Document Type : Original Article
Authors
1
Associate Professor, Department of Obstetrics and Gynecology, Infertility and Reproductive Health Research Center, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.
2
Associate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.
3
Assistant Professor, Department of Nephrology, Faculty of Medicine, Mazandaran University of Medical Sciences, Mazandaran, Iran.
4
Biologist, Faculty of Basic Sciences, Mazandaran University, Mazandaran, Iran.
5
Medical Student, Faculty of Medicine, Babol University of Medical Sciences, Babol, Iran.
Abstract
Introduction: Considering the increased incidence of obesity and diabetes all over the world and effects of different factors on gestational diabetes, this study was done to assess the prevalence of gestational diabetes and relevant factors in pregnant women who were referred to health centers of Babol, Iran.
Methods: This cross-sectional study was conducted on 1004 pregnant women in 24-28 weeks of pregnancy from September 2010 to March 2012. Participants with no history of diabetes underwent a 50 gram oral glucose challenge test at 24-28 weeks of pregnancy and 100 gram 3-hour oral glucose tolerance test was performed on women with positive glucose challenge test. Data were analyzed using SPSS software version 18, Fisher, Chi-square and multiple logistic regression tests. P value less than 0.05 was considered statistically significant.
Result: From 1004 participants, 191 cases (19%) had positive glucose challenge test that gestational diabetes was diagnosed in 85 cases (44.5%) with oral glucose tolerance test. Mean age of cases with and without gestational diabetes was 30.42±5.52 and 26.02±5.2 years respectively. Age ≥ 25 years (p=0.001), body mass index ≥ 27 kg/m2 (p=0.018), history of familial diabetes (p<0.01), stillbirth (p<0.001), abortion (p<0.001), macrosomia (p<0.001), preeclampsia (p<0.001) and high blood pressure (p<0.001) was statistically significant in diabetic pregnant women. خواندن با قواعد آوایی
Conclusion: Gestational diabetes in the past two decades has increased in Babol (8.05%) and the most important factor in gestational diabetes was stillbirth, family history of diabetes and history of macrosomia, respectively.
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