scholarly journals Knowledge and Attitudes on Gestational Diabetes Mellitus and its Associated Factors among a Selected Population of Pregnant Mothers Attending Antenatal Clinics in Mathugama, Western Province of Sri Lanka

Author(s):  
Wimalajeewa T.M.D.Y.D. ◽  
Hettiaratchi U.P.K.

Introduction: Diabetes Mellitus (GDM) has become an emerging metabolic disorder around the world leading to type 2 diabetes mellitus in two generations, including the mother and the offspring. Complications associated with GDM can be prevented by proper management of the disease. This study aimed to assess knowledge and attitudes on GDM and its associated factors in a selected population of pregnant mothers in Sri Lanka. Methods: A descriptive cross-sectional study was carried out among eight antenatal clinics in the Mathugama Medical Officer of Health (MOH) area, Sri Lanka. Pregnant mothers of less than 20 weeks of gestation (n=150) attending the above clinics were selected by convenience sampling. A pre-tested, interviewer-administered questionnaire was used as the data collection instrument. The SPSS version 23 was used for data analysis. Descriptive statistics, visual binning, independent sample t-test and bivariate correlation were used as statistical tools. Results: Only 4.7% of participants had developed GDM previously. The mean gestational age of the study participants was 12±5 weeks. The mean percentage knowledge score regarding GDM was 36.1±23.3%. Only 20.0% had good knowledge and 35.3% had poor knowledge about GDM. Age (p=0.017), level of education (p=0.024), history of GDM (p=0.033), and family history of diabetes mellitus (p=0.025) had significant associations with the knowledge on GDM. In addition, positive correlations were found between the mean knowledge score for GDM and gestational age (p=0.001), and the gravidity (p=0.018) of the participants (p<0.05). Conclusions: Only a minority of the study group (20.0%) had good knowledge about GDM while, more than 50.0% of the participants showed positive attitude towards the management of GDM. Therefore, taking measures to enhance the pregnant mothers’ knowledge regarding GDM is a timely and important action that ultimately leads to healthy pregnancy outcomes. Keywords: Gestational diabetes mellitus, Pregnant mothers, Knowledge, Attitudes, Associated factors

2019 ◽  
Author(s):  
Agumas Fentahun Ayalew ◽  
Getasew Mulat Bantie ◽  
Tigabu Birhan Kassa ◽  
Ashenafi Abate Woya

Abstract Introduction Preeclampsia, also called pregnancy-induced hypertension is a pregnancy-specific hypertensive disorder usually occurs after 20 weeks of gestation and affects both the mother and the fetus. preeclampsia is one of the driving causes of maternal and perinatal horribleness and mortality. Objective To assess the prevalence of preeclampsia and associated factors among women attending antenatal care service at Felge Hiwot Referral Hospital, Bahir Dar, Ethiopia, 2017. Methods Institution based cross-sectional study was conducted from March 1st up to 30th 2017. Study participants was recruited by using systematic random sampling technique. A pre-tested questionnaire was used for data collection. The data were checked for its completeness and consistency each day and the collected data was coded and entered into Epi Data version 3.1 and analyzed by using Statistical package for social science version 23. The logistic regression assumption was checked and fitted at P >0.05. Result The prevalence of preeclampsia was found to be 13.0% (95%CI: 8.3,17.6). Factors that had a statistically significant association with preeclampsia were women having a family history of hypertension [AOR=4.61(1.06, 20.07)], Gestational diabetes mellitus [AOR=11.41(1.40, 92.83)], using traditional medicine during pregnancy [AOR= 26.29(3.68, 187.84)]. Conclusion the result indicated that the prevalence of preeclampsia in this hospital was higher than similar studies conducted in Ethiopia. Preventable and risk factors Having a family history of Diabetes Mellitus, Gestational Diabetes Miletus and taking traditional medicines during pregnancy were statistically associated with preeclampsia.


Author(s):  
Muhammad Faisal ◽  
Muhammad Abu Bakar ◽  
Zahid Hussain ◽  
Khizer Abbas

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.


