Predictors and Outcomes in Gestational Diabetes Requiring Insulin Therapy
| Autor: | Ambreen Ehsan, Abida Aslam, Zahir-ud-Din Babar, Maryam Zubair, Sadaf Zohra, Shahzad Bashir Momina |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Pakistan Armed Forces Medical Journal, Vol 74, Iss 3 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0030-9648 2411-8842 |
| DOI: | 10.51253/pafmj.v74i3.10075 |
| Popis: | Objective: To evaluate risk factors that predict Insulin requirements and outcomes in women with gestational diabetes in a resource-limited country. Study Design: Retrospective longitudinal study. Place and Duration of Study: Department of Gynaecology and Obstetrics, Combined Military Hospital, Mangla Pakistan, from Jan to Dec 2019. Methodology: Our study included 100 pregnant women with gestational diabetes over a period of one year. The primary outcome was to calculate the frequency of gestational diabetes and the correlation between maternal age and parity with subdermal Insulin therapy in a peripheral (Class C) hospital. The secondary outcomes of this study included mode of delivery and neonatal birth weight. Results: Out of 1509 deliveries, our study included 100 pregnant women (6.62%). Sixty-two (62%) required Insulin to control hyperglycemia in addition to oral Metformin; 36% required oral Metformin alone. Maternal age (p=0.078), presence of co-morbidity (p=0.260), and parity (p=0.242) did not predict Insulin requirement. A caesarean section (69%) was the most common mode of delivery. Insulin requirements to control hyperglycemia didn’t correlate with mode of delivery (p=0.825). The neonatal birth weight was 3.30±0.33 kg in patients requiring Insulin versus 3.26±0.25 kg in other treatments (p=0.86). There was one intrauterine death. Conclusion: The frequency of gestational diabetes was 6.62%. Maternal age, parity, and the presence of maternal co-morbidities did not predict Insulin requirements. There was no correlation between Insulin therapy, mode of delivery, or neonatal outcome. |
| Databáze: | Directory of Open Access Journals |
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