Gestational diabetes in Iran: incidence, risk factors and pregnancy outcomes

Keshavarz, Maryam; Cheung, N. Wah; Babaee, Gholam Reza; Moghadam, Hamid Kalalian; Ajami, M E; Shariati, Mohammad

doi:10.1016/j.diabres.2005.01.011

Cited by 131 publications

(110 citation statements)

References 28 publications

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“…On the other hand, Yang et al 29 , when studying Chinese pregnant women, did not find an association between gestational diabetes mellitus and education or average household income. Keshavarz et al 30 , studying pregnant Iranian women, did not find an association between gestational diabetes mellitus and education or occupation; however, they did find an association with low socioeconomic level. Both studies did not control for confounders.…”

Section: Socioeconomic Level/educationmentioning

confidence: 97%

“…Lauszus et al 46 1999 and Keshavarz et al 30 , in a descriptive analysis, found that women with more children were more likely to present gestational diabetes mellitus.…”

Section: Paritymentioning

confidence: 99%

“…Other studies evaluating the association between height and gestational diabetes mellitus presented conflicting results: Yang et al 29 in 2002, investigated height averages of diabetic and non diabetic pregnant Chinese women; Iranians were studied by Keshavarz et al 30 in 2005; and Tabak et al 31 assessed pregnant Hungarians in 2003 but did not find significant differences in a comparison of mean values. Only the first study controlled for confounders 29 .…”

Section: Heightmentioning

confidence: 99%

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Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature

Dode

Santos

2009

Cad. Saúde Pública

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Section: Socioeconomic Level/educationmentioning

confidence: 97%

“…Lauszus et al 46 1999 and Keshavarz et al 30 , in a descriptive analysis, found that women with more children were more likely to present gestational diabetes mellitus.…”

Section: Paritymentioning

confidence: 99%

Section: Heightmentioning

confidence: 99%

See 1 more Smart Citation

Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature

Dode

Santos

2009

Cad. Saúde Pública

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“…Reported prevalence rates in population-based studies in Turkey, Iran, Bahrain, Ethiopia and India ranged from 1.2% in Turkey (NDDG criteria following universal screening) to 15.5% in Bahraini women (C & C with a 3-hour 75g OGTT following universal screening) (78)(79)(80)(81)(82)(83). In a retrospective study in Australia, which included all singleton deliveries in Victoria in 1996 and utilized routinely collected information in two databases, the prevalence was 3.6% in nonAboriginal women and 4.3% in Aboriginal women (64).…”

Section: Population-based Studiesmentioning

confidence: 99%

The Increasing Prevalence of Diabetes in Pregnancy

Hunt

Schuller

2007

Obstetrics and Gynecology Clinics of North America

427

272

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“…GDM may cause serious morbidities both for mother and infant (8). Women with GDM have been reported to have increased rates of stillbirth, polyhydramnios, gestational hypertension, macrosomia, and cesarean delivery (9). GDM usually resolves after delivery, but it appears that the risk of recurring GDM and type 2 diabetes mellitus are increased in subsequent pregnancies, along with cardiovascular risk later in life (10,11).…”

Section: Discussionmentioning

confidence: 99%

Gestational diabetes mellitus screening and outcomes

Aktun

Uyan

Yorgunlar

et al. 2015

J Turkish German Gynecol Assoc

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Results: Approximately 28% of the pregnant women aged younger than 35 years with no risk factors for gestational diabetes mellitus were diagnosed with the oral glucose tolerance test in this study. In the gestational diabetes mellitus group, the primary cesarean section rate was importantly higher than that in the non-gestational diabetes mellitus group. Preterm delivery was also associated with gestational diabetes mellitus. The diagnosis of gestational diabetes mellitus was strongly associated with admittance to the neonatal intensive care unit. Neonatal respiratory problems didn't showed any significant deviation between the groups. There was a moderate association between gestational diabetes mellitus and metabolic complications. Conclusion:Pregnant women with no obvious risk factors were diagnosed with gestational diabetes mellitus using the World Health Organization criteria. The treatment of these women potentially reduced their risk of adverse maternal and neonatal hyperglycemia-related events, such as cesarean section, polyhydramnios, preterm delivery, admission to neonatal intensive care unit, large for gestational age, and higher neonatal weight. (J Turk Ger Gynecol Assoc 2015; 16: 25-9) Keywords: Gestation, diabetes mellitus, pregnancy, oral glucose tolerance test, neonatal outcomes Received: 25 July, 2014 Accepted: 10 January, 2015 Gestational diabetes mellitus screening and outcomesHale Lebriz Aktün, Derya Uyan, Betül Yorgunlar, Mustafa Acet Department of Obstetrics and Gynecology, İstanbul Medipol University Hospital, İstanbul, Turkey AbstractOriginal Investigation 25 treatment with self-observing of blood glucose levels (fasting and 1 h after each meal) daily with a glucometer. Subsequent follow-ups were conducted for all patients biweekly or more frequently as indicated. Treatment outcomes were evaluated according to the American Diabetes Association recommendations (6). All demographic characteristics (age, parity, family history of diabetes, and self-reported prepregnancy weight) of the patients were obtained from their existing records. Birth mode (cesarean or vaginal delivery) and labor induction, preterm delivery (delivery before 37 weeks of gestation), gestational hypertension, preeclampsia, polyhydramnios, and oligohydramnios were also documented from these records. The recorded adverse fetal outcomes were infant death, stillbirth, dystocia, bone fracture, nerve palsy, admission to the neonatal intensive care unit (NICU), respiratory complications [including respiratory distress syndrome (RDS) and transient tachypnea of newborn (TTN)] that increased birth weight, macrosomy (birth weight of >4000 g), large for gestational age (LGA, defined as birth weight> the 90 th percentile on standard charts), small for gestational age (SGA, defined as birth weight < the 10 th percentile on standard charts), and metabolic complications including hypocalcemia, hemoglobin level ≥20 g/dL, hypoglycemia (blood glucose level ≤35 mg/dL), and hyperbilirubinemia requiring phototherapy. ResultsThe pr...

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Gestational diabetes in Iran: incidence, risk factors and pregnancy outcomes

Cited by 131 publications

References 28 publications

Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature

Non classical risk factors for gestational diabetes mellitus: a systematic review of the literature

The Increasing Prevalence of Diabetes in Pregnancy

Gestational diabetes mellitus screening and outcomes

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