Association between maternal hepatitis B virus carrier and gestational diabetes mellitus: a retrospective cohort analysis

Autor: Wanchang Yin, Bingjun Chen, Yilin Yang, Xiuzi Li, Ruirui Li, Jiangnan Xie, Guixian Chen, Fang He, Dunjin Chen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Virology Journal, Vol 18, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1743-422X
DOI: 10.1186/s12985-021-01691-0
Popis: Abstract Introduction Given that many pregnant women have chronic hepatitis B virus (HBV) infection and that gestational diabetes mellitus (GDM) is linked to poor maternal and neonatal outcomes, we looked into the relationship between the hepatitis B surface antigen (HBsAg) and GDM to see if a high HBV DNA load is linked to a higher risk of GDM in chronic maternal HBsAg carriers. Materials and methods Our study included 39,539 pregnant women who gave birth at the Third Affiliated Hospital of Guangzhou Medical University in Guangzhou, China, between January 1, 2009, and December 31, 2019. The patients were divided into two groups: HBsAg negative (36,500) and positive (3039). The viral load levels of 1250 HBsAg-positive women who had tested their HBV DNA load during pregnancy were separated into three groups. We utilized univariate and multivariable logistical regression analysis to determine the relationship between maternal chronic HBsAg carrier and GDM. Results Being HBsAg positive was discovered to be an independent risk factor for GDM.Pre-pregnancy Obesity and advanced age were linked to an increased incidence of GDM. Those with a high HBV DNA load (> 106 IU/mL) had a higher risk of GDM than HBsAg-positive women with a low viral load (
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