Sudanese Women has a High Frequency of Risk Factors for Gestational Diabetes Volume 3 - Issue 4

Nahla Ahmed Mohamed Abdurahman¹*, Mohamed Ibrahim Asadalla Murad², Mohamed Abbas Ahmed Khalafallah², Mildred Francis Amule², Mohamed Ahmed Ibrahim Ahmed³ and Nassreldeen Khalid Abdurahman Adam⁴

• ¹Department of Biochemistry, Assistant professor of Biochemistry, Faculty of Medicine, Nile Valley University, Sudan
• ²Faculty of Medicine, Sudan International University, Sudan
• ³Department of Microbiology, Assistant professor of Microbiology, Faculty of Medicine, Nile Valley University, Sudan
• ⁴Assistant professor of hematology, Faculty of Medical Laboratory Science, University of Al Fashir, Sudan

Received:June 10, 2021;   Published:July 7, 2021

Corresponding author: Dr. Nahla Ahmed Mohammed Abdurrahman, Department of Biochemistry, Assistant professor of Biochemistry, Nile Valley University, Faculty of Medicine, Atbara, Sudan

DOI: 10.32474/ADO.2021.03.000169

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Gestational diabetes (GD)is the most prevalent metabolic condition associated with pregnancy, and it has a number of negative consequences for both the mother and the child. It’s also one of the easiest diseases to manage throughout pregnancy. A variety of risk factors have been identified and confirmed to have a significant relationship with the disease. These risk factors are quite straightforward to detect, and screening people who are at risk might help to reduce the number of problems connected with GD. In the long run, it would be more cost effective for the woman and child, their family, and the community. This study aims to emphasize these risk variables and give an estimate of the number of patients with GD who will be admitted to the hospital. Diagnosing women with GD allows them to be educated, treated, and have a better long-term prognosis.

Objective: Investigate risk factors for GD, estimate prevalence of GD, explore effects of DM on pregnancy (miscarriage, Intrauterine Fetal Death (IUFD), Intrauterine Growth Restriction (IUGR), Urinary tract infection (UTI), polyhydramnios), and identify neonatal complication of GD in pregnant women at AL turkey hospital.

Materials and Methods: From November 2018 to May 2019, a hospital-based study was conducted in pregnant women who came in for follow-up and admitted patients at Al Turkey Hospital. The goal of the study was to identify risk variables and estimate the prevalence of GD. A questionnaire was filled out that included personal information besides anthropometric measurements and clinical historical information.

Statistical Analysis: The Statistical Package for Social Sciences (SPSS) SPSS version 20 was used. Chi- Squire test was used to count the distribution of study participants in the study variables.

Results: The majority of women who participate in this study were housewives accounted for 68 % from and 61 % were from Urban areas. Age distribution was revealed that the most age group was found to be (26-35) years 78 % . Gestational age 42 % with 35- 40 weeks followed by 41 % with 24 -34 weeks and only >24 weeks 15 % and least number 2 % more than 40 gestational age. BMI majority 57% were in normal weight 18-24 kg/m2. Parity 60% delivered From 3-6 times and 75% of them deliver by normal vaginal delivery. 2% of baby weight more than 4.5 kg (macrosomic) and 3% with congenital anomalies. Babies delivered with neonatal jaundice were 5% and 4% delivered baby with hypoglycemia. Conclusion: 78% of women in the ages of 26- 35. The most relevant risk variables in our study to GD were, obesity7%, family history of GD 5%, congenital abnormalities Neonatal jaundice5%, hypoglycemia 4%, past history of GD 3%, multiparty3%, and mother with history of fetal difficulties macrocosmic infant 2% did not affect presence of GD. Women with GD may have a secondary cause of illness, such as metabolic syndrome or a hereditary predisposition to diabetes

Keywords: Gestational diabetes mellitus; Khartoum; Sudan

Abbreviations: GDM: Gestational Diabetes Mellitus; IGT: Impaired Glucose Tolerance; BMI: Body Mass Index; PIH: Pregnancy Induce Hypertension; C-section: Cesarean Section

Abstract| Introduction| Materials and Method| Statistical Analysis| Ethical Consideration| >Discussion| Conclusion| Disclosure of Interest| Acknowledgment| Recommendation| References|