妊娠期糖尿病孕妇在三级保健医院分娩：描述性横断面研究。

Gestational Diabetes Mellitus among Pregnant Women Delivering in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

机构信息

Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2022 Mar 11;60(247):229-233. doi: 10.31729/jnma.7304.

DOI:10.31729/jnma.7304

PMID:35633259

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9226727/

Abstract

INTRODUCTION

Gestational diabetes mellitus is increasing globally leading to significant maternal and foetal morbidity. This study aimed to find out the prevalence of gestational diabetes mellitus among pregnant women delivering in a tertiary care hospital.

METHODS

A descriptive cross-sectional study on a total of 3034 pregnant women was conducted in a tertiary care hospital from 14th April 2017 to 13th April 2018 with ethical approval from Research and Institutional Review Committee (Reference number: 061-077/078) of the hospital. Pregnant women who met the eligibility criteria were included in the study. Convenience sampling was done. Data were analysed using the Statistical Package for the Social Sciences version 24.0 and Microsoft Excel. Point estimate at 99% Confidence Interval was calculated along with frequency and percentage for binary data.

RESULTS

Among 3034 patients who delivered in the tertiary centre, the prevalence of gestational diabetes mellitus was found to be 104 (3.42%) (2.57-4.26 at 99% Confidence Interval). The majority of women were of maternal age >30 years in 69 (66.34%). Out of which 48 (46.15%) women had family history of diabetes mellitus. Thirty-eight (36.53%) patients required a caesarean section. The most common obstetric complication was polyhydramnios in 35 (35.57%).

CONCLUSIONS

The prevalence of gestational diabetes was lower when compared to other studies done in similar settings. The majority of women were of higher maternal age, had family history of diabetes mellitus and were also obese.

KEYWORDS

diabetes mellitus; gestational diabetes; pregnancy in diabetes.

摘要

引言

全球范围内妊娠期糖尿病的发病率不断上升，导致母婴发病率显著增加。本研究旨在了解一家三级保健医院分娩孕妇的妊娠期糖尿病患病率。

方法

2017 年 4 月 14 日至 2018 年 4 月 13 日，在一家三级保健医院对总共 3034 名孕妇进行了一项描述性横断面研究，该研究获得了医院研究和机构审查委员会（参考编号：061-077/078）的伦理批准。符合入选标准的孕妇被纳入研究。采用方便抽样法。使用社会科学统计软件包（SPSS）版本 24.0 和 Microsoft Excel 分析数据。在 99%置信区间内计算点估计值，同时对二进制数据进行频率和百分比分析。

结果

在这家三级中心分娩的 3034 名患者中，妊娠期糖尿病的患病率为 104 例（3.42%）（99%置信区间为 2.57-4.26）。大多数产妇年龄大于 30 岁，占 69 例（66.34%）。其中 48 例（46.15%）患者有糖尿病家族史。38 例（36.53%）患者需要剖宫产。最常见的产科并发症是羊水过多 35 例（35.57%）。