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Frequency of Gestational Diabetes Mellitus in Pregnant Women Referred to Alavi Hospital in Ardabil, 2017


Affiliations
1 Department of Internal Medicine, Ardabil University of Medical Science, Ardabil, Iran, Islamic Republic of
2 Department of Obstetrics and Gynecology, Ardabil University of Medical Science, Ardabil, Iran, Islamic Republic of
3 Ghaem Hospital, Ardabil, Iran, Islamic Republic of
 

Background: Gestational Diabetes Mellitus (GDM) is the most common complications of pregnancy that spreading throughout the world and in the past 20 years has increased in range from 10% to 100% among racial groups. GDM cause to maternal and fetal side effects, and in the absence of treatment, it can cause macrosomia, respiratory distress, hypoglycemia, hypocalcemia, and hyperbilirubinemia in newborns. Purpose: The aim of this study was to investigate the frequency of GDM in pregnant women in Ardabil, Iran. Method: This retrospective cross-sectional study was conducted on 4485 pregnant women referred to Alavi hospital in Ardabil from April 2017 to December 2017. Data were extracted from hospital records and analyzed by statistical methods in SPSS version 16. Results: Of all Pregnant women, 256 (5.7%) had GDM. 91.7% of women with GDM had cesarean delivery which of them 75.5% were from urban and 73.2% were in the first parity. The mean age of women with cesarean delivery was 26.96 ± 6.38 years and normal delivery was 27.33 ± 6.44 years. Of women with GDM, 53% had primary education and most of them had no history of abortion and family history of diabetes. Conclusion:Considering the increased frequency of GDM in this study in compare with previous studies, the higher rate of cesarean section among young women with diabetes, doing more studies are essential in future.

Keywords

Ardabil, Gestational Diabetes Mellitus, Risk Factor, Screening.
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  • Sreekanthan K, Belicita A, Rajendran K, Vijayakumar A. Prevalence of GDM in a medical college in South India : a pilot study. IJCP. 2014 Sep; 25(4): 342-47.
  • Diabetes IAO, Panel PSGC. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010 Mar; 33(3):676-82. Crossref PMid:20190296 PMCid:PMC2827530
  • HAPO Study Cooperative Research Group, Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, et. al. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008 May 8; 2008(358):1991-2002.
  • The global challenge of diabetes. Elsevier; 2008. Available from: http://www.thelancet.com/journals/lancet/article/ PIIS0140673608607333/fulltext
  • Chasan-Taber L. Gestational diabetes: is it preventable?. American Journal of Lifestyle Medicine. 2012 Feb 15; 6(5):395-406. Crossref
  • Jafari-Shobeiri M, Ghojazadeh M, Azami-Aghdash S, NaghaviBehzad M, Piri R, Pourali-Akbar Y, et al. Prevalence and risk factors of gestational diabetes in Iran: a systematic review and meta-analysis. Iran J Public Health. 2015 Aug; 44(8):1036-44.
  • King H. Epidemiology of glucose intolerance and gestational diabetes in women of childbearing age. Diabetes Care. 1998 Aug; 21(2): B9-13. PMid:9704221
  • Xiong X, Saunders L, Wang F, Demianczuk N. Gestational diabetes mellitus: prevalence, risk factors, maternal and infant outcomes. Int J Gynaecol Obstet. 2001 Dec; 75(3):221-8. Crossref
  • Kühl C. Insulin secretion and insulin resistance in pregnancy and GDM: implications for diagnosis and management. Diabetes. 1991 Dec; 40 (Suppl 2):18-24. Crossref PMid:1748255
  • Keshavarz M, Cheung NW, Babaee GR, Moghadam HK, Ajami ME, Shariati M. Gestational diabetes in Iran: incidence, risk factors and pregnancy outcomes. Diabetes Res Clin Pract. 2005 Sep; 69(3):279-86. Crossref PMid:16098925
  • Plante LA. Small size at birth and later diabetic pregnancy. Obstet Gynecol. 1998 Nov; 92(5):781-4. Crossref
  • Lu GC, Luchesse A, Chapman V, Cliver S, Rouse DJ. Screening for gestational diabetes mellitus in the subsequent pregnancy: Is it worthwhile?. Am J Obstet Gynecol. 2002 Oct; 187(4):918-21. Crossref PMid:12388977
  • Kapoor NI, Sankaran S, Hyer S, Shehata H. Diabetes in pregnancy: a review of current evidence. Curr Opin Obstet Gynecol. 2007 Dec; 19(6):586-90. Crossref PMid:18007138
  • Turok DK, Ratcliffe SD, Baxley EG. Management of Gestational Diabetes Mellitus. Am Fam Physician. 2003 Nov 1; 68(9):1767-72. PMid:14620596
  • Ferrara A. Increasing prevalence of gestational diabetes mellitus: a public health perspective. Diabetes Care. 2007 Jul; 30(Suppl 2):S141-6. Crossref PMid:17596462
  • Rahimi G. The prevalence of gestational diabetes in pregnant women referring to Ardabil health centers, 2003. Journal of Ardabil University of Medical Sciences. 2004 Oct; 4(3):32-9.
  • Sayehmiri F, Bakhtiyari S, Darvishi P, Sayehmiri K. Prevalence of gestational diabetes mellitus in Iran: a systematic review and meta-analysis study. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013 Sep; 15(40):16-23.
  • Bouzari Z, Yazdani S, Abedi Samakosh M, Mohammadnetaj M, Emamimeybodi S. Prevalence of gestational diabetes and its risk factors in pregnant women referred to health centers of Babol, Iran, from September 2010 to March 2012. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013 Sep; 16(43):6-13.
  • Naylor C, Sermer M, Chen E, Sykora K. Cesarean delivery in relation to birth weight and gestational glucose tolerance: Pathophysiology or practice style? JAMA. 1996 Apr; 275(15):1165-70. Crossref PMid:8609683
  • Catalano PM, McIntyre HD, Cruickshank JK, McCance DR, Dyer AR, Metzger BE, et al. The Hyperglycemia and Adverse Pregnancy Outcome Study. Associations of GDM and obesity with pregnancy outcomes. Diabetes Care. 2012 Apr; 35(4):780-6. Crossref PMid:22357187 PMCid:PMC3308300
  • Nikoo KM, Ahranjani AS, Larijani B. A review on the prevalence of gestational diabetes mellitus (GDM) in different regions of Iran. Journal of Diabetes and Metabolic Disorders. 2009; 8:7.
  • Larijani B, Azizi F, Bastanhagh M, Pajouhi M, Hoseinnezadeh A. The prevalence of gestational diabetes mellitus in young women. Iranian Journal of Endocrinology and metabolism. 2002 Dec; 4(1):23-7.
  • Moosazadeh M, Asemi Z, Lankarani KB, Tabrizi R, Maharlouei N, Naghibzadeh-Tahami A, et al. Family history of diabetes and the risk of gestational diabetes mellitus in Iran: a systematic review and meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2017; 11:S99-S104. Crossref PMid:28017634
  • Ferrara A, Hedderson MM, Albright CL, Ehrlich SF, Quesenberry CP, Peng T, et al. A pregnancy and postpartum lifestyle intervention in women with gestational diabetes mellitus reduces diabetes risk factors: a feasibility randomized control trial. Diabetes care. 2011 Jul; 34(7):1519-25. Crossref PMid:21540430 PMCid:PMC3120183
  • MacNeill S, Dodds L, Hamilton DC, Armson BA, VandenHof M. Rates and risk factors for recurrence of gestational diabetes. Diabetes care. 2001 Apr; 24(4):659-62. Crossref PMid:11315827
  • Karajibani M, Montazerifar F, Abdolahi S. The Relationship between Some Risk Factors and Gestational Diabetes Mellitus in Pregnant Women Referred to Health and Treatment Centers in Zahedan, Iran, in 2012. IJHS 2015 Feb; 3(1): 44-51.

