PREVALENCE OF GESTATIONAL DIABETES AMONG WOMEN ATTENDING PRIMARY HEALTH CARE CENTERS IN AL-NAJAF CITY, IRAQ: A CROSS -SECTIONAL STUDY
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Abstract
Abstract
Background:
Gestational diabetes mellitus (GDM) Gestational diabetes is Gestational diabetes mellitus (GDM) is a common pregnancy complication characterized by hyperglycemia with onset or first recognition during pregnancy it can happen at any stage of pregnancy, but is more common in the second or third trimester. It is a serious health issues for both mother and child so health care provider must pay attention to screening and management of pregnant women to provide good outcomes for both mother and child.
Objective: The study aim to identify the prevalence of Gestational diabetes mellitus and associated risk factor in Al Najaf Al Ashraf City.
Methods: This is cross sectional study .history was obtained by personal interviewing, questionnaire and the diagnosis of gestational diabetic made by measuring fasting blood glucose and after one ,two hours of giving the patiant75 g of glucose .and the diagnosis done according to the reading of WHO in diagnosis of gestational diabetes .The study include 215 pregnant women from Al Najaf Al Ashraf City. Data entry and analysis done by statistical package for social sciences (SPSS) ,descriptive statistics done by frequency and percentage while analytic statistics done by chi square test for categorical data and t- test used for numerical data .
P value ≤ 0.05 regarded significant.
Result: The total number of participants were 215, 18% of them were diagnosed as GDM. Five factors were significantly associated with developing GDM ,including family history of diabetic(p value 0.003) ,obesity(p value <0.001) , age of mother(p value 0.008) ,history of GDM(p value <0.001) and macrosomia(p value 0.001) .also the study did not find associated with GDM like occupation ,gestational hypertension ,residence and number of miscarriage
Conclusion: The study identified several risk factors associated with increased prevalence of GDM including family history of diabetes ,advanced maternal age ,history of GDM ,over weight/obesity and macrosomia .It is recommended that antenatal care providers must screen for GDM specially women having risk factors and monitor the weight of the mother also education and counseling on healthy lifestyle