practice in a population sub-group, including: prevalence, current practice, acceptability and whether adequate treatment pathways and follow-up systems are available. There are also specific issues related to screening in pregnancy and indigenous populations. The evidence that these criteria are met for indigenous populations is yet to be reported. A range of study designs can be considered to generate relevant evidence for these issues, including epidemiological, observational, qualitative, and intervention studies, which are not usually included within a single systematic review. The aim of this paper is to describe the methods we used to systematically review studies of different designs and present the evidence in a pragmatic format for policy discussion. SN - 1471-2393 UR - https://doi.org/10.1186/1471-2393-11-104 DO - 10.1186/1471-2393-11-104 ID - Chamberlain2011 ER -