Gestational Diabetes in the Population Served by Brazilian Public Health Care. Prevalence and Risk Factors

Autor: Pâmela Antoniazzi dos Santos, José Mauro Madi, Emerson Rodrigues da Silva, Daiane de Oliveira Pereira Vergani, Breno Fauth de Araújo, Rosa Maria Rahmi Garcia
Jazyk: English<br />Portuguese
Rok vydání: 2020
Předmět:
Zdroj: Revista Brasileira de Ginecologia e Obstetrícia, Vol 42, Iss 1, Pp 12-18 (2020)
Druh dokumentu: article
ISSN: 0100-7203
0039-1700
DOI: 10.1055/s-0039-1700797
Popis: Abstract Objective To assess the prevalence of gestational diabetes mellitus and the main associated risk factors in the population served by the Brazilian Unified Health System in the city of Caxias do Sul, state of Rio Grande do Sul. Materials and Methods A descriptive, cross-sectional and retrospective study was conducted. Maternal variables were collected from the medical records of all pregnant women treated at the basic health units in 2016. Hyperglycemia during pregnancy (pregestational diabetes, overt diabetes and gestational diabetes mellitus) was identified by analyzing the results of a 75-g oral glucose tolerance test, as recommended by the Brazilian Ministry of Health. Based on the data, the women were allocated into two groups: the gestational diabetes group and the no gestational diabetes group. Results The estimated prevalence of gestational diabetes among 2,313 pregnant women was of 5.4% (95% confidence interval [95%CI]: 4.56-6.45). Pregnant women with 3 or more pregnancies had twice the odds of having gestational diabetes compared with primiparous women (odds ratio [OR]=2.19; 95%CI: 1.42-3.37; p
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