Prevalence, risk factors and morbidities of gestational diabetes among pregnant women attending a hospital in an urban area of Bhubaneswar, Odisha

Hussain, Tahziba; Das, Shritam; Parveen, Firdoush; Samanta, Prashanti; Bal, Madhusmita; Yadav, V. S.

doi:10.4103/jfmpc.jfmpc_869_20

Cited by 8 publications

(4 citation statements)

References 33 publications

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“…Moreover, the two groups in our research were compared in terms of congenital malformations, and no significant difference was observed in this regard. This finding is also in line with some of the previous studies in this respect (23,26).…”

Section: Discussionsupporting

confidence: 94%

Comparison of Pregnancy Outcomes in Diabetic and Healthy Women

Jafari

Fattahi

Sheikhy

et al. 2022

J Health Rep Technol

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Background: Gestational diabetes is the most prevalent metabolic disorder during pregnancy. Therefore, it is essential to recognize its outcomes and complications. Objectives: The present study aimed to compare pregnancy outcomes in diabetic and healthy women. Methods: This case-control study was conducted on 380 diabetic and healthy women, who were divided into two groups of 190, at Moatazedi Hospital in Kermanshah, Iran in 2019. The participants were selected via convenience sampling. Data were collected using a researcher-made checklist designed based on the family records of the participants. Data analysis was performed in SPSS version 22 using chi-square, Fisher’s exact test, and the Mann-Whitney U test. Results: A significant correlation was observed between gestational age, maternal body mass index, birth weight, infant’s height, mode of delivery (P < 0.01), preeclampsia (P = 0.01), and the family history of diabetes (P = 0.03) in the diabetic and healthy pregnant women. However, no significant correlation was denoted between the five- and 10-minute Apgar scores, maternal disorders, and maternal care during pregnancy. Conclusions: According to the results, gestational diabetes is associated with an increase rate of complications, which must be diminished through prevention and disease control to promote maternal and neonatal health.

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Section: Discussionsupporting

confidence: 94%

Comparison of Pregnancy Outcomes in Diabetic and Healthy Women

Jafari

Fattahi

Sheikhy

et al. 2022

J Health Rep Technol

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“…[ 32 ] Alongside, an increasing prevalence of multiple chronic conditions in young females particularly maternal morbidities is a key health challenge in these settings. [ 15 16 33 ] Within LMICs, India contributes to a major share of chronic conditions at the same time accounting for one-quarter of maternal deaths globally. [ 6 34 ] However, the exact burden of maternal multimorbidity is not yet well elucidated in India.…”

Section: Discussionmentioning

confidence: 99%

Profile of comorbidity and multimorbidity among women attending antenatal clinics

Puri

Sinha

Panda³

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Multimorbidity is being recognized as a crucial maternal health challenge in India. However, pregnancy remains an exclusion criterion in most multimorbidity estimation studies resulting in a deficient understanding of the problem in this population. The present study aims to estimate the prevalence of multimorbidity, identify its correlates, and assess healthcare utilization and expenditure outcomes among women availing of antenatal care clinics Methods: An exploratory cross-sectional study was conducted among 127 pregnant women attending three antenatal clinics of Bhubaneswar, Odisha, from February to July 2016. Data were collected using a “multimorbidity assessment questionnaire for primary care,” contextualized for antenatal settings. The prevalence and correlates were determined using descriptive analysis, and the outcomes were measured by the number of healthcare visits, medications, and healthcare expenditure. About 15% of antenatal women were multimorbid Result: Anemia (52.6%), hypertension (31.6%), acid-peptic diseases (26.3%), and thyroid (26.3%) were the leading chronic conditions. Statistically, significant association was found between multimorbidity and medical consultation, the medicines consumed, and functional limitation. The healthcare expenditure was significantly higher among the multimorbidity groups Conclusion: Our findings suggest the inclusion of comprehensive multimorbidity assessment in routine antenatal screening. Preconception care should establish linkages between maternal and reproductive health with chronic disease prevention, and identify ways to reduce healthcare utilization and expenditure. Longitudinal studies to assess the trajectory and impact of multimorbidity on maternal and infant health are warranted.

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“…However, national mean percentage coverage of some of the indicators of maternal health service coverage is quite perturbing, such as; screening for diabetes (ANC indicator), SBA attended home deliveries, c-section delivery and treatment for obstetric complications (all INC indicators) as they recorded relatively low mean percentage (around 30%) coverage across the country. Some state speci c studies recorded prevalence of gestational diabetes ranged between 9.89-35% [31][32][33][34][35], which is quite alarming. In this regard, in compliance with the recommendations of WHO and International Association of Diabetes and Pregnancy Study Group (IADPSG), India requires region speci c efforts to expand its coverage of screening for diabetes among pregnant women [34].…”

Section: Discussionmentioning

confidence: 99%

Measurement and Mapping of Maternal Health Service Coverage Through a Novel Composite Index: A Sub-National Level Analysis in India

Kiran

Junaid

Rajagopal

et al. 2022

Preprint

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Background: Expansion of maternal health service coverage is crucial for the survival and wellbeing of both mother and child. To date, limited literature exists on the measurement of maternal health service coverage at the sub-national level in India. The prime objectives of the study were to comprehensively measure the maternal health service coverage by generating a composite index; map India by categorizing it into low, medium and high zones and examine its incremental changes over time. Methods: Utilising a nationally representative time series data of 15 key indicators spread across three domains of antenatal care, intranatal care and postnatal care, we constructed a novel ‘Maternal Health Service Coverage Index’ (MHSI) for 29 states and 5 union territories of India for the base (2017-18) and reference (2019-20) years. Following a rigorous procedure, MHSI scores were generated using both arithmetic mean and geometric mean approach. We categorized India into low, medium and high maternal health coverage zones and further generated geospatial maps to examine the extent and transition of maternal health service coverage from base to reference year.Results: India registered the highest mean percentage coverage (93.66%) for ‘institutional delivery’ and lowest for ‘treatment for obstetric complications’ (9.25%) among all the indicators. Depending on the usage of arithmetic mean and geometric mean approach, the maternal health service coverage index score for India exhibited marginal incremental change (between 0.015- 0.02 index points) in the reference year. West zone exhibited an upward transition in the coverage of maternal health service indicators, while none of the zones recorded a downward movement. States of Mizoram (east zone), Puducherry (south zone) showed a downward transition. Union territories of Dadra & Nagar Haveli (west zone) and Chandigarh (north zone) along with the states of Maharashtra (west zone), Assam, as well as Jharkhand (both from the east & north east zone), showed upward transition.Conclusion: Overall, maternal health service coverage is increasing across India. Our study offers a novel summary measure to comprehensively quantify the coverage of maternal health service, which can momentously help India to identify lagged indicators and low performing regions, thereby warranting the targeted interventions and concentrated programmatic efforts to bolster the maternal health service coverage at the sub-national level.

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Prevalence, risk factors and morbidities of gestational diabetes among pregnant women attending a hospital in an urban area of Bhubaneswar, Odisha

Cited by 8 publications

References 33 publications

Comparison of Pregnancy Outcomes in Diabetic and Healthy Women

Comparison of Pregnancy Outcomes in Diabetic and Healthy Women

Profile of comorbidity and multimorbidity among women attending antenatal clinics

Measurement and Mapping of Maternal Health Service Coverage Through a Novel Composite Index: A Sub-National Level Analysis in India

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