P048 Caractéristiques épidémiologiques du diabète gestationnel dépisté selon les recommandations de l’IADPSG dans une population noire africaine en milieu hospitalier dakarois

Leye, Abdoulaye; Diack, Ngoné Diaba; Sarr, Nafy Ndiaye; Faye, Cheikh; Leye, Yakham Mohamed; Diouf, Alassane; Gueye, Mamour; Fall, Babacar; Ndour, Michel Assane; Gabnon, Jules Daby; Niang, Samira Elfajri; Niasse, A.; Diallo, M.; Sène, C.

doi:10.1016/s1262-3636(15)30161-0

Cited by 4 publications

(6 citation statements)

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“…Compared to international data, our result is close to the prevalence found in South Africa (25.8%) [ 16 ], but higher than those found in Guinea (16.3%) [ 25 ], in Algeria (14.6%) [ 22 ] and in the Democratic Republic of Congo (11.3%) [ 14 ]. The prevalence of GD in the present study, however, is lower than that of a similar study conducted in Senegal (33.1%) [ 28 ]. This divergence of the results reported in all these studies could be explained by the different characteristics of the populations studied and by the different screening criteria used.…”

Section: Discussioncontrasting

confidence: 95%

Prevalence of gestational diabetes and associated risk factors in the population of Safi Province in Morocco

Chamlal¹,

Mbarki²,

Ayachi³

et al. 2020

Pan Afr Med J

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Introduction the association of diabetes with pregnancy is a frequent gestational situation that constitutes a real public health problem with prevalence and risk factors varying according to the population type. The present study aims to determine the prevalence of gestational diabetes (GD) and associated risk factors (socio-demographic characteristics, medical and obstetric history) in pregnant women from the Moroccan province of Safi. Methods this cross-sectional, descriptive and analytical study was conducted during the period from October 2018 to February 2019, on 208 pregnant women, attending the antenatal consultation services of four health centers equally distributed between urban and rural areas of Safi Province in Morocco. The data on blood glucose levels and the risk factors for gestational diabetes generally described in the literature were collected. The statistical Chi-square test and the logistic regression were used to check the association between gestational diabetes and the risk factors. Results the mean age of the pregnant women sample was 28.9 ± 6.8 years and the prevalence of GD was 24.5%. Using multivariate logistic regression, the most significantly associated risk factors were the diabetic inheritance of a primary relative (OR=2.616 [95% CI: 1.281-5.341]; p=0.008) and the high education level (OR=2.301 [95% CI: 1.123-4.716] p=0.023). Conclusion the results show that gestational diabetes is a frequent pathology among the study population. The data revealed also that the diabetes inheritance (primary relative) and the high level of education are the main risk factors of this pathology in the surveyed pregnant women in the study province.

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Section: Discussioncontrasting

confidence: 95%

Prevalence of gestational diabetes and associated risk factors in the population of Safi Province in Morocco

Chamlal¹,

Mbarki²,

Ayachi³

et al. 2020

Pan Afr Med J

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“…En Afrique subsaharienne, les prévalences rapportées sont plus fortes. Au Sénégal, la prévalence par rapport au nombre de cas de grossesse était de 33,1% en 2015 [4]. En Côte d'Ivoire elle était de 38,8% en 2008 [5].…”

Section: Introductionunclassified

“…En Côte d'Ivoire elle était de 38,8% en 2008 [5]. Le diabète gestationnel représente un problème de santé publique dans le monde, du fait de sa fréquence qui a considérablement augmenté et de son retentissement maternel et fœtal [4]. Les complications du diabète gestationnel sont redoutables et s'observent à court, moyen et long terme justifiant une prise en charge optimale multidisciplinaire [3].…”

Section: Introductionunclassified

Aspects diagnostiques, thérapeutiques et pronostiques du diabète gestationnel au Centre Hospitalier Universitaire Sylvanus Olympio

