DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190289

Incidence and risk factors of gestational diabetes mellitus in antenatal mothers in Goa, India

Rini R. Naik, Guruprasad Pednekar, Jagadish Cacodcar

Abstract


Background: Gestational Diabetes Mellitus (GDM) accounts for almost 90% of all pregnancies complicated by diabetes. Its prevalence in the Indian population ranges from 5.5% to 11.5 %.

Methods: The present study was undertaken to assess the incidence of GDM among antenatal mothers admitted in Goa Medical College for a period of 18 months and also to study the risk factors associated with GDM amongst such cases.

Results: Present study revealed that among 7717 antenatal mothers who were admitted and delivered in our Hospital, 424 women were diagnosed with GDM. Of these women diagnosed with GDM, almost one third were in the age group of 31- 35 years (35.8%); 56.2 % of these women were multigravidas. Advancing maternal age, rising parity, obesity, family history of Diabetes Mellitus (DM) and past history of GDM were among the risk factors found to be significantly associated with GDM.

Conclusions: The incidence of GDM in present study population was 5.49%. Advancing maternal age, maternal obesity, family history of DM and past history of GDM were found to be important determinants of GDM.


Keywords


Family history, Gestational diabetes mellitus, Obesity, Past history of GDM

Full Text:

PDF

References


American Diabetes Association, Classification and diagnosis of diabetes, Diabetes Care.2015;38(1):S8-S16.

International Diabetes Federation. IDF Diabetes Atlas, 8th edition. Brussels, Belgium: International Diabetes Federation, 2017. Available at http://www.diabetesatlas.org

Thathagari V, Doddaiah V, Raghavenda B. A study of prevalence and determinants of gestational diabetes mellitus. Int J Reprod Contracept Obstet and Gynaecol. 2016;5(5):1331-5

Shridevi AS, Prabhudev P, Madhusoodana R. Bhovi, A clinical study of prevalence of gestational diabetes mellitus and associated risk factors at a tertiary care centre in Karnataka, India. Int J Reprod Contracept Obstet Gynaecol. 2015;4(6):1840-5.

Carpenter MW, Coustan DR, and Criteria for screening tests for gestational diabetes. Am J Obstet Gynecol. 1982,144(7):768-73.

Champa Koppad, Lakshmi K.S. Immunological Causes of Bad Obstetric History. J Evidence Med Healthcare.2014;1(16):2086-99.

Dornhorst A, Rossi M. Risk and Prevention of Type 2 Diabetes in women with Gestational Diabetes. Diabetes Care. 1998;21(2):B43-9.

Seshiah V, Balaji V, Balaji MS, Sekar A, Sanjeevi CB, Green A. One step procedure for screening and diagnosis of gestational diabetes mellitus. Diabetes. 2005;126:200.

Anand M, Anand M, Mahajan DS. To study the incidence of gestational diabetes mellitus and risk factors associated with GDM. International Journal of Advance Medicine. 2017;4(1):112-6.

Surwade VM, Sinha V, Kachhawa P. Prevalence of gestational diabetes and risk factors among women visiting antenatal clinic of A tertiary health care hospital. IOSR-JDMS. 2017;16(9):1-4.

Pallav Parikh, Asha Sha, Dinesh Joshi, Rushit Shah. Prevalence of gestational diabetes mellitus at tertiary care center. Int J Sci Res Pub. 2014;4(9):1-3.