scholarly journals Magnitude of screening for gestational diabetes mellitus in an urban setting in Tanzania; a cross-sectional analytic study

2020 ◽  
Author(s):  
Akampa Mbaaga Mukuve ◽  
Miriam Lucy Mgonja ◽  
Ibrahim Sendagire ◽  
Mariam Noorani
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Antenatal Care ◽  
Blood Sugar ◽  
Dar Es Salaam ◽  
Urban Setting ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of

Abstract Background: Medical screening detects risk factors for disease or presence of disease in otherwise well persons in order to intervene early and reduce morbidity and mortality. During antenatal care (ANC) it is important to detect conditions that complicate pregnancy, like gestational diabetes mellitus (GDM). Despite international and local guidelines recommending screening for GDM during ANC, there is evidence to suggest that the practice was not being carried out adequately. A major challenge may be lack of consensus on uniform GDM screening and diagnostic guidelines internationally and locally. The primary objective was to determine the magnitude of screening for GDM among women receiving ANC at the Aga Khan Hospital, Dar es Salaam and Muhimbili National Hospital, Dar es Salaam. Secondary objectives were: to determine the methods used by health practitioners to screen for GDM, to determine the magnitude of undiagnosed gestational diabetes mellitus among women attending ANC and factors associated with screening for GDM among these women. Methods: A cross-sectional analytical study was done. Data collection was done using pre-tested questionnaires and reviewing antenatal care records. The proportion of women attending ANC who were screened for GDM was determined. The 75g Oral Glucose Tolerance Test (OGTT) was offered to women who had not been screened after education and consent. Results: Only 107 out of 358 (29.9%) had been offered some form of GDM screening. Tests used for GDM screening were random blood sugar (56.8%), fasting blood sugar (32.8%), HbA1C (6%) and 75g OGTT (3.4%). The uptake of the OGTT was 27%. Of these women the prevalence of GDM was 27.4%. Factors associated with screening for GDM were history of big baby, history of pregnancy induced hypertension and participant awareness of GDM (all p : <0.05). Conclusions: Screening for GDM among women attending ANC was lower than the World Health Organization target. Efforts should be directed towards promoting GDM screening, increasing awareness about GDM and developing more effective screening methods.

scholarly journals Magnitude of screening for gestational diabetes mellitus in an urban setting in Tanzania; a cross-sectional analytic study

2020 ◽  
Author(s):  
Akampa Mbaaga Mukuve ◽  
Miriam Lucy Mgonja ◽  
Ibrahim Sendagire ◽  
Mariam Noorani
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Antenatal Care ◽  
Blood Sugar ◽  
Dar Es Salaam ◽  
Urban Setting ◽  
Cross Sectional ◽  
Factors Associated ◽  
History Of

Abstract Background: Medical screening detects risk factors for disease or presence of disease in otherwise well persons in order to intervene early and reduce morbidity and mortality. During antenatal care (ANC) it is important to detect conditions that complicate pregnancy, like gestational diabetes mellitus (GDM). Despite international and local guidelines recommending screening for GDM during ANC, there is evidence to suggest that the practice was not being carried out adequately. A major challenge may be lack of consensus on uniform GDM screening and diagnostic guidelines internationally and locally. The primary objective was to determine the magnitude of screening for GDM among women receiving ANC at the Aga Khan Hospital, Dar es Salaam and Muhimbili National Hospital, Dar es Salaam. Secondary objectives were: to determine the methods used by health practitioners to screen for GDM, to determine the magnitude of undiagnosed gestational diabetes mellitus among women attending ANC and factors associated with screening for GDM among these women. Methods: A cross-sectional analytical study was done. Data collection was done using pre-tested questionnaires and reviewing antenatal care records. The proportion of women attending ANC who were screened for GDM was determined. The 75g Oral Glucose Tolerance Test (OGTT) was offered to women who had not been screened after education and consent. Results: Only 107 out of 358 (29.9%) had been offered some form of GDM screening. Tests used for GDM screening were random blood sugar (56.8%), fasting blood sugar (32.8%), HbA1C (6%) and 75g OGTT (3.4%). The uptake of the OGTT was 27%. Of these women the prevalence of GDM was 27.4%. Factors associated with screening for GDM were history of big baby, history of pregnancy induced hypertension and participant awareness of GDM (all p : <0.05). Conclusions: Screening for GDM among women attending ANC was lower than the World Health Organization target. Efforts should be directed towards promoting GDM screening, increasing awareness about GDM and developing more effective screening methods.