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  • Frequency of Gestational Diabetes Mellitus in Pregnant Women Referred to Alavi Hospital in Ardabil, 2017

Abstract Views: 311  |  PDF Views: 93

Authors

Anahita Zakeri
Department of Internal Medicine, Ardabil University of Medical Science, Ardabil, Iran, Islamic Republic of
Shervin Tabrizian
Department of Obstetrics and Gynecology, Ardabil University of Medical Science, Ardabil, Iran, Islamic Republic of
Roghayeh Aslanian
Ghaem Hospital, Ardabil, Iran, Islamic Republic of

Abstract


Background: Gestational Diabetes Mellitus (GDM) is the most common complications of pregnancy that spreading throughout the world and in the past 20 years has increased in range from 10% to 100% among racial groups. GDM cause to maternal and fetal side effects, and in the absence of treatment, it can cause macrosomia, respiratory distress, hypoglycemia, hypocalcemia, and hyperbilirubinemia in newborns. Purpose: The aim of this study was to investigate the frequency of GDM in pregnant women in Ardabil, Iran. Method: This retrospective cross-sectional study was conducted on 4485 pregnant women referred to Alavi hospital in Ardabil from April 2017 to December 2017. Data were extracted from hospital records and analyzed by statistical methods in SPSS version 16. Results: Of all Pregnant women, 256 (5.7%) had GDM. 91.7% of women with GDM had cesarean delivery which of them 75.5% were from urban and 73.2% were in the first parity. The mean age of women with cesarean delivery was 26.96 ± 6.38 years and normal delivery was 27.33 ± 6.44 years. Of women with GDM, 53% had primary education and most of them had no history of abortion and family history of diabetes. Conclusion:Considering the increased frequency of GDM in this study in compare with previous studies, the higher rate of cesarean section among young women with diabetes, doing more studies are essential in future.

Keywords


Ardabil, Gestational Diabetes Mellitus, Risk Factor, Screening.

References





DOI: https://doi.org/10.18311/jhsr%2F2018%2F20089