Determinants of gestational diabetes mellitus: A case control study in a district tertiary care hospital in south India

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dc.contributorBhat, Mamta
dc.contributorRamesha, K. N.
dc.contributorSarma, Sankara P.
dc.contributorMenon, Sangeetha
dc.contributorSowmini, C. V.
dc.contributorGanesh, Kumar S.
dc.date.accessioned2012-12-04T11:43:49Z
dc.date.available2012-12-04T11:43:49Z
dc.date.issued2010
dc.description.abstractObjective: 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.
dc.identifier.citationINTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES. 30; 2; 91-96en_US
dc.identifier.urihttp://dx.doi.org/10.4103/0973-3930.62599
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/pubmed/20535313
dc.identifier.urihttps://dspace.sctimst.ac.in/handle/123456789/340
dc.publisherINTERNATIONAL JOURNAL OF DIABETES IN DEVELOPING COUNTRIES
dc.subjectPublic Health
dc.titleDeterminants of gestational diabetes mellitus: A case control study in a district tertiary care hospital in south India
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