Djagadou¹,

Tchamdja²,

Nemi³

et al. 2019

Pan Afr Med J

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IntroductionLes objectifs de cette étude étaient de décrire les aspects diagnostiques, pronostiques et thérapeutiques du diabète gestationnel au CHU Sylvanus Olympio de Lomé.MéthodesIl s'est agi d'une étude descriptive transversale réalisée sur 5 ans allant du 1er janvier 2013 au 31 décembre 2017. Elle a concerné 125 gestantes ayant accouché, suivies en médecine interne et dans le Service de Gynéco-obstétrique.RésultatsLa moyenne d'âge maternelle était de 30,84±4,17 ans. Les facteurs de risque les plus rencontrés étaient le surpoids et l'obésité (57,7%), antécédent de diabète familial (33,3%), antécédent de fausse couche spontanée (26,6%), antécédent de mort fœtale in utero (MFIU) (15,5%) et de l'antécédent du diabète gestationnel (8,8%). Le dépistage du diabète gestationnel a été réalisé par la glycémie à jeun et hyperglycémie provoquée (HGPO) à 75g. Le diagnostic a été posé au premier trimestre dans 55,6% des cas, au deuxième trimestre dans 33,3% et 11,1% au troisième trimestre. Le recours à l'insulinothérapie a été nécessaire dans 24,4% des cas et 66,6% sous régime seul. Soixante-six virgule sept pour cent (66,7%) des femmes ont accouché par césarienne et 33,3% par voie basse. Parmi les complications maternelles à l'accouchement, nous avons retrouvé 22,2% de HTA, 17,7% de pré-éclampsie et 2,2% de RPM. Parmi les complications du nouveau-né, il y avait 48,9% de macrosomie, 11,1% de prématurité, 11,1% d'hypoglycémie, 4,4% de malformation et 4,4% mort-né. Quatre-vingt-huit virgule neuf pour cent (88,9%) des nouveaux nés avaient un score d'APGAR supérieur à 7 et plus de 48% étaient des macrosomes.ConclusionLe diabète gestationnel entraîne des complications materno-fœtales. La nécessité d'un dépistage systématique est obligatoire même en l'absence de facteur de risque afin de programmer une prise en charge optimale.

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“…Systematic or targeted screening for GDM is controversial and is reflected in the heterogeneity of international recommendations and professional practices [2,5,7] . The prevalence of GDM and its risk factors depend on the population studied and the screening criteria used [8][9][10] . Thus, the prevalence of GDM is difficult to estimate because of the difficulties of systematic screening and the diversity of diagnostic criteria [4,8,9] .…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of GDM and its risk factors depend on the population studied and the screening criteria used [8][9][10] . Thus, the prevalence of GDM is difficult to estimate because of the difficulties of systematic screening and the diversity of diagnostic criteria [4,8,9] . In European populations, the prevalence, most often estimated at 2-6%, can reach values of 10-20% in some high-risk populations, with a current trend of increasing prevalence in most ethnic groups studied [10,11] .…”

Section: Introductionmentioning

confidence: 99%

Gestational diabetes in urban Guinea: Results of a systematic screening

Bah¹,

Diallo²,

Bah³

et al. 2022

Int. J. Clin. Obstet. Gynaecol.

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The prevalence of type 2 diabetes and moderate fasting hyperglycemia is high in Guinea, while data on gestational diabetes are scarce. Objective: To determine the prevalence of Gestational Diabetes among women admitted for prenatal consultation, identify their socio-epidemiological characteristics and any associated risk factors. Patients and Methods: Prospective study conducted in pregnant women who came for prenatal follow-up in two urban health centers in the prefecture of Kindia, Guinea during the period from January 1 to June 30, 2018, screened according to the recommendations of International Association of Diabetes and Pregnancy Study Group (IADPSG). A single abnormal value is sufficient to make the diagnosis of GDM. All pregnant women between 24 and 28 SA were included. Women with multiple pregnancies and/or preexisting diabetes or refusal to participate in the study were excluded. The variables analyzed: maternal age, gestational age, parity and exposure or not to risk factors. The data were analyzed by specific statistical tests with a probability p<0.05. Results: Seven hundred and forty-two (742) pregnant women were screened with 103 cases of GDM diagnosed, representing a prevalence of 13.8%. The epidemiological profile of women with GDM was dominated by the average maternal age which was 28.7 ± 6.5 years, housewives 57.28% (59/103), no level of education 53.39% (55/ 103), married 67.96% (70/103) with an average parity of 2.11± 1.9. The average gestational age was 27.1 ± 5.6 SA. The risk factors were dominated by advanced maternal age, with a proportion of 70.27% and 13.41% of patients without risk factors, screening for GDM was positive (P < 0.000001). Conclusion:The GDM is frequent among the women followed at the prenatal consultation in Kindia. Systematic screening integrated with prenatal care remains the best means of prevention.

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P048 Caractéristiques épidémiologiques du diabète gestationnel dépisté selon les recommandations de l’IADPSG dans une population noire africaine en milieu hospitalier dakarois

Cited by 4 publications

References 0 publications

Prevalence of gestational diabetes and associated risk factors in the population of Safi Province in Morocco

Prevalence of gestational diabetes and associated risk factors in the population of Safi Province in Morocco

Aspects diagnostiques, thérapeutiques et pronostiques du diabète gestationnel au Centre Hospitalier Universitaire Sylvanus Olympio

Gestational diabetes in urban Guinea: Results of a systematic screening

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