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Fig 1.

PRISMA flow diagram of study selection.

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Fig 2.

Time-point for microbiota analyses.

Green symbol indicates that the study found a statistically significant difference between GDM and non-GDM women in either alpha diversity, beta diversity, or relative bacterial abundance. Red symbol indicates that the study did not find a statistically significant difference between the GDM and non-GDM women. The level of significance for each study can be seen in Table 2. *No information regarding the time-point for microbiota analysis.

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Table 1.

Demographic and clinical characteristics of the included studies.

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Fig 3.

Box plots comparing GDM and non-GDM women in the included studies.

(A) Number of participants, (B) Age, (C) Pre-pregnancy BMI, and (D) Fasting glucose measured in the different trimesters of pregnancy. T1, first trimester; T2, second trimester; T3, third trimester.

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Table 2.

Handling of samples from GDM and non-GDM participants in the included studies.

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Table 3.

Alterations of the gut microbiota in the GDM women compared to the non-GDM women.

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Table 4.

Major findings of the included studies.

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Table 5.

Correlations between specific bacteria and host glucose parameters.

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Table 6.

Quality assessment of included studies based on the Newcastle–Ottawa Scale for case-control studies.

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