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Year : 2018  |  Volume : 31  |  Issue : 2  |  Page : 640-645

Risk factors for gestational diabetes mellitus among pregnant women attending Monshaat Sultan Family Health Center, Menoufia Governorate

1 Department of Clinical Pathology, Faculty of Medicine, Menoufia University, Egypt
2 Department of Family Medicine, Faculty of Medicine, Menoufia University, Egypt
3 Department of Family Medicine, Telwana Family Health Unit, El-Bagour, Egypt

Correspondence Address:
Nareiman S Mahmoud
Seris El-Layyan, Menoufia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-2098.239759

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Objectives The aim of the present study was to examine the prevalence of gestational diabetes mellitus (GDM) among pregnant women attending a family health center between 24 and 28 weeks of gestation, and to assess the risk factors. Background GDM is defined as any degree of glucose intolerance with onset of, or first recognized during, pregnancy. Screening for GDM during pregnancy is recommended. Patients and methods This cross-sectional study was conducted on 250 pregnant women between 24 and 28 weeks of gestation who attended the Monshaat Sultan Family Health Center. Risk factors for GDM were estimated using a self-designed questionnaire and initial screening was carried out by a glucose challenge test with 50 g glucose. If 1-h blood glucose level exceeded 130 mg/dl, then a 3-h oral glucose tolerance test with 100 g glucose was carried out and diagnosis was established. Results The prevalence of GDM among the studied group was 8%. Risk factors found to be significantly associated with GDM were advanced age, BMI greater than or equal to 30, high blood pressure, multiparity, preeclampsia, family history of diabetes, induced labor, abortion, preterm deliveries, large-sized baby, and smoking. However, socioeconomic status, small-sized baby, still birth, previous history of hypertension, and family history of hypertension failed to demonstrate significant associations with GDM. Conclusion The prevalence of GDM among pregnant women attending Munshaat Sultan Family Health Center was found to be relatively high compared with other studies. Controlling risk factors and screening for early detection are mandatory for better maternal and fetal health.

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