妊娠期糖尿病及其与产妇社会人口学特征的关系

Nask Jubrael, S. Alalaf, N. Shabila, Salah A. Ali
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摘要

背景与目的:妊娠期糖尿病是妊娠期最常见的代谢性疾病,发病率呈上升趋势。本研究旨在确定埃尔比勒市孕妇妊娠期糖尿病患病率及相关危险因素。方法:对2019年4月至2021年1月在伊拉克库尔德斯坦地区埃尔比勒市初级卫生保健中心的216名孕妇进行横断面研究。孕妇的选择与是否有危险因素无关。在孕24 ~ 28周采用50 gm葡萄糖激发试验筛查孕妇是否患有糖尿病。葡萄糖激发试验阳性的妇女进行100 g葡萄糖耐量试验。结果:50g葡萄糖激发试验显示54例(25.0%)妇女妊娠期糖尿病阳性。葡萄糖耐量试验(100 gm)显示糖尿病患病率为11.9%。不同特征和危险因素与研究参与者的糖尿病诊断状态之间的关联表明,年龄较大、肥胖、高胎次和反复流产史与糖尿病有显著关联。结论:妊娠与妊娠期糖尿病的高发有关。孕妇,特别是高龄产妇,孕前体重指数高,有反复流产史的孕妇,应调查是否有妊娠糖尿病的可能性。
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Gestational diabetes and its correlation with maternal socio-demographic characteristics
Background and objective: Gestational diabetes mellitus is the most common metabolic disorder of pregnancy with increasing prevalence at epidemic rates. This study aimed to determine the prevalence of gestational diabetes mellitus and related risk factors in a sample of pregnant women in Erbil city. Methods: A cross-sectional study was conducted on a convenience sample of 216 pregnant women at primary health care centers in Erbil city, Kurdistan Region, Iraq, from April 2019 to January 2021. The pregnant women were selected independent of having or not having risk factors. Pregnant women were screened for diabetes mellitus using 50 gm glucose challenge test in 24–28th weeks of gestational age. Women with positive glucose challenge test underwent 100 g glucose tolerance test. Results: The 50g glucose challenge test revealed that 54 women (25.0%) were positive for gestational diabetes mellitus. Glucose tolerance test (100 gm) revealed that the prevalence of diabetes among the sample was 11.9%. The association between the different characteristics and risk factors with the diagnosed diabetic status of the study participants showed that there was a significant association with the older age, obesity, higher parity, and history of recurrent miscarriage. Conclusion: Pregnancy is associated with a high prevalence of gestational diabetes mellitus in the current research. Pregnant women, particularly those in advanced maternal age, with pre-pregnancy high body mass index and having a history of recurrent miscarriages, should be investigated for the possibility of the presence of gestational diabetes mellitus.
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