scholarly journals Level of and factors associated with awareness of gestational diabetes mellitus among pregnant women attending antenatal care at Kawempe National Referral Hospital: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elizabeth Byakwaga ◽  
Musa Sekikubo ◽  
Annettee Nakimuli
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
National Referral Hospital

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.

scholarly journals THE DEMOGRAPHIC PROFILE OF WOMEN WITH GESTATIONAL DIABETES MELLITUS

2021 ◽  
Vol 5 (11) ◽  
Author(s):  
Priyanka Inaniya ◽  
B S Meena ◽  
Mohan Lal Meena ◽  
Aparna Sharma ◽  
Shalini Rathore
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Demographic Profile ◽  
Medical College ◽  
History Of ◽  
Socio Demographic Factors

Background: The present study aimed to study the demographic profile women with gestational diabetes mellitus Methods: This hospital based cross-sectional study Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur. Results: Mean age of patients was 27.68 ± 4.4 Yrs. Most of the study subjects in GDM group (54.7%) were Hindu. Study subjects in GDM group were almost equally from rural (50.7%).Most of the study subjects in both GDM group (88%) were housewives. Habit of smoking was found in only 6.7% females in GDM group. Habit of alcohol was found in 4% females in GDM group. Family history of diabetes was seen more in females with GDM (17.3%). Conclusion: This study concluded that the socio demographic factors influence the occurrence of GDM. Keywords: GDM, Age, Gravida

scholarly journals The frequency of gestational diabetes mellitus among pregnant mothers admitted in gynaecology/obstetrics ward of Sheikh Zayed Hospital Rahim Yar Khan, Pakistan

2018 ◽  
Vol 7 (7) ◽  
pp. 2608
Author(s):  
Muhammad Faisal ◽  
Muhammad Abu Bakar ◽  
Zahid Hussain ◽  
Khizer Abbas
Keyword(s):  
Diabetes Mellitus ◽  
Family History ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Reproductive Age ◽  
Monthly Income ◽  
College Hospital ◽  
Cross Sectional ◽  
History Of ◽  
Pregnant Mothers

Background: The gestational diabetes mellitus (GDM), defined as my degree of glucose intolerance with onset of first recognition during pregnancy, is poorly understood due to low socioeconomic dynamics among the pregnant mothers of Rahim Yar Khan. It results in many maternal and fetal complications. This study was carried out to determine the frequency and socio- demographic profile of pregnant mothers with gestational diabetes mellitus admitted in Gynecological Obstetrics wards of Sheikh Zayed Medical College Hospital Rahim Yar Khan.Methods: The data for this cross-sectional study was collected during the period from 30-01-2017 to 30-06-2017. The data was collected from labor room and wards of gynecology Sheikh Zayed Hospital Rahim Yar Khan. This study was conducted among the 160 pregnant mothers in Labor room and gynecological wards of Sheikh Zayed Hospital Rahim Yar Khan, admitted during the study period. A predesigned questionnaire was filled by interviewing these mother shaving variables of age, education, residence, working status, BMI, family monthly income, total numbers of children, knowledge of Gestational diabetes mellitus and family history of GDM.Results: The frequency of GDM in this study was significantly associated with reproductive age group 25-34 years (64%), Illiteracy in mothers (53.8 %) from rural area (>50%) housewives (83%), BMI (Mean = 22), Family Monthly income (> 10,000 Rs.), Average no. of Children (2-3), Diagnosed with Gestational Diabetes Mellitus (15.6%), Family history of D.M (>50%).Conclusions: It is concluded that the frequency of Gestational Diabetes Mellitus was high. Early detection, constant sup0ervision, delivery with intensive intra-partum monitoring, facilities of expert neonatologists, proper health care education to pregnant mothers can result in good maternal and fetal outcomes without much morbidity.

