Prevalence and associated risk factors of gestational diabetes mellitus in a tertiary hospital in Iran

Abstract

Prevalence and associated risk factors of gestational diabetes mellitus in a tertiary hospital in Iran J. Agah 1 , F. Roodsarabi 2 , A. Manzuri 2 , M. Amirpour 2 , A. Hosseinzadeh 3 1 Department of Obstetrics & Gynecology, Faculty of Medicine, Sabzevar University of Medical Sciences, Sabzevar 2 Student Research Committee, Sabzevar University of Medical Sciences, Sabzevar 3 Modeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman (Iran) Summary Purpose of investigation: To evaluate the risk factors of gestational diabetes mellitus (GDM) to decrease maternal and neonatal com- plications. Materials and Methods: This cross- sectional study was performed on parturients in the single-maternity hospital of Sabzevar, Iran. All of them had been screened for GDM in the first trimester and 24-28 weeks of gestational age. The prevalence and risk factors of GDM were assessed by STATA. Results: From 609 women, GDM was found in 28 persons (4.6%). Maternal age and body mass index (BMI), multiparity, family history of diabetes, prior GDM, hirsutism, hypertension, and hypothyroidism had significant association with GDM. Opiate addiction did not show any relation. Previous birth of preterm or handicapped baby was significantly higher in GDM group; however previous abortion, stillbirth, and birth of large baby showed no significant relation with GDM. Conclusions: Providing a risk assessment checklist is very helpful for prevention and early detection of GDM.