|Author||Bhat, Mamta ♦ Ramesha, K. N. ♦ Sarma, Sankara ♦ Menon, Sangeetha ♦ Sowmini, C. V. ♦ Ganesh, Kumar S.|
|Source||Sree Chitra Tirunal Institute for Medical Sciences & Technology|
|Publisher||International Journal of Diabetes In Developing Countries|
|Subject Domain (in DDC)||Technology ♦ Medicine & health ♦ Incidence & prevention of disease ♦ Gynecology, obstetrics, pediatrics & geriatrics|
|Subject Domain (in MeSH)||Female Urogenital Diseases and Pregnancy Complications ♦ Nutritional and Metabolic Diseases ♦ Endocrine System Diseases ♦ Diseases|
|Subject Keyword||Public Health|
|Abstract||Objective: To study the determinants of Gestational Diabetes Mellitus (GDM). Design: Case-control study. Setting: Sri Avittom Thirunal Hospital, Thiruvananthapuram district, Kerala, South India. Participants: 300 GDM women as cases and 300 age-matched controls. Study variables: Sociodemographic characteristics, pre-pregnancy Body Mass Index (BMI), menstrual history, obstetric history, infertility history, family history of diabetes in first degree relatives, recurrent urinary tract infection (UTI), and moniliasis. Statistical analysis: T-test, Fishers Exact Test, Chi square test, Adjusted Odds Ratio with 95% CI. Results: Pre-pregnancy BMI >= 25 (P < 0.001, OR = 2.7), irregular menstrual cycle (P = 0.006), treatment for infertility (P = 0.001, OR = 3.3), family history of diabetes (P = 0.001, OR = 4.5), history of diabetes in mother (P = 0.003), previous pregnancy losses (P = 0.04), past GDM (P = 0.035), prematurity (P = 0.01), pre-eclampsia (P = 0.04), polyhydramnios (P < 0.001, OR = 6.0), UTI (P < 0.001, OR = 3.2), and moniliasis (P < 0.001, OR = 7.6) were significantly associated with present GDM. Conclusion: Early identification of women at risk of GDM and prompt treatment is recommended to prevent complications.|
|Education Level||UG and PG|
|Learning Resource Type||Article|
|Educational Framework||Medical Council of India (MCI)|
|Journal||INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES|
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