巴基斯坦妊娠期糖尿病患病率:一项横断面研究

Iram Inam, Eman Madnia, A. Ammar, Saadia Sajjad
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引用次数: 1

摘要

妊娠期糖尿病(GDM)也被称为妊娠期糖尿病,与威胁母亲和胎儿生命的不良胎母结局有关。及时诊断和早期治疗GDM是预防由这种致残疾病引起的并发症的关键。本研究的目的是评估GDM在巴基斯坦的患病率。方法:采用描述性横断面研究。在妇产科收集190名孕妇的数据。获得了机构伦理审查委员会的伦理批准,并获得了所有研究参与者的知情同意。收集详细病史并进行口服糖耐量试验(OGTT)。数据分析采用SPSS 23.0版本。计算描述性统计数据,如频率和百分比,以评估GDM的患病率。结果:按年龄分,GDM以33 ~ 43岁年龄组(55%)为主。此外,参与者的教育状况显示,GDM在基质组20中很常见(22%)。奇偶校验状态>1表示GDM较多。同样,阳性家族史和妊娠间隔<24个月者易发生GDM。190例中有18例(9.47%)存在GDM。因此,本研究计算的患病率为9.47%。研究结果将有助于决策者设计方案,通过使用多种媒体来提高公众对妊娠期糖尿病的认识。有关妊娠期糖尿病早期评估的政策将有助于预防胎母并发症。因此,降低成本和疾病负担将是卓有成效的。结论:巴基斯坦GDM患病率为9.47%。有必要对GDM进行早期诊断和及时管理,以避免危及生命的后果。决策者应特别注意克服这一问题,并应为孕妇计划适当的产前检查。关键词:患病率,GDM,妊娠,巴基斯坦
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Prevalence of Gestational Diabetes Mellitus in Pakistan: A Cross Sectional Study
Introduction: Gestational diabetes mellitus (GDM) also known as diabetes of pregnancy is associated with adverse feto-maternal outcomes threatening the life of both mother and fetus. Timely diagnosis and early management of GDM is the key to prevent complications resulting from this incapacitating illness. Purpose of current study is to assess the prevalence of GDM in Pakistan. Methodology: A descriptive cross-sectional study was conducted. Data was collected at department of obstetrics and gynaecology from 190 pregnant women. Ethical approval was obtained from IRB of institution and informed consent was taken from all the study participants. Detailed history was gathered and oral glucose tolerance test (OGTT) performed. Data was analyzed using SPSS version 23.0. Descriptive statistics like frequencies and percentages were calculated to assess the prevalence of GDM. Results: According to age, GDM was prevalent in age group of 33-43 years 30(55%). Also educational status of participant reveals the fact that GDM was common in matric group 20(22%). Parity status >1 show more cases of GDM. Similarly, positive family history and time interval <24 months between pregnancies were prone to GDM. Out of 190, GDM was present in 18(9.47%) cases. So, in this study calculated prevalence rate was 9.47%. Study findings will help policy makers to design programs for creating public awareness regarding Gestational diabetes through the use of multiple media. Polices regarding early evaluation of gestational diabetes will help to prevent feto-maternal complications. Hence would prove fruitful to decrease the cost and burden of illness. Conclusion: It is concluded from our study that prevalence of GDM is 9.47% in Pakistan. There is a need to make early diagnosis and timely management of GDM to avoid the life threatening consequences. Policy makers should pay special attention to overcome this issue and proper antenatal visits should be planned for pregnant mothers. Keywords: Prevalence, GDM, Pregnancy, Pakistan
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