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Original Article
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| Risk factors associated with diabetes mellitus among pregnant women in Hatyai Hospital, Thailand | ||||||
| Wannaro Prawit1, Rachatapantanakorn Benthira2, Sampurna Kakchapati3 | ||||||
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1Doctor in Medicine, Medical Physician, Obstetrics and Gynecology Department, Hatyai hospital, Songkhla Thailand.
2Doctoral Degree in Research Methodology, Public Health Technical Officer, Health care systems development, Hatyai hospital, Songkhla Thailand. 3Post-Doctoral Public Health Scientist, Department of Mathematics and Computer Science, Prince of Songkla University, Muang, Pattani, Thailand. | ||||||
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| How to cite this article |
| Wannaro P, Rachatapantanakorn B, Kakchapati S. Risk factors associated with diabetes mellitus among pregnant women in Hatyai Hospital, Thailand. Edorium J Gynecol Obstet 2016;2:21–27. |
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Abstract
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Aims:
The aim of the study was to determine the factors associated with gestational diabetes mellitus (GDM) among pregnant women in Hatyai Hospital, Thailand.
Methods: Pregnant women with at least one clinical risk for GDM were screened by 50 g glucose challenge test (50 g GCT). If glucose level of pregnant women was 140 mg/dl or more, all positive screened women were tested by 100 g oral glucose tolerance test (100 g OGTT) to confirm GDM. Statistical analysis used chi-squared tests to assess statistically significant risk factors for GDM. Logistic regression models were used to identify the most important determinants associated with GDM. Results: About 588 pregnant women completed laboratory testing of GDM using 100 g OGTT and among them, 177 women (30.1%, 95%CI: 26.4–34.1) tested positive and diagnosis for GDM. After adjusting each factor for the confounding effects of other factors, age, previous history of GDM, weight gain, presence of hypertension were significantly associated with GDM in multivariate logistic analysis. GDM was higher among women aged 35 years and above, previous history of GDM, excessive weight gain and presence of hypertension. Conclusion: The high influencing risks for GDM were advanced maternal age, previous history of GDM, excessive weight gain and hypertension during pregnancy. Identifying diabetes early in pregnancy is vital for women to avoid health risk for them and their babies. | |
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Keywords:
Gestation diabetes mellitus, Glucose challenge test, Logistic regression, Risk factor, Thailand
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Author Contributions:
Prawit Wannaro – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Benthira Rachatapantanakorn – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Sampurna Kakchapati – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Prawit Wannaro et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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