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Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt

Received: 12 December 2016     Accepted: 28 December 2016     Published: 16 January 2017
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Abstract

Objectives: Study prevalence of gestational diabetes mellitus (GDM) among pregnant females attending family health center between 24 and 28 weeks of gestation and assessment of risk factors among the studied group. Background: Gestational diabetes mellitus (GDM) is the most prevalent metabolic disorder during pregnancy. It is defined as any degree of glucose intolerance during pregnancy. It affects between 2-14% of pregnancies. Screening for (GDM) during pregnancy is highly recommended. Material and Methods: The study was conducted on 250 pregnant women between 24 and 28 weeks gestation who attended a rural family health center in Menufia Governorate, Egypt. Selected participants were interviewed during their antenatal care visits using a questionnaire to assess different demographic criteria of the participants and potential risk factors for GDM. Initial screening was done by a glucose challenge test with 50 g glucose. If the 1-hour blood glucose level exceeded 130 mg/dl, then a 3-hour oral glucose tolerance test (OGTT) with 100g glucose was performed and diagnosis was established. Results: Prevalence of GDM among the studied group was 8%. Risk factors found to be significantly associated with GDM were advancing age & BMI ≥ 30, high BP> 140/90, previous history of pre-eclampsia, family history of diabetes and positive obstetric history for induced labor, abortion and large size baby. However socioeconomic status, previous history of hypertension and family history of hypertension failed to demonstrate significant associations with GDM. Conclusion: The prevalence of GDM was found to be 8% among pregnant females attending the studied rural family health center. Controlling risk factors and Screening for early detection are mandatory for better maternal and fetal health.

Published in Journal of Family Medicine and Health Care (Volume 3, Issue 1)
DOI 10.11648/j.jfmhc.20170301.12
Page(s) 6-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Gestational Diabetes Mellitus, Prevalence, Risk Factors, Screening for GDM

References
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Cite This Article
  • APA Style

    Nora A. Khalil, Waleed M. Fathy, Nariman S. Mahmoud. (2017). Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt. Journal of Family Medicine and Health Care, 3(1), 6-11. https://doi.org/10.11648/j.jfmhc.20170301.12

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    ACS Style

    Nora A. Khalil; Waleed M. Fathy; Nariman S. Mahmoud. Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt. J. Fam. Med. Health Care 2017, 3(1), 6-11. doi: 10.11648/j.jfmhc.20170301.12

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    AMA Style

    Nora A. Khalil, Waleed M. Fathy, Nariman S. Mahmoud. Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt. J Fam Med Health Care. 2017;3(1):6-11. doi: 10.11648/j.jfmhc.20170301.12

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  • @article{10.11648/j.jfmhc.20170301.12,
      author = {Nora A. Khalil and Waleed M. Fathy and Nariman S. Mahmoud},
      title = {Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt},
      journal = {Journal of Family Medicine and Health Care},
      volume = {3},
      number = {1},
      pages = {6-11},
      doi = {10.11648/j.jfmhc.20170301.12},
      url = {https://doi.org/10.11648/j.jfmhc.20170301.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20170301.12},
      abstract = {Objectives: Study prevalence of gestational diabetes mellitus (GDM) among pregnant females attending family health center between 24 and 28 weeks of gestation and assessment of risk factors among the studied group. Background: Gestational diabetes mellitus (GDM) is the most prevalent metabolic disorder during pregnancy. It is defined as any degree of glucose intolerance during pregnancy. It affects between 2-14% of pregnancies. Screening for (GDM) during pregnancy is highly recommended. Material and Methods: The study was conducted on 250 pregnant women between 24 and 28 weeks gestation who attended a rural family health center in Menufia Governorate, Egypt. Selected participants were interviewed during their antenatal care visits using a questionnaire to assess different demographic criteria of the participants and potential risk factors for GDM. Initial screening was done by a glucose challenge test with 50 g glucose. If the 1-hour blood glucose level exceeded 130 mg/dl, then a 3-hour oral glucose tolerance test (OGTT) with 100g glucose was performed and diagnosis was established. Results: Prevalence of GDM among the studied group was 8%. Risk factors found to be significantly associated with GDM were advancing age & BMI ≥ 30, high BP> 140/90, previous history of pre-eclampsia, family history of diabetes and positive obstetric history for induced labor, abortion and large size baby. However socioeconomic status, previous history of hypertension and family history of hypertension failed to demonstrate significant associations with GDM. Conclusion: The prevalence of GDM was found to be 8% among pregnant females attending the studied rural family health center. Controlling risk factors and Screening for early detection are mandatory for better maternal and fetal health.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Screening for Gestational Diabetes Among Pregnant Women Attending a Rural Family Health Center- Menoufia Governorate- Egypt
    AU  - Nora A. Khalil
    AU  - Waleed M. Fathy
    AU  - Nariman S. Mahmoud
    Y1  - 2017/01/16
    PY  - 2017
    N1  - https://doi.org/10.11648/j.jfmhc.20170301.12
    DO  - 10.11648/j.jfmhc.20170301.12
    T2  - Journal of Family Medicine and Health Care
    JF  - Journal of Family Medicine and Health Care
    JO  - Journal of Family Medicine and Health Care
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    EP  - 11
    PB  - Science Publishing Group
    SN  - 2469-8342
    UR  - https://doi.org/10.11648/j.jfmhc.20170301.12
    AB  - Objectives: Study prevalence of gestational diabetes mellitus (GDM) among pregnant females attending family health center between 24 and 28 weeks of gestation and assessment of risk factors among the studied group. Background: Gestational diabetes mellitus (GDM) is the most prevalent metabolic disorder during pregnancy. It is defined as any degree of glucose intolerance during pregnancy. It affects between 2-14% of pregnancies. Screening for (GDM) during pregnancy is highly recommended. Material and Methods: The study was conducted on 250 pregnant women between 24 and 28 weeks gestation who attended a rural family health center in Menufia Governorate, Egypt. Selected participants were interviewed during their antenatal care visits using a questionnaire to assess different demographic criteria of the participants and potential risk factors for GDM. Initial screening was done by a glucose challenge test with 50 g glucose. If the 1-hour blood glucose level exceeded 130 mg/dl, then a 3-hour oral glucose tolerance test (OGTT) with 100g glucose was performed and diagnosis was established. Results: Prevalence of GDM among the studied group was 8%. Risk factors found to be significantly associated with GDM were advancing age & BMI ≥ 30, high BP> 140/90, previous history of pre-eclampsia, family history of diabetes and positive obstetric history for induced labor, abortion and large size baby. However socioeconomic status, previous history of hypertension and family history of hypertension failed to demonstrate significant associations with GDM. Conclusion: The prevalence of GDM was found to be 8% among pregnant females attending the studied rural family health center. Controlling risk factors and Screening for early detection are mandatory for better maternal and fetal health.
    VL  - 3
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Author Information
  • Family Medicine Department, Menoufia University, Menoufia Governorate, Egypt

  • Clinical Pathology Department, Menoufia University, Menoufia Governorate, Egypt

  • Menouf Primary Health Care Unit, Ministry of Health, Menoufia Governorate, Egypt

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