Please use this identifier to cite or link to this item: http://dspace.sctimst.ac.in/jspui/handle/123456789/340
Title: Determinants of gestational diabetes mellitus: A case control study in a district tertiary care hospital in south India
Authors: Bhat, Mamta
Ramesha, K. N.
Sarma, Sankara P.
Menon, Sangeetha
Sowmini, C. V.
Ganesh, Kumar S.
Keywords: Public Health
Issue Date: 2010
Publisher: INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES
Citation: INTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES. 30; 2; 91-96
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.
URI: http://dx.doi.org/10.4103/0973-3930.62599
http://www.ncbi.nlm.nih.gov/pubmed/20535313
http://dspace.sctimst.ac.in/jspui/handle/123456789/340
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