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The several components studied under WINGS situational analysis has been discussed in the previous publication.[13] This study deals with the results from one of the components, i.e., retrospective review of medical records of pregnant women attending antenatal care in three urban maternity centers in Chennai city. This retrospective records review was carried out to understand the current state of art, gaps, and barriers to GDM care that needs to be addressed www.selleckchem.com/products/Gefitinib.html by the WINGS GDM MOC and to compare the existing maternal and fetal outcomes in Asian Indian women with or without GDM before the development of the WINGS MOC. MATERIALS AND METHODS Study sites Three urban maternity centers in Chennai participated in this study. Clinical records of pregnant women who were followed up and delivered at these centers during January 2011�CDecember 2012 were retrospectively reviewed. Data collection Demographic details, Panobinostat obstetric/medical history, antenatal care follow-up, treatment of GDM, outcome of delivery, and maternal and neonatal complications were retrieved from the collaborating center's electronic medical records. Anthropometric measurements Although patient management and practice patterns vary between hospitals, the overall management with respect to booking visits and screening and diagnosis of GDM were similar. At first antenatal visit (first booking), usually in the first trimester, women underwent routine checkup. Anthropometric measurements and other demographic details were collected during this first visit. Diagnosis of gestational diabetes mellitus At 24�C28 weeks, women underwent an oral glucose tolerance test and GDM was diagnosed using the Carpenter and Coustan (Old American Diabetes Association) criteria until 2011[14] and subsequently, by the International Association of the Diabetes and Pregnancy Study Groups (IADPSG) criteria,[15] after its introduction. Although the IADPSG criteria were published in 2010, several health care professionals still continue to follow old ADA 2005 GUCY1B3 criteria, even till date as shown in our earlier recent publication.[16] The three centers adopted IADPSG criteria only after 2011. Management of gestational diabetes mellitus and follow-up In all three maternity centers, women diagnosed as GDM were initiated on lifestyle modification which included medical nutrition therapy (MNT) and face to face counseling with the dietitian. Glycemic targets were (