Prevalence and Determinants of Gestational Diabetes Mellitus among Pregnant Women Attending Antenatal Care

Le résumé fourni par la source

Gestational Diabetes Mellitus (GDM) is a progressively common condition that presents substantial hazards to both the mother and her offspring. Considering the rapid lifestyle changes in developing countries, it is essential to identify the risk factors in that environment to avert long-term consequences. The study was meant to determine the prevalence of GDM and its relationship with sociodemographic, clinical, and behavioral factors among women who are undergoing ante-natal care (ANC) services in their pregnancies. Quantitative cross-sectional investigation has been carried out on 180 pregnant women at 24-28 weeks in gestation. Data were obtained with the help of the structured questionnaire and analyzed employing R software. The diagnosis of GDM was made with the help of the 75g OGTT; it was performed according to the recent WHO 2013 guidelines of GDM diagnosis. The influences and main risk factors were identified via descriptive and bivariate analysis. It was discovered that prevalence of GDM is 45 percent. Among the interrelated risks, there were such characteristics as physical inactivity, lack of professional training programs, fast food and even sugary drinks ingestion and the history of diabetes in their families. The common risk factors of maternal age and BMI that is considered as proximate predictors were found to be statistically insignificant risk factors of GDM in the identified sample. The results of the study indicate high prevalence of gestational diabetes mellitus (GDM), and modifiable lifestyle factors have been found to play major role in the development of the disease. The ANC services should entail early screening, encourage planned activity, and provide dietary advice to ensure reduced risks and enhanced birth outcomes associated with GDM among women.

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