Prevalence of Gestational Diabetes and Associated Maternal Factor: Prevalence of Gestational Diabetes

Esha  Siddique; Humaira  Saddique; Sajida  Batool

doi:10.54393/pjhs.v4i05.758

Authors

Esha Siddique Department of Nursing, The Superior University, Lahore, Pakistan
Humaira Saddique Department of Nursing, The Superior University, Lahore, Pakistan
Sajida Batool Department of Nursing, The Superior University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i05.758

Keywords:

Gestational Diabetes, Consanguinity, Obstetric Risks, Antenatal Care

Abstract

The prevalence of gestational diabetes is rising all over the world. Maternal and neonatal complications are associated with gestational diabetes Mellitus. Objective: To investigate the prevalence of gestational diabetes and associated maternal factors in outpatients of Jinnah Hospital Lahore. Methods: The descriptive cross-sectional study design was used to assess the prevalence of gestational diabetes and associated maternal factors with a 200-population size that is deliberated from Slovin’s formula for the pregnant women of the Gynae outpatient’s department at Jinnah Hospital Lahore. The convenient sampling technique is used to collect the data from pregnant women. The study took approximately 9 months. The questionnaire asked about sociodemographic factors, family history, and medical history. Results: The prevalence of gestational diabetes mellitus was 36.8% in Pakistan. Positive family history (41.4%), increased BMI (46.6%), parity (83.5%), and obesity (59.2%) were determinants of gestational diabetes mellitus. Maternal complications like pre-eclampsia (8.3%), pregnancy-induced hypertension (20.1%), cesarean (48.9%), and antepartum hemorrhage (20.2%) were higher in GDM women. Conclusions: The study finding reveals that gestational diabetes mellitus was discovered to be highly prevalent in Pakistani women and they were at higher risk of developing maternal complications. Women with advanced maternal age, low monthly income, obesity, a family history of diabetes, parity number, and increased BMI are risk factors for Gestational diabetes mellitus.

References

Mnatzaganian G, Woodward M, McIntyre HD, Ma L, Yuen N, He F, et al. Trends in percentages of gestational diabetes mellitus attributable to overweight, obesity, and morbid obesity in regional Victoria: an eight-year population-based panel study. BMC Pregnancy and Childbirth. 2022 Dec; 22(1): 1-2. doi: 10.1186/s12884-022-04420-9. DOI: https://doi.org/10.1186/s12884-022-04420-9

Miao M, Dai M, Zhang Y, Sun F, Guo X, Sun G. Influence of maternal overweight, obesity and gestational weight gain on the perinatal outcomes in women with gestational diabetes mellitus. Scientific Reports. 2017 Mar; 7(1): 305. doi: 10.1038/s41598-017-00441-z. DOI: https://doi.org/10.1038/s41598-017-00441-z

Magnusdottir KS, Tryggvadottir EA, Magnusdottir OK, Hrolfsdottir L, Halldorsson TI, Birgisdottir BE, et al. Vitamin D status and association with gestational diabetes mellitus in a pregnant cohort in Iceland. Food & Nutrition Research. 2021 Mar; 2021: 65. doi: 10.29219/fnr.v65.5574. DOI: https://doi.org/10.29219/fnr.v65.5574

Gouda W, Mageed L, Azmy O, Okasha A, Shaker Y, Ashour E. Association of genetic variants in IGF-1 gene with susceptibility to gestational and type 2 diabetes mellitus. Meta Gene. 2019 Sep; 21: 100588. doi: 10.1016/j.mgene.2019.100588. DOI: https://doi.org/10.1016/j.mgene.2019.100588

O’Beirne SL, Salit J, Rodriguez-Flores JL, Staudt MR, Abi Khalil C, Fakhro KA, et al. Exome sequencing-based identification of novel type 2 diabetes risk allele loci in the Qatari population. PloS One. 2018 Sep; 13(9): e0199837. doi: 10.1371/journal.pone.0199837. DOI: https://doi.org/10.1371/journal.pone.0199837

Muche AA, Olayemi OO, Gete YK. Prevalence and determinants of gestational diabetes mellitus in Africa based on the updated international diagnostic criteria: a systematic review and meta-analysis. Archives of Public Health. 2019 Dec; 77: 1-20. doi: 10.1186/s13690-019-0362-0. DOI: https://doi.org/10.1186/s13690-019-0362-0

Bener A, Salameh KM, Yousafzai MT, Saleh NM. Pattern of maternal complications and low birth weight: associated risk factors among highly endogamous women. International Scholarly Research Notices. 2012 Jul; 2012: 1-7. doi: 10.5402/2012/540495. DOI: https://doi.org/10.5402/2012/540495

Bener A, Saleh NM, Al-Hamaq A. Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: global comparisons. International Journal of Women's Health. 2011 Nov; 3: 367-73. doi: 10.2147/IJWH.S26094. DOI: https://doi.org/10.2147/IJWH.S26094

Domanski G, Lange AE, Ittermann T, Allenberg H, Spoo RA, Zygmunt M, et al. Evaluation of neonatal and maternal morbidity in mothers with gestational diabetes: a population-based study. BMC Pregnancy and Childbirth. 2018 Dec; 18(1): 1-1. doi: 10.1186/s12884-018-2005-9. DOI: https://doi.org/10.1186/s12884-018-2005-9

