Prevalence of Gestational Diabetes Mellitus in Pregnant Women Referring to Gynecology and Obstetrics Clinics

[摘要] BackgroundObjective:TodeterminetheprevalenceofgestationaldiabetesmellitusinpregnantwomeninAhvazSubjectsandMethods:Inthisstudy,678pregnantwomenwhohadreferredtotwogynecologicandobstetricsclinicswereevaluated.Screeningwasperformedwith50gramoralglucosechallengetest(GCT)with140mg/dlcut-offpoint,andthenadiagnostic100goralglucosetolerancetest(OGTT)wasdoneaccordingtoCarpenterandCoustancriteria.Results:TheprevalenceofGDMandimpairedglucosetolerance(IGT)were7.4%and4.3%,respectively.ThemeanageofpatientswithGDM(30.32±5.27years)wasobviouslyhigherthanthatforhealthywomen(26.25±4.94years)(plt;0.001).TheaveragenumberofpregnanciesofpatientswithGDM(2.4±1.1)wasobviouslyhigherthanthatforhealthywomen(1.9±1.1)(plt;0.003).TherewasasignificantdifferencebetweenthenumberofpreviousabortioninwomenwithGDM(30%)andhealthywomen(13.85%)(p=0.002).TheoccurrenceofpreviousGDMinwomenwithGDM(10%)wassignificantlyhigherthanhealthywomen(33%)(p=0.0001).ThefrequencyofpreviousmacrosomiainwomenwithGDM(6%)andinwomenwithIGT(10.34%)weresignificantlyhigherthanhealthywomen(0.5%)(p=0.003andplt;0.001,respectively).TherewasnorelationshipbetweentheprevalenceofGDMandIGTwithpreviouscongenitalabnormalities,previousstillbirthandnumberofparities.TherewasnorelationshipbetweentheprevalenceofIGTandthefallowingvariables:thematernalage,numberofpregnancies,previousabortionandpreviousGDMwithprevalenceofIGT.Conclusion:GDMhashighprevalenceinAhvazandscreeningisrecommendedforallpregnantwomen.

[学科分类] 基础医学