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Vol 6, No 5 (2017)
Original articles (submitted)
Published online: 2017-12-28
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Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Amani Osman Abdelmola, Mohamed Salih Mahfouz, Mona Ali Manssor Gahtani, Yousra Jaber Mouharrq, Bayan Hassan Othman Hakami, Omimah Ibrahim Daak, Aisha Qassem Alharbi, Umklthom Mohammed Ali Masmali, Dalal Ali Mohammed Melassy, Afnan Ahmad Alhazmi
DOI: 10.5603/DK.2017.0028
·
Clinical Diabetology 2017;6(5):172-177.

open access

Vol 6, No 5 (2017)
Original articles (submitted)
Published online: 2017-12-28

Abstract

Background. The gestational diabetes (GDM) is considered as a global public health problem that affects pregnant women. GDM can become chronic type II and usually it is associated with many risk factors that may lead to many serious complications for the mother and the fetus. The main objective of this study was to estimate the prevalence of GDM among pregnant women in Jazan region and to determine the possible associated factors of the GDM. Material and methods. The study involved pregnant women attending department of Obstetrics and Gynecology at government hospitals of Jazan region. A sample of 440 pregnant women were randomly selected. Interviews were conducted using a questionnaire prepared to measure the GDM prevalence, risk factors, awareness and adherence to the advice of the doctor and medications. Results. The prevalence of gestational diabetes among pregnant women in Jazan is estimated at 8.2%. The GDM prevalence was significantly higher among obese women (20.2%; 95% CI 13.2–29.2) compared with women with normal weight (7.1%; 95% CI 1.7–7.6). The analysis showed that GDM was significantly associated with child weight more than 3.5 kg (OR 4.315; p = 0.004), mother’s BMI more than 30 kg/m2 (OR 4.703; p = 0.001), and family history of GDM (OR 2.606; p = 0.046). Conclusion. In conclusion, the GDM prevalence obtained in this study is more than global prevalence and less than other studies in KSA. The BMI of mothers and having neonates that weight more than 3.5 kg are the main risk factors for GDM. Suitable interventions programs are highly required for control and risk factor modifications.

Abstract

Background. The gestational diabetes (GDM) is considered as a global public health problem that affects pregnant women. GDM can become chronic type II and usually it is associated with many risk factors that may lead to many serious complications for the mother and the fetus. The main objective of this study was to estimate the prevalence of GDM among pregnant women in Jazan region and to determine the possible associated factors of the GDM. Material and methods. The study involved pregnant women attending department of Obstetrics and Gynecology at government hospitals of Jazan region. A sample of 440 pregnant women were randomly selected. Interviews were conducted using a questionnaire prepared to measure the GDM prevalence, risk factors, awareness and adherence to the advice of the doctor and medications. Results. The prevalence of gestational diabetes among pregnant women in Jazan is estimated at 8.2%. The GDM prevalence was significantly higher among obese women (20.2%; 95% CI 13.2–29.2) compared with women with normal weight (7.1%; 95% CI 1.7–7.6). The analysis showed that GDM was significantly associated with child weight more than 3.5 kg (OR 4.315; p = 0.004), mother’s BMI more than 30 kg/m2 (OR 4.703; p = 0.001), and family history of GDM (OR 2.606; p = 0.046). Conclusion. In conclusion, the GDM prevalence obtained in this study is more than global prevalence and less than other studies in KSA. The BMI of mothers and having neonates that weight more than 3.5 kg are the main risk factors for GDM. Suitable interventions programs are highly required for control and risk factor modifications.
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Keywords

gestational diabetes; obstetrics; hypoglycemia; Jazan

About this article
Title

Gestational diabetes prevalence and risk factors among pregnant women — Jazan Region, Saudi Arabia

Journal

Clinical Diabetology

Issue

Vol 6, No 5 (2017)

Pages

172-177

Published online

2017-12-28

DOI

10.5603/DK.2017.0028

Bibliographic record

Clinical Diabetology 2017;6(5):172-177.

