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Gestational diabetes mellitus: The prevalence, associated factors and foeto-maternal outcome of women attending antenatal care

Logakodie S 1 , Azahadi O 2 , Fuziah P 3 , Norizzati B 4 , Tan SF 5 , Zienna Z 6 Show all authors , Norliza M 7 , Noraini J 8 , Hazlin M 9 , Noraliza MZ 10 , Sazidah MK 11 , Mimi O 12

Affiliations 

  • 1 (Corresponding author) MD, MMed (Fam Med), FRACGP, MAFP. Klinik Kesihatan Ampang Jalan Pandan Mewah 2, 68000 Ampang, Selangor, Hulu Langat Health District. Email: drlogakodie77@yahoo.com
  • 2 MD MPH (Epid & Stats), AMM institute of Public Health
  • 3 MD, M.Med ORL-HNS MBBS,MMed (Fam Med), MSc Sexual & Reproductive Health. Pejabat Kesihatan Daerah Sepang
  • 4 MD,MMed (Fam Med), Klinik Kesihatan Bangi, Pejabat Kesihatan Hulu Langat
  • 5 MBBS, MMed (Fam Med). Klinik Kesihatan Pelabuhan Klang, Pejabat Kesihatan Daerah Klang
  • 6 Mb Bch Bao, MMed (Fam Med), Klinik Kesihatan Rawang, Pejabat Kesihatan Daerah Gombak
  • 7 MD, MMed (Fam Med), Klinik Kesihatan Rasa, Pejabat Kesihatan Daerah Hulu Selangor
  • 8 MD, MMed (Fam Med), Klinik Kesihatan Sungai Besar, Pejabat Kesihatan Daerah Hulu Selangor
  • 9 Mb Bch Bao, MMed (Fam Med), Klinik Kesihatan Telok Panglima Garang, Pejabat Kesihatan Daerah Kuala Langat
  • 10 MBBS, MMed (Fam Med), Klinik Kesihatan Kuala Selangor, Pejabat Kesihatan Daerah Kuala Selangor
  • 11 Unit Kesihatan Keluarga, Jabatan Kesihatan Negeri Selangor
  • 12 MBBs, MMed (Fam Med), Klinik Kesihatan Kelana Jaya, Pejabat Kesihatan Daerah Petaling
Malays Fam Physician, 2017;12(2):9-17.
PMID: 29423124

Abstract

Objective: The aim of the study is to determine the prevalence of gestational diabetes mellitus (GDM), its associated risk factors, foeto-maternal outcomes and prevalence of postnatal diabetes mellitus (DM).
Methods: This is a cross-sectional study using retrospective data from existing antenatal records of new antenatal women who registered at 72 public health clinics in Selangor in January 2014.
Results: A total of 745 antenatal records were reviewed. The prevalence of GDM women was 27.9% (n = 184). GDM risks were higher in women aged 35 years old and above and in those with maternal obesity. GDM women had a higher risk of having a non-spontaneous vaginal delivery compared to non-GDM women. The prevalence of postnatal DM among GDM mother was 12.1%. Working GDM mothers were at higher risk of developing postnatal DM.
Conclusion: The prevalence of GDM among newly registered women attending antenatal public health care in Selangor was higher than previous studies. Health care personnel need to be vigilant in screening women with risk factors.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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