Pregnancy outcomes of diabetic women: Charting Oman’s progress towards the goals of the Saint Vincent Declaration

Barakat, Mohammed N.; Youssef, Randa M.; Al-Lawati, Jawad

doi:10.4103/0256-4947.65253

Cited by 36 publications

(44 citation statements)

References 13 publications

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“…Although our estimated risks for maternal, fetal, and neonatal complications of pre-GDM and GDM are similar to other studies [21, 23, 25, 26, 32], the impact on the Saudi pregnant population is expected to be bigger due to the high burden of these conditions in the community, which calls for immediate, evidence-based measures including the following:Preconception care should be integrated in the healthcare of Saudi diabetic women considering the proven effects associated with such services in reducing all the complications of pre-GDM [9]. …”

Section: Implication To Practicesupporting

confidence: 89%

Prevalence and Complications of Pregestational and Gestational Diabetes in Saudi Women: Analysis from Riyadh Mother and Baby Cohort Study (RAHMA)

Wahabi

Fayed

Esmaeil

et al. 2017

BioMed Research International

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The objectives of this study were to estimate the burden of diabetes and to explore the adverse pregnancy outcomes associated with pregestational diabetes mellitus (pre-GDM) and gestational diabetes mellitus (GDM) among the Saudi pregnant population. In this subcohort, we compared the maternal and the neonatal outcomes of diabetic women with pre-GDM and GDM to the outcomes of nondiabetic mothers who delivered during the same period. From the total cohort, 9723 women participated in this study. Of the participants, 24.2% had GDM, 4.3% had pre-GDM, and 6951 were nondiabetic. After adjustment for confounders, women with GDM had increased odds of delivering a macrosomic baby (OR: 1.6; 95% CI: 1.2–2.1). Women with pre-GDM were more likely to deliver by Cesarean section (OR: 1.65; CI: 1.32–2.07) and to have preterm delivery < 37 weeks (OR: 2.1; CI: 1.5–2.8). Neonates of mothers with pre-GDM were at increased risk of being stillbirth (OR: 3.66; CI: 1.98–6.72), at increased risk of admission to NICU (OR: 2.21; CI: 1.5–3.27), and at increased risk for being macrosomic (OR: 2.40; CI: 1.50–3.8). The prevalence of GDM and pre-GDM in the Saudi pregnant population is among the highest in the world. The conditions are associated with high maternal and neonatal morbidities and mortalities.

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Section: Implication To Practicesupporting

confidence: 89%

Prevalence and Complications of Pregestational and Gestational Diabetes in Saudi Women: Analysis from Riyadh Mother and Baby Cohort Study (RAHMA)

Wahabi

Fayed

Esmaeil

et al. 2017

BioMed Research International

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“…The total number of women diagnosed to have GDM in this study was 23/307(7.49 %) and this is certainly more than what was reported by Barkat et al, i.e., prevalence rate is 4.17% in Omani pregnant women [5]. This may be due to continuous changes in the diagnostic criteria for GDM and changes in life style, as we found that Omani pregnant women are generally obese whether they are at risk or not of developing GDM.…”

Section: Discussioncontrasting

confidence: 48%

“…The reported prevalence of DM in Oman is about 12 % and equally affects males and females; about 4 % of pregnant women in Oman develop GDM by the time of delivery [4,5].…”

Section: Introductionmentioning

confidence: 99%

50 Grams Oral Glucose Challenge Test: Is It an Effective Screening Test for Gestational Diabetes Mellitus?

Abu-Heija

Al-Bash

Ishrat

et al. 2015

J Obstet Gynecol India

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Aim To find out whether 50 g oral glucose challenge test (OGCT) is an effective screening test for all pregnant women between 24 and 28 weeks gestation. Method A 50 g OGCT test was administered to 307 unselected women at 24-28 weeks of gestation. When venous plasma glucose (VPG) concentration after 1 h was [7.8 mmol/l, OGCT was positive. Women with a positive OGCT underwent 2 h 75 grams oral glucose tolerance test (OGTT) as a confirmatory diagnosis of GDM. When fasting and 2 h post 75 g OGTT values were [5.5 mmol/I and [8 mmol/l, respectively, women were considered diabetic. Results We screened 307 women for GDM by OGCT. Total number of women with positive OGCT was 83 (27.03 %). In the low-risk group, total number of women with GDM was 9/168 (5.35 %) while the total number of women with GDM in the high-risk group was 14/139 (10.07 %). There was no significant difference with respect to the total number of women with GDM in the groups. Conclusions A 50 g OGCT seems to be an effective screening test for both groups. More cases of GDM can be discovered when universal rather than risk-related screening is applied.

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“…This noticeable rise in the prevalence of PDM during pregnancy could be explained in part by the improved screening and detection of diabetes, however the main cause in our opinion is the increased prevalence of T2DM among adults in the Saudi population to an estimated range of 21to 23% [14]. It is worth noting that the prevalence of 3.7% for PDM is very high compared to other regions of the world [6,15-17]. …”

Section: Discussionmentioning

confidence: 99%

Pre-existing diabetes mellitus and adverse pregnancy outcomes

et al. 2012

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BackgroundPregnancies complicated by pre-existing diabetes mellitus (PDM) are associated with a high rate of adverse outcomes, including an increased miscarriage rate, preterm delivery, preeclampsia, perinatal mortality and congenital malformations; compared to the background population. The objectives of this study are to determine the prevalence of PDM and to investigate the maternal and the neonatal outcomes of women with PDM.MethodsThis is a retrospective cohort study for women who delivered in King Khalid University Hospital (KKUH) during the period of January 1st to the 31st of December 2008. The pregnancy outcomes of the women with PDM were compared to the outcomes of all non-diabetic women who delivered during the same study period.ResultsA total of 3157 deliveries met the inclusion criteria. Out of the study population 116 (3.7%) women had PDM. There were 66 (57%) women with type 1 diabetes mellitus (T1DM) and 50 (43%) women with type 2 diabetes mellitus (T2DM). Compared to non-diabetic women those with PDM were significantly older, of higher parity, and they had more previous miscarriages. Women with PDM were more likely to be delivered by emergency cesarean section (C/S), OR 2.67, 95% confidence intervals (CI) (1.63-4.32), P < 0.001, or elective C/S, OR 6.73, 95% CI (3.99-11.31), P < 0.001. The neonates of the mothers with PDM were significantly heavier, P < 0.001; and more frequently macrosomic; OR 3.97, 95% CI (2.03-7.65), P = 0.002. They more frequently have APGAR scores <7 in 5 minutes, OR 2.61, 95% CI (0.89-7.05), P 0.057 and more likely to be delivered at <37 gestation weeks, OR 2.24, 95% CI (1.37- 3.67), P 0.003. The stillbirth rate was 2.6 times more among the women with PDM; however the difference did not reach statistical significance, P 0.084.ConclusionPDM is associated with increased risk for C/S delivery, macrosomia, stillbirth, preterm delivery and low APGAR scores at 5 min.

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Pregnancy outcomes of diabetic women: Charting Oman’s progress towards the goals of the Saint Vincent Declaration

Cited by 36 publications

References 13 publications

Prevalence and Complications of Pregestational and Gestational Diabetes in Saudi Women: Analysis from Riyadh Mother and Baby Cohort Study (RAHMA)

Prevalence and Complications of Pregestational and Gestational Diabetes in Saudi Women: Analysis from Riyadh Mother and Baby Cohort Study (RAHMA)

50 Grams Oral Glucose Challenge Test: Is It an Effective Screening Test for Gestational Diabetes Mellitus?

Pre-existing diabetes mellitus and adverse pregnancy outcomes

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