Prevalence of gestational diabetes mellitus among women attending antenatal care at public health centers in Rwanda
| Autor: | Callixte Habimana, Louise R. King, Samuel Byiringiro, Crispin Gishoma, Pamela Meharry, Olive Tengera, Stephen Rulisa, Paul J. Nietert, Adolphe Karegeya Byambu |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Glycosuria medicine.medical_specialty endocrine system diseases Cross-sectional study Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Disease Article 03 medical and health sciences 0302 clinical medicine Endocrinology Pregnancy Risk Factors Diabetes mellitus Prevalence Internal Medicine medicine Humans 030212 general & internal medicine Obstetrics business.industry Public health Rwanda nutritional and metabolic diseases Prenatal Care General Medicine medicine.disease Obesity Gestational diabetes Diabetes Gestational Cross-Sectional Studies Female Public Health medicine.symptom business |
| Zdroj: | Diabetes Res Clin Pract |
| ISSN: | 0168-8227 |
| DOI: | 10.1016/j.diabres.2019.03.035 |
| Popis: | Aim This study aimed to determine the prevalence of gestational diabetes mellitus (GDM) among women attending public health centers in Rwanda using the World Health Organization (WHO) 2013 diagnostic criteria. Methods A cross-sectional analysis was performed on 281 pregnant women attending antenatal care at urban and rural public health centers. Diagnostic testing was performed between 24 and 32 weeks gestation using a 75 g oral glucose tolerance test. Venous plasma glucose was centrifuged within one hour and measured at one of two laboratories. Descriptive statistics were used. Results GDM prevalence was 3.2%, (4.28% urban and 2.13% rural). Women diagnosed with GDM were older, had higher BMI, hypertension, and glycosuria of ≥2+. None with HIV (14/281) had GDM. All women reported birth outcomes. All women with GDM (9/281) had normal glucose values postpartum and therefore it is unlikely that any women had overt diabetes. Conclusion This study adds important information about the GDM prevalence in Rwanda, which is a resource-limited country. Although the prevalence of 3.2% was low, significant risk factors for GDM were identified. We anticipate that the risk factors for developing GDM will increase in the near future, similar to the global trend of obesity and diabetes, necessitating continued research and education in this important condition that carries a double burden of disease to both mothers and infants. |
| Databáze: | OpenAIRE |
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