Dewi Ratna S, Martini Santi, Isfandiari Muhammad A
Doctoral Program in Public Health, Universitas Airlangga, Surabaya, 60115, Indonesia.
Department of Public Health, Universitas Airlangga, Surabaya, 60115, Indonesia.
Afr J Reprod Health. 2024 Oct 31;28(10s):118-124. doi: 10.29063/ajrh2024/v28i10s.14.
The most common time for gestational diabetes mellitus (GDM), which affects anywhere from 1% to 40% of pregnant women, is between the 24th and 28th week of pregnancy. One of the provinces in Indonesia, Jambi, was the focus of this study, which aimed to characterize the incidence and risk factors of GDM. One hundred twenty-two women without GDM and twelve women with GDM participated in this case control research. Oral glucose tolerance tests were used to diagnose gestational diabetes mellitus (GDM) in women who were assessed between 24 and 28 weeks of gestation. Data Collection in this research used questionnaire about woman's social demographics, history GDM, parity, family support, and social support. Multivariate analysis is used to measure the relationship between variables. The results of the study showed a huigh prevalence of GDM of 37,6%. The identified risk factors were hypertension (OR=2,121;CI95%=1,405-3,203), family history of DM (OR=1,610;CI95%=1,333-1,946),BMI>30 kg/m2(OR=1,465;CI95%=1,243-1,727) and history of GDM previous pregnancy (OR=2,857;CI95%=0,839-9,727). We conclude that a GDM risk factor score is required so that health services can utilize these indicators as gold standards for screening GDM, due to the large heterogeneity in GDM risk factors.
妊娠期糖尿病(GDM)影响着1%至40%的孕妇,其最常见的发病时间是在怀孕的第24至28周。印度尼西亚的一个省份占碑是本研究的重点,该研究旨在描述妊娠期糖尿病的发病率和风险因素。122名无妊娠期糖尿病的女性和12名患有妊娠期糖尿病的女性参与了这项病例对照研究。口服葡萄糖耐量试验用于诊断在妊娠24至28周之间接受评估的女性是否患有妊娠期糖尿病(GDM)。本研究的数据收集使用了关于女性社会人口统计学、妊娠期糖尿病病史、产次、家庭支持和社会支持的问卷。多变量分析用于衡量变量之间的关系。研究结果显示妊娠期糖尿病的患病率高达37.6%。确定的风险因素为高血压(OR=2.121;95%CI=1.405-3.203)、糖尿病家族史(OR=1.610;95%CI=1.333-1.946)、BMI>30kg/m²(OR=1.465;95%CI=1.243-1.727)以及既往妊娠的妊娠期糖尿病病史(OR=2.857;95%CI=0.839-9.727)。我们得出结论,由于妊娠期糖尿病风险因素存在很大的异质性,因此需要一个妊娠期糖尿病风险因素评分,以便卫生服务机构能够将这些指标用作筛查妊娠期糖尿病的金标准。