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Gestational diabetes mellitus in an Iranian pregnant population using IADPSG criteria: Incidence, contributing factors and outcomes
- Source :
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 10:242-246
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Aims Different approaches for screening and diagnosis of gestational diabetes mellitus(GDM) have great impact on all process of management of gestational diabetes and its future complications. The aims of this study were to evaluate rate, risk factors and outcomes of GDM based on International Association of Diabetes and Pregnancy Study Groups diagnostic criteria. Materials In a prospective study pregnant women attended 5 clinics in Ahvaz, screened for gestational diabetes mellitus using IADPSG criteria and followed up delivery from August 2014 to February 2015. At the first prenatal visit women underwent the fasting blood sugar test. A 75-g oral glucose tolerance test (OGTT) was performed for 750 mothers between 24 and 32 weeks of gestation. Logistic regression test for calculating the odds ratios and 95% confidence intervals was used. Results The mean age of participants was 28.43 ± 5.52 years. The overall rate of GDM in our study was 29.9% (224/750). Incidence of gestational diabetes was associated with age group ≥ 35 years [OR = 1.92(95% CI, 1.19–3.09)], family history of diabetes [OR = 2.47(95% CI, 1.33–4.59)], previous GDM [OR = 3.12(1.35–7.19)], BMI ≥ 25 [OR = 1, 71(1.10–2.67)] Using logistic regression. The most common maternal complication in studied women was cesarean section followed by hypertension and preeclampsia. Conclusion About one third of studied women diagnosed as GDM according to the IADPSG criteria. Risk factors of GDM were maternal age, family history of diabetes, Previous GDM, overweight and obesity before pregnancy, the same reported factors with 2 steps approach. Higher rate of GDM using this criterion may increase concern about healthcare costs and workloads.
- Subjects :
- Adult
Blood Glucose
medicine.medical_specialty
Adolescent
endocrine system diseases
Endocrinology, Diabetes and Metabolism
Population
Pregnancy in Diabetics
030209 endocrinology & metabolism
Iran
Overweight
Young Adult
03 medical and health sciences
0302 clinical medicine
Pregnancy
Risk Factors
Diabetes mellitus
Internal Medicine
medicine
Humans
Prospective Studies
030212 general & internal medicine
Family history
education
Prospective cohort study
Glycated Hemoglobin
education.field_of_study
Obstetrics
business.industry
Incidence
Pregnancy Outcome
nutritional and metabolic diseases
General Medicine
Odds ratio
Glucose Tolerance Test
medicine.disease
Pregnancy Complications
Gestational diabetes
Diabetes, Gestational
Female
medicine.symptom
business
Biomarkers
Follow-Up Studies
Subjects
Details
- ISSN :
- 18714021
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Diabetes & Metabolic Syndrome: Clinical Research & Reviews
- Accession number :
- edsair.doi.dedup.....2150704423f172824637586a471f2fed