Prevalence of Gestational Diabetes and Its Associated Maternal and Neonatal Outcomes in Women Referred to Ayatollah Mousavi Hospital in Zanjan

Abstract

Background: Gestational diabetes is one of the most common complications of pregnancy that has several effects on mother and baby. Objectives: The aim of this study was to examine the prevalence as well as maternal and neonatal outcomes in women with gestational diabetes. Methods: This descriptive comparative study was carried out on all pregnant women who underwent 75 g glucose test and referred to Ayatollah Mousavi Hospital in Zanjan for delivery from September to March 2018. Data was collected according to the clientchr('39')s biography obtained by the gynecologist and also the available evidence of gestational diabetes. Data was analyzed by SPSS 25 software. Results: The prevalence of gestational diabetes in the present study was 4.7%. The mean age in the group with gestational diabetes was 30.65± 6.9 years, which was statistically significant compared to the mean age of healthy mothers (27.93± 6.4) (P= 0.01). There was a statistically significant difference in the type of delivery between the two groups (P<0.001) as the delivery method was cesarean section in 70.6% of patients with gestational diabetes. Evaluation of pregnancy and neonatal outcomes between the two groups in terms of the need for induction (15.8% vs. 47.4%), cases of episiotomy (22.8% vs. 43.9%), cesarean delivery (63.2% vs. 26.3%) and the need for hospitalization of the infant in NICU (26.3% vs. 7%) indicated a statistically significant difference (P= 0.01). Conclusion: This study did not result in a significant difference in maternal and neonatal complications, except for the need for NICU hospitalization and delivery.

Keywords

• prevalence
• gestational diabetes
• pregnancy complications
• pregnancy outcomes