2018 ◽  
Vol 10 (1) ◽  
pp. 86-91
Author(s):  
Eskinder Wolka Woticha ◽  
Wakgari Deressa ◽  
Ahmed Reja

Background: Presence of gestational diabetes mellitus during pregnancy has serious complications for both mother and child. Its burden is increasing in low and middle-income countries but, little is known about its contribution in Ethiopia. Aims and Objective: The aim of this study was to determine the prevalence of gestational diabetes mellitus and to identify associated factors in Wolaita Zone, Southern Ethiopia. Materials and Methods: Institution based cross sectional study was carried out from August 2017 to October 2017 in Wolaita Zone, southern Ethiopia. A total of 518 pregnant women were participated from 2 hospitals and 4 health centers. Capillary blood samples were collected at fasting and 2 hours after 75gm glucose load to measure blood sugar and diagnosis of gestational diabetes mellitus was made by using 2013 World Health Organization (WHO) criteria. Binary logistic regression model was applied to assess risk factors of gestational diabetes mellitus. Results: Prevalence of gestational diabetes mellitus was 4.2% (95% CI, 2.5, 6.2) with mean post glucose load level of 160.1 mg/dl (6.3) and 15(4%) among urban residents and 7(4.9%) among rural residents. The proportion of gestational diabetes mellitus increases with increase in number of pregnancies. Previous history of spontaneous abortion (AOR: 3.5; 95%CI: 1.7-14.6), family history of type II diabetes (AOR: 4.3; 95%CI: 1.3-8.7) and previous caesarean section (AOR: 7.5; 95%CI: 1.3-14.4) were found to be significantly associated with gestational diabetes mellitus. Conclusions: The prevalence of gestational diabetes mellitus is higher as compared to other studies conducted in the country. Strengthening screening, care and prevention strategies for gestational diabetes mellitus are important to improve maternal and child health.


Author(s):  
Nasloon Ali ◽  
Aysha S. Aldhaheri ◽  
Hessa H. Alneyadi ◽  
Maha H. Alazeezi ◽  
Sara S. Al Dhaheri ◽  
...  

Gestational diabetes mellitus (GDM) increases the risk of adverse pregnancy outcomes in any pregnancy and recurrence rates are high in future pregnancies. This study aims to investigate the effect of self-reported history of previous GDM on behaviors in a future pregnancy. This is an interim cross-sectional analysis of the pregnant women who participated in the Mutaba’ah Study between May 2017 and March 2020 in the United Arab Emirates. Participants completed a baseline self-administered questionnaire on sociodemographic and pregnancy-related information about the current pregnancy and previous pregnancies. Regression models assessed the relationships between self-reported history of GDM and pre-pregnancy and pregnancy behaviors in the current pregnancy. Out of 5738 pregnant parous women included in this analysis, nearly 30% (n = 1684) reported a history of GDM in a previous pregnancy. Women with a history of previous GDM were less likely to plan their current pregnancies (adjusted odds ratio (aOR): 0.84, 95% confidence interval (CI) 0.74–0.96) and more likely to be worried about childbirth (aOR: 1.18, 95% CI 1.03–1.36). They had shorter interpregnancy intervals between their previous child and current pregnancy (aOR: 0.88, 95% CI 0.82–0.94, per SD increase). There were no significant differences between women with and without a history of GDM in supplement use, sedentary behavior, or physical activity before and during this current pregnancy. Nearly a third of parous pregnant women in this population had a history of GDM in a previous pregnancy. Pregnant women with a previous history of GDM were similar to their counterparts with no history of GDM in the adopted pre-pregnancy and prenatal health behaviors. More intensive and long-term lifestyle counseling, possibly supported by e-health and social media materials, might be required to empower pregnant women with a history of GDM. This may assist in adopting and maintaining healthy prenatal behaviors early during the pregnancy or the preconception phase to minimize the risk of GDM recurrence and the consequential adverse maternal and infant health outcomes.


Author(s):  
Elia Shazniza Shaaya ◽  
Siti Atiqah Abdul Halim ◽  
Ka Wen Leong ◽  
Kevin Boon Ping Ku ◽  
Pei Shan Lim ◽  
...  

Background:Candida chorioamnionitis is rarely encountered, even though vulvovaginal candidiasis incidence is about 15%. Interestingly, it has characteristic gross and histological findings on the umbilical cord that are not to be missed. Case Report: We report two cases of Candida chorioamnionitis with presence of multiple yellowish and red spots of the surface of the umbilical cord. Microscopically, these consist of microabscesses with evidence of fungal yeasts and pseudohyphae. The yeasts and pseudohyphae were highlighted by periodic acid– Schiff and Grocott methenamine silver histochemical stains. Both cases were associated with a history of gestational diabetes mellitus. Discussion: Peripheral funisitis is a characteristic feature of Candida chorioamnionitis. It is associated with high risk of adverse perinatal and neonatal outcomes, such as preterm delivery, stillbirth and neonatal death. We recommend careful examination of the umbilical cord of mothers with gestational diabetes mellitus.


Diabetes Care ◽  
2020 ◽  
Vol 43 (4) ◽  
pp. 793-798 ◽  
Author(s):  
Sylvia H. Ley ◽  
Jorge E. Chavarro ◽  
Mengying Li ◽  
Wei Bao ◽  
Stefanie N. Hinkle ◽  
...  

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