Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ahvaz Jundishapur University of Medical Sciences

Gestational diabetes mellitus in an Iranian pregnant population using IADPSG criteria: Incidence, contributing factors and outcomes

Shahbazian, H. and Nouhjah, S. and Shahbazian, N. and Jahanfar, S. and Latifi, S. M. and Aleali, A. and Shahbazian, N. and Saadati, N. (2016) Gestational diabetes mellitus in an Iranian pregnant population using IADPSG criteria: Incidence, contributing factors and outcomes. Diabetes & Metabolic Syndrome-Clinical Research & Reviews, 10 (4). pp. 242-246. ISSN 1871-4021

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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. (C) 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.

Item Type: Article
Keywords: gestational diabetes mellitus international association of diabetes and pregnancy study groups oral glucose tolerance test feto-maternal outcomes iran international association diagnostic-criteria risk-factors prevalence women metaanalysis cost hyperglycemia childhood mothers
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Medicine, Health and Life Sciences
Depositing User: مهندس مهدی شریفی
Last Modified: 01 Jun 2018 11:30
URI: http://eprints.ajums.ac.ir/id/eprint/15107

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