DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20182506

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

Muhammad Faisal, Muhammad Abu Bakar, Zahid Hussain, Khizer Abbas

Abstract


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.


Keywords


Frequency, Gestational diabetes mellitus, Pregnant mothers

Full Text:

PDF

References


American diabetes association, Gestational Diabetes Mellitus. Diabetes care 2014 26 (Suppl.1). Available at http://care.diabetesjournals.org

Schneiderman EH. Gestational diabetes: an overview of a growing health concern for women. J Infus Nurs. 2010;33(1):48-54.

Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137-49.

Hunt KJ, Schuller KL. The increasing prevalence of diabetes in pregnancy. Obstet Gynecol Clin. 2007;34(2):173-99.

Yew T, Khoo C, Thai A, Kale A, Yong E, Tai E. The prevalence of gestational diabetes mellitus among Asian females is lower using the new 2013 World Health Organization diagnostic criteria. Endocrine Pract. 2014;20(10):1064-9.

MA Mannan, MH Rahman, I Ara, H Afraz. The prevalence and outcomes of gestational diabetes mellitus among Bangladeshi pregnant women. J Med. 2012;13:147-51.

Kamar V, Abbas A, Aster J. Robbins Basic pathology. 9th edition. 2012.1075-1077.

Carmody D, Doyle A, Firth RG, Byrne MM, Daly S, Mc Auliffe F, et al. Teenage pregnancy in type 1 diabetes mellitus. Pediatr Diabetes. 2010;11(2):111-5.

Rudra CB, Williams MA, Lee IM, Miller RS, Sorensen TK. Perceived exertion in physical activity and risk of gestational diabetes mellitus. Epidemiol. 2006;17(1):31-7.

Garrison A. Screening, diagnosis, and management of gestational diabetes mellitus. Am Fam Physician. 2015;91(7):460-7.

Cousins L. Pregnancy complications among diabetic women: review 1965-1985. Obstetri Gynecologic Survey. 1987;42(3):140-9.

Kim C, Newton KM, Knopp RH. Gestational diabetes and the incidence of type 2 diabetes: a systematic review. Diabetes care. 2002;25(10):1862-8.

Bibi S, Saleem U, Mahsood N. The frequency of gestational diabetes mellitus and associated risk factors at Khyber teaching hospital Peshawar. J Postgrad Med Inst. (Peshawar-Pakistan). 2015;29(1):43-6.

Wang Y, Chen L, Xiao K, Horswell R, Besse J, Johnson J, et al. Increasing incidence of gestational diabetes mellitus in lousiana 1997-2009 J, Womens Health (Larchmt) 2012:21(3):319-25.

Naheed F, Kammeruddin K, Hashmi HA, Narijo S. Frequency of impaired oral glucose tolerance test in high risk pregnant for GDM. J Coll Physician Surg Pak. 2008;18:82-5.

Mahalakshmi MM, Bhavadharini B, Kumar Maheswari RM, Jebarani S, Ninov L, Kayal A, et al. Current practices in the diagnosis and management of gestational diabetes mellitus in India (WINGS-5). Indian J Endocrinol Metabol. 2016;20(3):364-8.

Randhawa MS, Moin S, Shoaib F. Diabetes mellitus during pregnancy: a study of fifty cases. Pakistan J Med Sc. 2003;19(4):277-82.

Zaman N, Taj N, Nazir S, Ullah E, Fatima N, Gestational Diabetes Mellitus and obesity: An experience at a teaching hospital Bahwalpur, Pakistan. Rawal Med J. 2013:38:165.