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OBJECTIVE To assess the frequency and perinatal outcomes of gestational diabetes mellitus (GDM) defined by the criteria according to the International Association of Diabetes in Pregnancy Study Group (IADPSG) and the National Institute for Health and Care Excellence (NICE) diagnostic criteria for GDM. DESIGN A retrospective cohort study. SETTING Six secondary and tertiary delivery hospitals in Finland in 2009. POPULATION Pregnant women (N = 4,033) and their offspring. METHODS We used data on comprehensive screening of pregnant women with a