Prevalence of Diabetes in Pregnancy At A Tertiary Care Institution And Associated Perinatal Outcomes
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Background: Diabetes in pregnancy has implications for the health of the mother and her baby in the immediate, short-term and long-term. Studies have shown that diabetes in pregnancy can influence maternal and neonatal outcomes negatively hence the need to assess the prevalence of diabetes in pregnancy and its association with adverse perinatal outcomes. Methods:This was a retrospective cross sectional record review conducted at a tertiary hospital in Zimbabwe. Stratified random sampling was used to select 532 antenatal records from 2010 to 2014. The data were collected using record review checklists. The outcome was diabetes in pregnancy. The data were analysed for descriptive statistics through the Statistical package for Social Sciences (SPSS) for Windows, Version 20. Multiple logistic regression was conducted to determine factors associated with having diabetes in pregnancy. Results:Participants’ mean age was 26.9. Prevalence of diabetes in pregnancy was 8.5%. Risk factors associated with diabetes in pregnancy were a family history of diabetes mellitus 36 (6.8%) and high blood pressure 124 (23.3%). As for maternal outcomes 93 (17.5%) had caesarean delivery and 58 (10.9%) had either pregnancy induced hypertension or pre-eclampsia. Twenty-four (4.5%) participants had neonatal death while 12 (2.3%) had still births. The commonest neonatal outcomes were birth weight below 2 500g or a low Apgar score which were found in 73 (13.7%) cases. While there was 5% (OR=0.054, 95% CI = 0.00031, 0.98) increased chance of having pregnancy-induced hypertension or pre-eclampsia among people with diabetes the odds of having macrosomia was 12.96 (95% CI = 3.45; 48.68). Conclusion:The prevalence of diabetes in pregnancy was 8.5% and was associated with some adverse perinatal outcomes
Authors and Affiliations
Zvinavashe Mathilda, Mukona Doreen, Ndaimani Augustine, Mhlanga Maxwell
Keywords
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- EP ID EP250618
- DOI 10.9790/0853-1612038289
- Views 102
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