diagnostic criteria used and was independent of age and prepregnancy BMI of women included in this study. Women with GDM had a 50% higher risk of having a caesarean section and a more than double risk of labor being induced compared to women without GDM in both years. However, the chance for both outcomes previously listed was higher in 2010 than in 2014. GDM is traditionally associated with increased rate of caesarean deliveries \[[@B24]\], but only according to data reported before results of HAPO study in 2010 and before new WHO guidelines for GDM in 2013, while studies on perinatal outcomes after implementation of new GDM guidelines are scarce. This suggests that despite significant increase in prevalence of GDM, the prevalence of GDM related induction of labor andIbrahim prize: Liberia's Sirleaf wins African leadership prize Published duration 12 February 2018

image copyright Getty Images image caption Mrs Sirleaf is the first woman Ibrahim Laureate

Liberia's ex-president, Ellen Johnson Sirleaf, has won the $5m (£3.6m) Ibrahim prize for African Leadership.

Mrs Sirleaf, who stepped down last month, became Africa's first elected female president in 2006.

The prize committee admitted that while Ms Sirleaf was accused of tolerating corruption, she had shown exceptional leadership in difficult circumstances.

It added that Liberia was the only country out of 54 to improve in every category and sub-category of the Ibrahim Index of African Governance.

Mrs Sirleaf served two terms as president, but could not run again in recent polls, which were won by former footballer George Weah.

Her own party has expelled her, alleging she had