Knowledge of gestational diabetes mellitus among pregnant women in a semiurban hospital - A cross -sectional study

Abstract Background The burden of Gestational diabetes mellitus (GDM) is significantly increasing worldwide and the disorder causes substantial short term and long-term adverse effects both to the mother and the unborn baby. Public health measures to increase awareness of GDM among pregnant women may aid in prevention of the disease through life style modification, screening, early diagnosis and management but very few studies have assessed awareness of GDM among pregnant women in sub Saharan Africa and none of these are from Uganda. This study therefore sought to evaluate the level of and factors associated with awareness of GDM among pregnant women attending antenatal care at Kawempe National Referral Hospital (KNRH), the busiest obstetric unit in Uganda, so as to assess their health sensitization needs. Methods This was a cross-sectional study. We recruited 403 participants at 30 weeks of gestation and above after giving written informed consent. Systematic sampling was used to select participants and data was collected using pretested interviewer-administered questionnaires. The collected data was entered in Epidata version 4.2 and exported to Stata for analysis. Continuous variables were summarized using mean and standard deviation. Categorical variables were summarized using frequencies and proportions. Factors associated with awareness were assessed at both bivariate and multivariate levels. Results Four hundred three pregnant women were recruited, majority (35.5 %) were between 20 and 24 years and their mean age was 26.6 years. Only 125 (31 %) participants were aware of GDM. Age and educational level were significantly associated with awareness of GDM. Women aged 35 years and above were more likely to be aware of GDM (OR = 2.34 (95 % CI = 1.14–4.81) p = 0.021. Women with primary education or no education were less likely to be aware (OR = 0.48 (CI 0.24–0.96) p = 0.038. Conclusions Awareness of GDM was poor among study participants. There is need to improve the health education programs in order to increase awareness of GDM among women attending ANC at KNRH. Women below 35 years of age and those with primary education or less should be specifically targeted when giving health education sessions so as to increase their awareness of GDM.

Download Full-text

Factors associated with poor-to-moderate quality of life among pregnant women with gestational diabetes mellitus: a cross-sectional study in Malaysia

Quality of Life Research ◽

10.1007/s11136-020-02532-3 ◽

2020 ◽

Vol 29 (10) ◽

pp. 2725-2736

Author(s):

Kai Wei Lee ◽

Siew Mooi Ching ◽

Fan Kee Hoo ◽

Vasudevan Ramachandran ◽

Seng Choi Chong ◽

...

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated

Download Full-text

Demographic profile of pregnant women and effect of anaemia in gestational diabetes mellitus: a cross sectional study from rural Assam

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20202490 ◽

2020 ◽

Vol 7 (6) ◽

pp. 2303

Author(s):

Subrata Chanda ◽

Amarjeet Singh

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Cross Sectional Study ◽

Oral Glucose ◽

Sectional Study ◽

Cross Sectional ◽

Demographic Profile ◽

Resource Setting

Background: In Assam, gestational diabetes mellitus (GDM) screening is not routinely done during antenatal check-up in Assam, whereas anemia screening is done. Consequently, state-wide GDM estimate and its association with anemia in rural Assam is not available. Hence, we aim to study the demographic profile of pregnant women and their anaemia in relation to prevalence of gestational diabetes mellitus in rural Assam.Methods: The present study was part of a larger community based cross-sectional study, conducted in Assam to determine the prevalence of GDM. The pregnant women in the gestational age of 24-28 weeks, who were free of any chronic illnesses, screened for Anaemia and, GDM through oral glucose tolerance test (OGTT) as per diabetes in pregnancy study group in India guideline.Results: A total of 1212 pregnant women underwent the OGTT and test for haemoglobin estimation. Mean age of GDM women was (24.40±4.60 years), slightly higher than non-GDM women (23.50±4.04 years, p=0.007). After hemoglobin estimation, 83% of pregnant women found to be anaemic, 77% of these were GDM positive, which is quite significant with p value 0.025. A higher fraction of the pregnant mothers in our study were found suffering from anemia (83%). The independent association of GDM and anemia adjusted for other variables showed an inverse relationship.Conclusions: Though prevalence of anaemia and GDM in low resource setting in rural Assam found to be quite high, but they have inverse relationship. Anaemic pregnant women were found to be GDM protective.

Download Full-text

The Challenges for Screening and Diagnosing Gestational Diabetes Mellitus in Brazil: a cross-sectional study in a low-risk obstetric hospital.

10.1101/2022.01.08.22268941 ◽

2022 ◽

Author(s):

Carlos Izaias Sartorao Filho ◽

Luiz Takano ◽

Bruna Marcolino Paes Maria ◽

Debora Giovanna Fernandes Vivaldo ◽

Thais Sales Izidoro ◽

...

Keyword(s):

Diabetes Mellitus ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Pregnant Women ◽

Cross Sectional Study ◽

Low Risk ◽

Sectional Study ◽

Cross Sectional ◽

Prevalent Disease ◽

Screening And Diagnosis

Background: Gestational Diabetes Mellitus (GDM) is a very prevalent disease and can cause several morbidities for women and their offspring. The literature demonstrates the necessity for a better approach during prenatal assistance to detect and treat the disease. We aimed to evaluate the model and efficacy of GDM screening and diagnosis in a referenced low-risk obstetrical center of the municipality of Assis, Sao Paulo state, Brazil. Moreover, the specific objective was to evaluate the prevalence of GDM. Methods: We conducted a retrospective cross-sectional study of pregnant women, in which 257 prenatal cards and the clinical approaches used for GDM diagnosis and their results. We observed the consecutive patients admitted to the low-risk referenced obstetrical service of the "Santa Casa de Assis-SP" for childbirth from January to August 2021. Results: There were 257 pregnant women, 227 prenatal cards obtained. Of these, 24.6% of the cards were considered incomplete, 25 (9.72%) did not contain the initial fasting plasma glucose information, and 93 (36.18%) did not describe this information in the second to the third trimester. The prevalence of GDM in the population was 14.78%. Conclusion: We observed many pregnant women not screened according to the recommended guidelines and many prenatal cards with incomplete information. According to the screening and diagnosis guidelines, GDM prevalence was underestimated. The lack of prenatal card information and inadequacy of screening and diagnoses were observed in this population.

Download Full-text