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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
Content type Text
Publisher International Journal of Diabetes In Developing Countries
File Format PDF
Language English
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)
Volume Number 30
Issue Number 2
Page Count 6
Starting Page 91
Ending Page 96