印度奥里萨邦布巴内斯瓦尔市区一家医院就诊孕妇的妊娠期糖尿病患病率、危险因素及发病情况
Prevalence, risk factors and morbidities of gestational diabetes among pregnant women attending a hospital in an urban area of Bhubaneswar, Odisha.
作者信息
Hussain Tahziba, Das Shritam, Parveen Firdoush, Samanta Prashanti, Bal Madhusmita, Yadav V S, Pati Sanghamitra
机构信息
Division of NCDs, ICMR-Regional Medical Research Centre, Chandrasekharpur, Bhubaneswar, Odisha, India.
出版信息
J Family Med Prim Care. 2020 Oct 30;9(10):5327-5333. doi: 10.4103/jfmpc.jfmpc_869_20. eCollection 2020 Oct.
BACKGROUND
Gestational diabetes mellitus (GDM) causes several maternal and neonatal complications.
AIMS
This exploratory study was conducted to estimate the prevalence, determine the risk factors and morbidities among pregnant women.
METHODS
In this prospective study, 1557 pregnant women attending the Gyn. & Obs. clinic of a hospital in an urban area of Bhubaneswar were enrolled. Various socio-demographic factors and clinical profiles were assessed. We used a Glucometer for the diagnosis of GDM.
RESULTS
More younger pregnant women residing in slums, sedentary and overweight were having diabetes. A large percentage of pregnant women living in rural areas and slums visit the government hospitals as they are benefitted by the State govt.'s scheme, Mamata. Pregnant women residing in the urban areas prefer to go for ante-natal check-ups in private Nursing homes/Clinics owing to the crowd and prolonged waiting hours. In this study, body mass index (BMI) and family history of the pregnant women appeared to be the significant risk factors for the gestational diabetes. Out of 1557 pregnant women, 154 were having diabetes, the prevalence being 9.89%. This is low when compared to the studies reported from other regions of the country.
CONCLUSIONS
Gluco-One is suitable for screening gestational diabetes using the optimal threshold capillary glucose level of 140 mg/dl. As the pregnant women find it difficult to come the next day just to collect the results, this facilitated in getting the test results promptly and appropriate consultation by Doctor the same day. Glucometer can be used for accurate screening of gestational diabetes mellitus. Pregnant women with screening values not normal were identified on the spot and followed up at regular intervals. Screening for diabetes among pregnant women would result in early case detection indirectly resulting in better outcomes of treatment and prevention of complications.
背景
妊娠期糖尿病（GDM）会引发多种母婴并发症。
目的
开展这项探索性研究以估算患病率，确定孕妇中的风险因素及发病情况。
方法
在这项前瞻性研究中，纳入了1557名在布巴内斯瓦尔市区一家医院的妇产科门诊就诊的孕妇。评估了各种社会人口统计学因素和临床特征。我们使用血糖仪诊断GDM。
结果
更多居住在贫民窟、久坐且超重的年轻孕妇患有糖尿病。很大一部分居住在农村地区和贫民窟的孕妇会前往政府医院就诊，因为她们受益于邦政府的“玛玛塔”计划。由于公立医院人多且候诊时间长，居住在城市地区的孕妇更倾向于在私立疗养院/诊所进行产前检查。在这项研究中，孕妇的体重指数（BMI）和家族病史似乎是妊娠期糖尿病的重要风险因素。在1557名孕妇中，有154人患有糖尿病，患病率为9.89%。与该国其他地区报道的研究相比，这一患病率较低。
结论
Gluco - One血糖仪适用于以140mg/dl的最佳阈值毛细血管血糖水平筛查妊娠期糖尿病。由于孕妇很难第二天再来取结果，这有助于当天及时获得检测结果并得到医生的适当会诊。血糖仪可用于准确筛查妊娠期糖尿病。筛查值不正常的孕妇会被当场识别并定期随访。对孕妇进行糖尿病筛查将有助于早期发现病例，从而间接带来更好的治疗效果并预防并发症。
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