The prevalance of gestational diabetes mellitus among pregnant females in Beni-Suef governorate and its hazards on the maternal and fetal outcome .

Document Type : Original Article

Authors

1 Internal medicine department, Faculty of medicine, Beni- Suef University, Beni-Suef, Egypt

2 Obstetrics and Gynecology department, Faculty of medicine, Beni- Suef University, Beni-Suef, Egypt

Abstract

Diabetes mellitus (DM) is increasing worldwide especially in developing countries. Increasing age, BMI, weight, martial period and family history for diabetes are highly prone to gestational diabetes mellitus. The aim of this work is to estimate prevalence of GDM among pregnant females in Bani-Suef governorate and its hazards on mother and offspring. Our present study was included 1000 pregnant females were followed and their outcomes with estimated gestational age between 24th and 28th week. At first a proforma containing general information was fulfilled, Then the study population were divided into two groups . 1st group was screened by Random Blood Sugar (RBS) while 2nd group was screened by a standardized 2h -75 Oral Glucose Tolerance Test (OGTT) according to WHO guidelines of GDM. Our study detected the prevalence of GDM was 2.6%.  There was statistically significance of increasing age and BMI, positive family history of DM and positive history of twin pregnancy. There was no statistically significance as regards history of PCO, past history of GDM and past history of macrocosmic baby. We recommend the early screening before 24th week of gestation, for GDM regardless of any other risk factors and those women with increased BMI, age, weight and positive history of diabetes mellitus has to be considered as high-risk group. All GDM diagnosed women should be closely monitored for glycemic control for good maternal and fetal outcome.

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References

  1. American Diabetes Association, (2004) :Gestational Diabetes Mellitus (Position Statement) Diabetes Care. 27(Suppl 2):S88–90
  2. Seshiah V, Balaji V, Balaji MS, Paneerselvam A, Arthi T, Thamizharasi M, et al., (2008): Prevalence of gestational diabetes mellitus in South India (Tamil Nadu) - a community based study. J Assoc Physicians India. 56:329–33.
  3. Keshavaraz M, Cheung NW, Babaee GR, Moghadam HK, Ajami ME and Shariati M (2005): Gestational diabetes in Iran: incidence, risk factors and pregnancy outcomes. Diabetes research and clinical practices.; 69:279.
  4. Seshiah V, Das AK, Balaji V, Joshi SR, Parikh MN, Gupta S.,(2006):Diabetes in Pregnancy Study Group. Gestational diabetes mellitus-guidelines. J Assoc Physicians India. ;54:622–8. 
  5. Blumer I, Hadar E, Hadden DR, Jovanovič L, Mestman JH, Murad MH, et al (2013). Diabetes and pregnancy: an endocrine society clinical practice guideline. J ClinEndocrinolMetab. 98:4227–4249.
  6. Metzger BE (2010): International Association of Diabetes and Pregnancy Study Groups Consensus Panel, International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 33: 676-682.
  7. World Health Organization; (2013): [Last Accessed on 2014 Sep 18]. World Health Organization. Diagnostic criteria and classification of hyperglycaemia first detected in pregnancy.
  8. American Diabetes Association (2011) :Diagnosis and classification of diabetes mellitus.Diabetes Care ;31(Suppl. 1):S55–S60 9- Moses RG., (2012) :Gestational diabetes mellitus: implications of an increased frequency with IADPSG criteria. Diabetes Care;35:461–462.
  9. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, et al.,(2008):HAPO Study Cooperative Research Group Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 358:1991–2002.
  10. Opara PI, Jaja T, Onubogu UC., (2010): Morbidity and mortality amongst infants of diabetic mothers admitted into a special care baby unit in Port Harcourt, Nigeria. Ital J Pediatr. ;36:77.
  11. Pareek H, Sharma S, Khajja BS, Jain K, Jain GC (2009): Evaluation of hypoglycemic and anti hyperglycemic potential of Tridaxprocumbens (Linn.) BMC Complement Altern Med. 9:48.
  12. Roglic G.(2016) :WHO Global report on diabetes: A summary. Int J Non-Commun Dis.;1(1):3-8
  13. Tahmina, S., & Daniel, M. (AICOG-2015) : Department of Obstetrics and Gynaecology, Pondicherry Institute of Medical Sciences, Pondicherry, India* This research paper was presented as an oral paper on 24th January 2015, at the 58th All India Congress of Obstetrics and Gynecology at Chennai, India and in poster format on 21st August 2015 at the 10th Singapore International Congress of Obstetrics & Gynaecology, Singapore
  14. Cong Luat, Nguyen, et al. (2020): "Prevalence and pregnancy outcomes of gestational diabetes mellitus by different international diagnostic criteria: A prospective cohort study in Vietnam." The Journal of Maternal-Fetal & Neonatal Medicine 33.21 3706-3712.
  15. Onyenekwe, B. M., Young, E. E., Nwatu, C. B., Okafor, C. I., Ugwueze, C. V., & Chukwu, S. N. (2019). Prevalence of Gestational Diabetes in South East Nigeria Using the Updated Diagnostic Guidelines. International Journal of Diabetes and Metabolism, 25(1-2), 26-32.
  16. Robin Varghese , Binny Thomas, Dr. Moza Al Hail, Dr. Abdul Rauf, Dr. Mona Al Sadi, Dr. Ayesha Al Sualiti, Virendra Yadav (2012) : “The Prevalence, Risk actors, Maternal and Fetal outcomes in Gestational Diabetes Mellitus” Int. J. Drug Dev. & Res., 4(3): 356-368. doi: doi number
  17. Seshiah, V., Balaji, V., Balaji, M. S., Sanjeevi, C. B., & Green, A. (2004). Gestational diabetes mellitus in India. Japi, 52(9), 707-711.
  18. Bhat M, Ramesha KN, Sarma SP, Menon S, Sowmini CV and Kumar SG (2010). Determinants of Gestational Diabetes Mellitus: A case control Study in a District Tertiary Care Hospital in South India. International journal of diabetes in developing countries.; 30: 91.
  19. Boriboonhirunsarn D, Pattarawalai Talungjit, Prasert Sunsaneevithayakul and Ratre Sirisomboon (2006). Adverse Pregnancy Outcomes in Gestational Diabetes Mellitus. J Med Assoc Thai. Vol. 89 Suppl. 4: S23-S28.
  20. Getahun D, Fassett MJ and Jacobsen SJ (2008). Gestational diabetes: risk of recurrence in subsequent pregnancies. Am J Obstet Gynecol. Nov; 203(5):467.
  21. Hadaegh F, Tohidi M, Harati H, Kheirandish M and Rahimi S (2005). Prevalence of gestational diabetes mellitus in southern Iran (Bandar Abbas City). Endocrine Practice. 11: 313-318.
  22. X, Saunders.L.D, Wang.F.L and Demianczuk.NN (2001): Gestational Diabetes Mellitus: Prevalence, Risk Factors, Maternal and Infants Outcomes. International journal of gynecology and obctetrics. 75:221.
  23. Priyanka k., Kachhwaha, C. P., & Singh, H. V. (2013). Prevalence of gestational diabetes mellitus and its outcome in western Rajasthan. Indian journal of endocrinology and metabolism, 17(4), 677.

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