scholarly journals Prevalence of postpartum thyroiditis in women with gestational diabetes mellitus in Ardabil: North West of Iran

2016 ◽  
Vol 2 (6) ◽  
pp. 116
Author(s):  
Manouchehr Iranparvar-Alamdari ◽  
Hosein Ghorbani Behrooz ◽  
Mostafa Alidousti
Keyword(s):  
Diabetes Mellitus ◽  
Family History ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Thyroid Stimulating Hormone ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Postpartum Thyroiditis ◽  
Pregnancy And Postpartum ◽  
History Of

<p class="abstract"><strong>Background:</strong> Gestational diabetes is the most common metabolic disorder during pregnancy and postpartum thyroiditis is a destructive thyroiditis that can cause serious complications for the mother and her child. The purpose of this study was to determine the prevalence of postpartum thyroiditis in women with gestational diabetes.</p><p class="abstract"><strong>Methods:</strong> In this cross-sectional study, 86 cases satisfy inclusion criteria and gestational diabetes mellitus (GDM) and were evaluated for postpartum thyroiditis with thyroid stimulating hormone (TSH), T4, anti-TPO, T3RU tests. The groups with and without thyroiditis were compared and data was analyzed by statistical methods.</p><p class="abstract"><strong>Results:</strong> There were 17 patients (19.8%) with postpartum thyroiditis, of whom 4 patients (23.5%) had hyperthyroidism, 9 patients (52.9%) were in the age group of 21 to 30 years, and 9 patients (52.9%) had a family history of diabetes.  Five patients (29.4%) with high anti-TPO level (P=0.022) and mean TSH and anti-TPO respectively, 2.8 (4.8) and 17.2 (35.9).</p><p><strong>Conclusions:</strong> The results showed that higher level of anti TPO titer and family history of diabetes can be associated with a higher rate of postpartum thyroiditis, so it is recommended that postpartum thyroiditis to be examined in women with gestational diabetes who have these mentioned items.</p>

scholarly journals Factors Associated with Gestational Diabetes Mellitus: A Meta-Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-18
Author(s):  
Yu Zhang ◽  
Cheng-Ming Xiao ◽  
Yan Zhang ◽  
Qiong Chen ◽  
Xiao-Qin Zhang ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Meta Analysis ◽  
Public Health Issue ◽  
Premature Delivery ◽  
Family History Of Diabetes ◽  
Random Effects Models ◽  
Factors Associated ◽  
History Of

Gestational diabetes mellitus (GDM) is a major public health issue, and the aim of the present study was to identify the factors associated with GDM. Databases were searched for observational studies until August 20, 2020. Pooled odds ratios (ORs) were calculated using fixed- or random-effects models. 103 studies involving 1,826,454 pregnant women were identified. Results indicated that maternal   age ≥ 25 years (OR: 2.466, 95% CI: (2.121, 2.866)), prepregnancy overweight or obese (OR: 2.637, 95% CI: (1.561, 4.453)), family history of diabetes (FHD) (OR: 2.326, 95% CI: (1.904, 2.843)), history of GDM (OR: 21.137, 95% CI: (8.785, 50.858)), macrosomia (OR: 2.539, 95% CI: (1.612, 4.000)), stillbirth (OR: 2.341, 95% CI: (1.435, 3.819)), premature delivery (OR: 3.013, 95% CI: (1.569, 5.787)), and pregestational smoking (OR: 2.322, 95% CI: (1.359, 3.967)) increased the risk of GDM with all P < 0.05 , whereas history of congenital anomaly and abortion, and HIV status showed no correlation with GDM ( P > 0.05 ). Being primigravida (OR: 0.752, 95% CI: (0.698, 0.810), P < 0.001 ) reduced the risk of GDM. The factors influencing GDM included maternal   age ≥ 25 , prepregnancy overweight or obese, FHD, history of GDM, macrosomia, stillbirth, premature delivery, pregestational smoking, and primigravida.

scholarly journals Risk based screening for gestational diabetes mellitus and its fetomaternal outcome