Keywords

gestational diabetes
obstetrics
hypoglycemia
Jazan

Authors

Amani Osman Abdelmola
Mohamed Salih Mahfouz
Mona Ali Manssor Gahtani
Yousra Jaber Mouharrq
Bayan Hassan Othman Hakami
Omimah Ibrahim Daak
Aisha Qassem Alharbi
Umklthom Mohammed Ali Masmali
Dalal Ali Mohammed Melassy
Afnan Ahmad Alhazmi

References (20)
  1. Zaw W, Stone DG. Caudal Regression Syndrome in twin pregnancy with type II diabetes. J Perinatol. 2002; 22(2): 171–174.
  2. Perkins JM, Dunn JP, Jagasia SM. Perspectives in Gestational Diabetes Mellitus: A Review of Screening, Diagnosis, and Treatment. Clinical Diabetes. 2007; 25(2): 57–62.
  3. Lawal M. Management of diabetes mellitus in clinical practice. Br J Nurs. 2008; 17(17): 1106–1113.
  4. Moy FM, Ray A, Buckley BS, et al. Techniques of monitoring blood glucose during pregnancy for women with pre-existing diabetes. Cochrane Database Syst Rev. 2014; 6(4): CD009613.
  5. Hunt KJ, Schuller KL. The increasing prevalence of diabetes in pregnancy. Obstet Gynecol Clin North Am. 2007; 34(2): 173–99, vii.
  6. Alfadhli EM. Gestational diabetes mellitus. Saudi Med J. 2015; 36(4): 399–406.
  7. Xiong X, Saunders LD, Wang FL, et al. Gestational diabetes mellitus: prevalence, risk factors, maternal and infant outcomes. Int J Gynaecol Obstet. 2001; 75(3): 221–228.
  8. The Public Health Agency of Canada’s Maternal diabetes in Canada fact sheet. Canadian Perinatal Surveillance System monitors and reports on key indicators of maternal, fetal and infant health in Canada 2014. https://www.canada.ca/en/public-health/services/publications/healthy-living/maternal-diabetes-canada.html, accessed January 2017 (January 2017).
  9. Kalra P, Kachhwaha CP, Singh HV. Prevalence of gestational diabetes mellitus and its outcome in western Rajasthan. Indian J Endocrinol Metab. 2013; 17(4): 677–680.
  10. Bener A, Saleh NM, Al-Hamaq A. Prevalence of gestational diabetes and associated maternal and neonatal complications in a fast-developing community: global comparisons. Int J Womens Health. 2011; 3: 367–373.
  11. Al-Rowaily MA, Abolfotouh MA. Predictors of gestational diabetes mellitus in a high-parity community in Saudi Arabia/Facteurs predictifs du diabete gestationnel au sein d'une communaute a parite elevee en Arabie saoudite. Eastern Mediterranean Health Journal. 2010 Jun 1. ; 16(6): 636.
  12. Di Cianni G, Volpe L, Lencioni C, et al. Prevalence and risk factors for gestational diabetes assessed by universal screening. Diabetes Res Clin Pract. 2003; 62(2): 131–137.
  13. American Diabetes Association. Gestational diabetes mellitus. Diabetes Care. 2014; 37(Suppl 1): 14–80.
  14. Serehi AAl, Ahmed AM, Shakeel F, et al. A comparison on the prevalence and outcomes of gestational versus type 2 diabetes mellitus in 1718 Saudi pregnancies. Int J Clin Exp Med. 2015; 8(7): 11502–11507.
  15. Al-Rubeaan K, Youssef AM, Subhani SN, et al. Diabetic nephropathy and its risk factors in a society with a type 2 diabetes epidemic: a Saudi National Diabetes Registry-based study. PLoS One. 2014; 9(2): e88956.
  16. Macaulay S, Dunger DB, Norris SA. Gestational diabetes mellitus in Africa: a systematic review. PLoS One. 2014; 9(6): e97871.
  17. Jesmin S, Akter S, Akashi H, et al. Screening for gestational diabetes mellitus and its prevalence in Bangladesh. Diabetes Res Clin Pract. 2014; 103(1): 57–62.
  18. Hadaegh F, Tohidi M, Harati H, et al. Prevalence of gestational diabetes mellitus in southern Iran (Bandar Abbas City). Endocr Pract. 2005; 11(5): 313–318.
  19. Dornhorst A, Rossi M. Risk and prevention of type 2 diabetes in women with gestational diabetes. Diabetes Care. 1998; 21 Suppl 2: B43–B49.
  20. Shek NW, Ngai CS, Lee CP, et al. Lifestyle modifications in the development of diabetes mellitus and metabolic syndrome in Chinese women who had gestational diabetes mellitus: a randomized interventional trial. Arch Gynecol Obstet. 2014; 289(2): 319–327.

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