Prevalence and Pregnancy Outcome of Gestational Diabetes Mellitus Among Bangladeshi Urban Pregnant Women

Mannan, MA; Rahman, Mizanur; Ara, Iffat; Afroz, Hafsa

doi:10.3329/jom.v13i2.12749

Cited by 12 publications

(25 citation statements)

References 19 publications

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“…Thus, it is quite obvious from other studies that there has been an independent association between GDM and fetal macrosomia (4,(10)(11) . However, maternal age ≥ 35 years, overdue pregnancy period and high maternal BMI are the other important maternal health characteristics that also affect fetal macrosomia as well (15)(16)(17) .…”

Section: Introductionmentioning

confidence: 92%

“…GDM is quite common affecting around 3 -10% of pregnancies worldwide (1) . In Bangladesh, prevalence of GDM is also quite high with frequencies around 7 -14% (2)(3)(4) . Any degree of glucose intolerance detected during pregnancy is termed GDM.…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, the major effects of GDM on fetus include congenital malformation, fetal macrosomia, birth injury and neonatal morbidities like neonatal jaundice, respiratory distress syndrome, polycythemia, hypoglycaemia, hypocalcemia, etc. (4,(7)(8)(9) . Also, GDM accounts for long term health risks for both the mother and babies in later life (4) .…”

Section: Introductionmentioning

confidence: 99%

“…(4,(7)(8)(9) . Also, GDM accounts for long term health risks for both the mother and babies in later life (4) . Among the many health risks, higher birth weight of the infant is the most common adverse infant outcome of GDM mother (10)(11) .…”

Section: Introductionmentioning

confidence: 99%

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Evaluating the Effects of Gestational Diabetes Mellitus on Fetal Birth Weight

Sumit

Das

Sarker

et al. 2020

Dhaka Univ. J. Biol. Sci

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This study was aimed at evaluating the association between gestational diabetes mellitus (GDM) and fetal birth weight considering duration of pregnancy, maternal age and body mass index (BMI). This was a retrospective cross-sectional study followed by cohort type of study. Initially, pregnant women in their 24 to 28th week of gestation were selected for determining their fasting blood glucose (FBG) level and blood glucose level 2 hrs after 75 g oral glucose intake. The cut-off value for the diagnosis of GDM was > 5.3 mmol/l for FBG level and > 8.6 mmol/l for taking 75 g oral glucose intake after 2 hrs. Both GDM and control group subjects were followed up to neonatal period to find out neonatal outcomes. Among the total 215 subjects, 84 pregnant women were selected with GDM and rest 131 were control. It is found that GDM alone had a significant (p = 0.05) positive effect on both the duration of pregnancy and fetal birth weight, but not on maternal BMI. Both the effects of duration of pregnancy and GDM are considered together on fetal birth weight, only GDM had significant impact on fetal birth weight compared to the control group. Similarly, when the effect of maternal BMI and GDM is considered together on fetal birth weight, only GDM group was found to have significant effect on fetal birth weight. Parallel results were observed for the effect of both maternal age and GDM on fetal birth weight. In binary logistic regression analysis, when the differences are considered in maternal age, duration of pregnancy and maternal BMI along with GDM, both maternal age ≥ 35 years (OR: 9.43, p = 0.001) and GDM (OR: 10.60, p = 0.003) was found to have significant positive effect on fetal birth weight. It was found that the GDM showed significant influence on fetal birth weight considering the effects of maternal age, duration of pregnancy and maternal BMI. Dhaka Univ. J. Biol. Sci. 29(2): 209-218, 2020 (July)

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Section: Introductionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluating the Effects of Gestational Diabetes Mellitus on Fetal Birth Weight

Sumit

Das

Sarker

et al. 2020

Dhaka Univ. J. Biol. Sci

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“…5 According to WHO, the prevalence of gestational diabetes mellitus among rural population is 31.9% and in urban areas is 38.8%. 6 Gestational diabetes is a condition in which a woman develops high blood sugar level during pregnancy without having diabetes mellitus. 7 Gestational diabetes Mellitus can be defined by fasting plasma glucose >7mol/L (126 mg/dl) or 2-hour plasma glucose level after a 75g OGTT (oral glucose tolerance test) > 7.8 mmol/L (140mg/dl).…”

Section: Introductionmentioning

confidence: 99%

The frequency of gestational diabetes mellitus among pregnant mothers admitted in gynaecology/obstetrics ward of Sheikh Zayed Hospital Rahim Yar Khan, Pakistan

Muhammad

Bakar

Hussain

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: The gestational diabetes mellitus (GDM), defined as my degree of glucose intolerance with onset of first recognition during pregnancy, is poorly understood due to low socioeconomic dynamics among the pregnant mothers of Rahim Yar Khan. It results in many maternal and fetal complications. This study was carried out to determine the frequency and socio- demographic profile of pregnant mothers with gestational diabetes mellitus admitted in Gynecological Obstetrics wards of Sheikh Zayed Medical College Hospital Rahim Yar Khan.Methods: The data for this cross-sectional study was collected during the period from 30-01-2017 to 30-06-2017. The data was collected from labor room and wards of gynecology Sheikh Zayed Hospital Rahim Yar Khan. This study was conducted among the 160 pregnant mothers in Labor room and gynecological wards of Sheikh Zayed Hospital Rahim Yar Khan, admitted during the study period. A predesigned questionnaire was filled by interviewing these mother shaving variables of age, education, residence, working status, BMI, family monthly income, total numbers of children, knowledge of Gestational diabetes mellitus and family history of GDM.Results: The frequency of GDM in this study was significantly associated with reproductive age group 25-34 years (64%), Illiteracy in mothers (53.8 %) from rural area (>50%) housewives (83%), BMI (Mean = 22), Family Monthly income (> 10,000 Rs.), Average no. of Children (2-3), Diagnosed with Gestational Diabetes Mellitus (15.6%), Family history of D.M (>50%).Conclusions: It is concluded that the frequency of Gestational Diabetes Mellitus was high. Early detection, constant sup0ervision, delivery with intensive intra-partum monitoring, facilities of expert neonatologists, proper health care education to pregnant mothers can result in good maternal and fetal outcomes without much morbidity.

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