Prevalence and associated factors of gestational diabetes mellitus in a high complexity hospital
DOI:
https://doi.org/10.33448/rsd-v9i8.5541Keywords:
Gestational diabetes; Prevalence; Diagnosis.Abstract
Objective: to estimate the prevalence and associated risk factors of gestational diabetes mellitus (GDM) in a highly complex hospital service. Methodology: this is an observational, analytical, retrospective and cohort study carried out in a highly complex hospital service for pregnant women. Data from 421 pregnant women were included in the study. GDM classification was conducted according to the International Diabetes Association and Pregnancy Study Group (IADPSG) criteria. Results: the prevalence of GDM was 18.5%. As for the risk factors, participants who had alterations in their fasting blood glucose tests were 16% more likely to have GDM. Moreover, alterations in the oral glucose tolerance test (OGTT 1h) indicated 6% more chances of GDM in comparison to women without altered OGTT 1h test results. Conclusion: GDM is a highly prevalent disorder associated with negative outcomes for mothers and babies, considered a public health issue. Adequate, early management might result in satisfactory results for both pregnant women and their children.
References
Almeida, P. T., Teixeira, Y., Barbosa, A. K., Lima, W. L., Fernandes, V. D. S., Sousa-Junior & Trajano, J. A. (2020). Assistência nutricional e diabetes mellitus gestacional: uma revisão integrativa de literatura. Research, Society and Development, 9(7), 640974592.
Amaral, A. C. S., de Andrade, B. P., de Faria Dias, P. F., Fortuna, R. N. I., de Almeida Junior, R. M., Tavares, R. M., Dias, F. V., da Silva Oliveira, V. B., & Capuruço, C. B. (2012). Complicações neonatais do diabetes mellitus gestacional. Revista Médica de Minas Gerais, 22(5), S40-S42.
Bellamy, L., Casas, J. P., Hingorani, A. D., & Williams, D. (2009). Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. The Lancet, 373(9677), 1773-1779.
Cole, S. A., Laviada-Molina, H. A., Serres-Perales, J. M., Rodriguez-Ayala, E., & Bastarrachea, R. A. (2020). The COVID-19 pandemic during the time of the diabetes pandemic: Likely fraternal twins? Pathogens, 9(5), E389.
International Association of Diabetes and Pregnancy Study Groups Consensus Panel (2010). International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care, 33(3), 676-682.
Li, Y., Ren, X., He, L., Li, J., Zhang, S., & Chen, W. (2020). Maternal age and the risk of gestational diabetes mellitus: a systematic review and meta-analysis of over 120 million participants. Diabetes Research and Clinical Practice, 162, 108044.
Longo, L. D. (2018). Maternal complications of pregnancy that affect fetal development. In The rise of fetal and neonatal physiology (pp. 281-364). New York: Springer.
Ministério da Saúde (2012). Gestação de Alto Risco - Manual Técnico. Brasília: Ministério da Saúde.
Medforth, J., Ball, L., Walker, A., Battersby, S., & Stables, S.(2017). Oxford Handbook of Midwifery. Oxford: Oxford University Press.
Rehder, P. M., Pereira, B. G., & Silva, J. L. P. (2011). Resultados gestacionais e neonatais em mulheres com rastreamento positivo para diabetes mellitus e teste oral de tolerância à glicose-100g normal. Revista Brasileira de Ginecologia e Obstetrícia, 33(2), 81-86.
Reis, M. G. V., Vivan, R. H. F., & Almeida-Gualtieri, K. (2019). Diabetes mellitus gestacional: aspectos fisiopatológicos materno-fetais. Revista Terra & Cultura: Cadernos de Ensino e Pesquisa, 35(69), 32-45.
Schmalfuss, J. M., Prates, L. A., Azevedo, M., & Schneider, V. (2014). Diabetes melito gestacional e as implicações para o cuidado de enfermagem no pré-natal. Cogitare Enfermagem, 19(4), 754-761.
Simon, C. Y., Marques, M. C. C., &Farhat, H. L. (2013). Glicemia de jejum do primeiro trimestre e fatores de risco de gestantes com diagnóstico de diabetes melito gestacional. Revista Brasileira de Ginecologia e Obstetrícia, 35(11), 511-515.
Sociedade Brasileira de Diabetes (2016). Diretrizes da Sociedade Brasileira de Diabetes. Rio de Janeiro: AC Farmacêutica.
Souza, A., Coutinho, I., Segatto, J. C. M., Silva, L. A., de Sousa Silva, M. D., & Katz, L. (2014). Avaliação da adequação do rastreamento e diagnóstico de Diabetes Mellitus Gestacional em puérperas atendidas em unidade hospitalar de dois municípios da região do Vale do São Francisco-Nordeste do Brasil. Revista Brasileira de Saúde Materno Infantil, 14(1), 39-46.
Targher, G., Mantovani, A., Wang, X. B., Yan, H. D., Sun, Q. F., Pan, K. H., ... & George, J. (2020). Patients with diabetes are at higher risk for severe illness from COVID-19. Diabetes & Metabolism. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/32416321
Teh, W. T., Teede, H. J., Paul, E., Harrison, C. L., Wallace, E. M., & Allan, C. (2011). Risk factors for gestational diabetes mellitus: implications for the application of screening guidelines. Australian and New Zealand Journal of Obstetrics and Gynaecology, 51(1), 26-30.
Teixeira, C. R. de S., Franco, L. J., Monteiro, R. A., & Granado, F. (2013). Diabetes nos partos hospitalares em sistemas de saúde público e privado. Revista de Saúde Pública, 47(3), 460-469.
Toniolo, A., Cassani, G., Puggioni, A., Rossi, A., Colombo, A., Onodera, T., & Ferrannini, E. (2019). The diabetes pandemic and associated infections: suggestions for clinical microbiology. Reviews in Medical Microbiology, 30(1), 1-17.
Voaklander, B., Rowe, S., Sanni, O., Campbell, S., Eurich, D., & Ospina, M. B. (2020). Prevalence of diabetes in pregnancy among Indigenous women in Australia, Canada, New Zealand, and the USA: a systematic review and meta-analysis. The Lancet Global Health, 8(5), e681-e698.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.