Prevalence, risk factors and morbidities of gestational diabetes among pregnant women attending a hospital in an urban area of Bhubaneswar, Odisha
| Autor: | Prashanti Samanta, Shritam Das, Firdoush Parveen, Tahziba Hussain, Sanghamitra Pati, V. S. Yadav, Madhusmita Bal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Bhubaneswar prevalence lcsh:Medicine 030209 endocrinology & metabolism Overweight 03 medical and health sciences 0302 clinical medicine Diabetes mellitus medicine risk factors 030212 general & internal medicine Significant risk Family history Prospective cohort study business.industry Obstetrics lcsh:R medicine.disease Gestational diabetes Original Article Odisha Rural area medicine.symptom gestational diabetes business Body mass index |
| Zdroj: | Journal of Family Medicine and Primary Care Journal of Family Medicine and Primary Care, Vol 9, Iss 10, Pp 5327-5333 (2020) |
| ISSN: | 2249-4863 |
| Popis: | Background: Gestational diabetes mellitus (GDM) causes several maternal and neonatal complications. Aims: This exploratory study was conducted to estimate the prevalence, determine the risk factors and morbidities among pregnant women. Methods: In this prospective study, 1557 pregnant women attending the Gyn. & Obs. clinic of a hospital in an urban area of Bhubaneswar were enrolled. Various socio-demographic factors and clinical profiles were assessed. We used a Glucometer for the diagnosis of GDM. Results: More younger pregnant women residing in slums, sedentary and overweight were having diabetes. A large percentage of pregnant women living in rural areas and slums visit the government hospitals as they are benefitted by the State govt.'s scheme, Mamata. Pregnant women residing in the urban areas prefer to go for ante-natal check-ups in private Nursing homes/Clinics owing to the crowd and prolonged waiting hours. In this study, body mass index (BMI) and family history of the pregnant women appeared to be the significant risk factors for the gestational diabetes. Out of 1557 pregnant women, 154 were having diabetes, the prevalence being 9.89%. This is low when compared to the studies reported from other regions of the country. Conclusions: Gluco-One is suitable for screening gestational diabetes using the optimal threshold capillary glucose level of 140 mg/dl. As the pregnant women find it difficult to come the next day just to collect the results, this facilitated in getting the test results promptly and appropriate consultation by Doctor the same day. Glucometer can be used for accurate screening of gestational diabetes mellitus. Pregnant women with screening values not normal were identified on the spot and followed up at regular intervals. Screening for diabetes among pregnant women would result in early case detection indirectly resulting in better outcomes of treatment and prevention of complications. |
| Databáze: | OpenAIRE |
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