2019 ◽  
Vol 26 (06) ◽  
Author(s):  
AASMA NAZ QURESHI ◽  
IRFAN AHMED ◽  
ASHOK KUMAR LOHANO ◽  
FARAH AFROZ ◽  
DR.KHAWER HUSSSAIN
Keyword(s):  
Diabetes Mellitus ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Neonatal Death ◽  
Previous History ◽  
University Hospital ◽  
Operative Delivery ◽  
Cross Sectional ◽  
Still Birth ◽  
History Of

Objectives: The objective of this study is to determine the frequency of factors leading to gestational diabetes mellitus and fetomaternal outcomes. Setting: Department of Obstetrics and Gynaecology Unit-II at Liaquat University Hospital Hyderabad. Study Design:  Cross sectional study. Duration of Study: Six months (1st July 2017 to 31st December 2017). Subject and Methods: A total of 86 Women with GDM included in the study by identification of risk factors from history an examination. A sample of capillary blood was tested with glucometer for random blood sugar level. GDM was diagnosed 2 hours blood glucose more than 126 mg/dl.Women with GDM was evaluated and followed to see the maternal outcome i.e. preterm delivery, pre-eclampsia and operative delivery and fetal outcome i.e. congenital anomalies, live birth, still birth, early neonatal death and macrosomia. All the data was entered on a pre-designed proforma attached at the end of synopsis. Results: The average age of the women was 26.23±4.03 years.  Frequency of factors leading to gestational diabetes mellitus was previous history of previous GDM; 66.3%, Previous history of macrosomia54.7%, Polyhydramnios in current pregnancy 51.2%, macrosomia in current pregnancy 44.2%,  previous history of shoulder dystosia 41.9%, and women with BMI >25kg/m2was observed in 32.6% cases. GDM causes significant maternal and fetal complications including preeclampsia 51.2%, preterm 23.3%, and operative delivery 29.1% as well as fetal death was observed in 21(24.4%) in which 17.44% still birth (15/86) and 6.98 (6/86) were neonatal death. Conclusion: Gestational Diabetes Mellitus is associated with increased morbidity in mothers and fetus. Early detection and intervention is important because it improves pregnancy outcome.

Effect of Family History with Diabetes Mellitus on the Risk of Gestational Diabetes Mellitus: A Meta-Analysis

2020 ◽  
Author(s):  
Galuh Sitorukmi ◽  
◽  
Bhisma Murti ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factor ◽  
Family History ◽  
Gestational Diabetes ◽  
Gestational Diabetes Mellitus ◽  
Meta Analysis ◽  
Cross Sectional ◽  
Family History Of Diabetes ◽  
Chronic Hyperglycemia ◽  
History Of

Background: Gestational diabetes mellitus (GDM) is a serious pregnancy complication, in which women without previously diagnosed diabetes develop chronic hyperglycemia during gestation. Studies have revealed that the family history of diabetes is an important risk factor for the gestational diabetes mellitus. The purpose of this study was to investigate effect of family history with diabetes mellitus on the risk of gestational diabetes mellitus. Subjects and Method: This was meta-analysis and systematic review. The study was conducted by collecting published articles from Pubmed, Google Scholar, Scopus, Science Direct, and Springer Link electronic databases, from year 2010 to 2020. Keywords used risk factor, gestational diabetes mellitus, family history, and cross-sectional. The inclusion criteria were full text, using English language, using cross-sectional study design, and reporting adjusted odds ratio. The study population was pregnant women. Intervention was family history of diabetes mellitus with comparison no family history of diabetes mellitus. The study outcome was gestational diabetes mellitus. The collected articles were selected by PRISMA flow chart. The quantitative data were analyzed by random effect model using Revman 5.3. Results: 7 studies from Ethiopia, Malaysia, Philippines, Peru, Australia, and Tanzania were selected for this study. This study reported that family history of diabetes mellitus increased the risk of gestational diabetes mellitus 2.91 times than without family history (aOR= 2.91; 95% CI= 2.08 to 4.08; p<0.001). Conclusion: Family history of diabetes mellitus increases the risk of gestational diabetes mellitus. Keywords: gestational diabetes mellitus, diabetes mellitus, family history Correspondence: Galuh Sitorukmi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085799333013. DOI: https://doi.org/10.26911/the7thicph.05.55

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