Chepulis L, Morison B, Lawrenson R, Paul R. Prevalence of gestational diabetes in the Waikato region of New Zealand. Internal Medicine Journal. 2022 Jun; 52(6): 1075-8. doi: 10.1111/imj.15803. DOI: https://doi.org/10.1111/imj.15803

Groof Z, Garashi G, Husain H, Owayed S, AlBader S, Mouhsen H, et al. Prevalence, risk factors, and fetomaternal outcomes of gestational diabetes mellitus in Kuwait: a cross-sectional study. Journal of Diabetes Research. 2019 Mar; 2019: 1-7. doi: 10.1155/2019/9136250. DOI: https://doi.org/10.1155/2019/9136250

Baloch F, Abro F, Chand P. Perinatal Stroke; Risk Factors and Outcome. A Study from Aga Khan University Hospital Karachi. Pakistan Armed Forces Medical Journal. 2022 Mar; 72(1): 215-19. doi: 10.51253/pafmj.v72i1.4863. DOI: https://doi.org/10.51253/pafmj.v72i1.4863

Erem C, Kuzu UB, Deger O, Can G. Prevalence of gestational diabetes mellitus and associated risk factors in Turkish women: the Trabzon GDM Study. Archives of Medical Science. 2015 Aug; 11(4): 724-35. doi: 10.5114/aoms.2015.53291. DOI: https://doi.org/10.5114/aoms.2015.53291

Nguyen CL, Pham NM, Binns CW, Duong DV, Lee AH. Prevalence of gestational diabetes mellitus in eastern and southeastern Asia: a systematic review and meta-analysis. Journal of Diabetes Research. 2018 Feb; 2018: 1-10. doi: 10.1155/2018/6536974. DOI: https://doi.org/10.1155/2018/6536974

Logakodie S, Azahadi O, Fuziah P, Norizzati BI, Tan SF, Zienna ZZ, et al. Gestational diabetes mellitus: The prevalence, associated factors and foeto-maternal outcome of women attending antenatal care. Malaysian Family Physician: The Official Journal of the Academy of Family Physicians of Malaysia. 2017; 12(2): 9.

Lowe Jr WL, Scholtens DM, Kuang A, Linder B, Lawrence JM, Lebenthal Y, et al. Hyperglycemia and adverse pregnancy outcome follow-up study (HAPO FUS): maternal gestational diabetes mellitus and childhood glucose metabolism. Diabetes Care. 2019 Mar; 42(3): 372-80. doi: 10.1210/js.2019-SAT-124. DOI: https://doi.org/10.1210/js.2019-SAT-124

Riaz M, Nawaz A, Masood SN, Fawwad A, Basit A, Shera AS. Frequency of gestational diabetes mellitus using DIPSI criteria, a study from Pakistan. Clinical Epidemiology and Global Health. 2019 Jun; 7(2): 218-21. doi: 10.1016/j.cegh.2018.06.003. DOI: https://doi.org/10.1016/j.cegh.2018.06.003

Akebe CN and Anumboh EN. Nursing interventions in the management of gestational diabetes in prenatal care patients. 2021. [Last Cited: 31st Jul 2023]. Available at: https://www.theseus.fi/handle/10024/503864.

Najafipour M, Fard BB, Najafipour F, Mehdizadeh A, Zareizadeh J, Niafar M, et al. Comparison of vitamin D level in pregnant women with and without gestational diabetes. Revista Latinoamericana de Hipertensión. 2020; 15(1): 33-5.

Larebo YM, Ermolo NA. Prevalence and risk factors of gestational diabetes mellitus among women attending antenatal care in Hadiya zone public hospitals, southern nation Nationality people region. BioMed Research International. 2021 Apr; 2021: 1-10. doi: 10.1155/2021/5564668. DOI: https://doi.org/10.1155/2021/5564668

Keshavarz M, Cheung NW, Babaee GR, Moghadam HK, Ajami ME, Shariati M. Gestational diabetes in Iran: incidence, risk factors and pregnancy outcomes. Diabetes Research and Clinical Practice. 2005 Sep; 69(3): 279-86. doi: 10.1016/j.diabres.2005.01.011. DOI: https://doi.org/10.1016/j.diabres.2005.01.011

Wahabi H, Fayed A, Esmaeil S, Mamdouh H, Kotb R. Prevalence and complications of pregestational and gestational diabetes in Saudi women: analysis from Riyadh Mother and Baby cohort study (RAHMA). BioMed Research International. 2017 Oct; 2017: 1-9. doi: 10.1155/2017/6878263. DOI: https://doi.org/10.1155/2017/6878263

Etminan-Bakhsh M, Tadi S, Hatami M, Darabi R. Prevalence of Gestational Diabetes Mellitus and Its Associated Risk Factors in Boo-Ali Hospital, Tehran. Galen Medical Journal. 2020 Dec; 9: e1642. doi: 10.31661/gmj.v9i0.1642. DOI: https://doi.org/10.31661/gmj.v9i0.1642