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Published on: June 11, 2012
Screening for gestational diabetes in a teaching hospital in Saudi Arabia
S S Khwaja1, S A al-Suleiman, M H al-Sibai
1Department of Obstetrics & Gynaecology, College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
Insights
Gestational diabetes affects 11% of pregnant women, increasing with maternal age and weight. Arab women showed a higher prevalence of severe gestational diabetes in this study.
Area of Science:
- Obstetrics and Gynecology
- Endocrinology
- Public Health
Background:
- Gestational diabetes mellitus (GDM) is a significant concern during pregnancy.
- Understanding GDM incidence and risk factors is crucial for maternal health.
- The Arab population in the study area has unique demographic characteristics.
Purpose of the Study:
- To determine the incidence and severity of gestational diabetes.
- To identify risk factors associated with GDM in a predominantly Arab hospital population.
- To analyze GDM prevalence in relation to maternal age, parity, and weight.
Main Methods:
- Screening of 455 consecutive pregnant patients.
- Utilizing a 3-hour glucose tolerance test in the third trimester.
- Retrospective analysis of patient demographics and risk factors.
Main Results:
- Overall incidence of gestational diabetes was 11%.
- GDM incidence correlated positively with maternal age, parity, and weight.
- A higher prevalence of severe GDM was observed in Arab patients.
- Maternal age of 30 years or more was the most common risk factor.
Conclusions:
- Gestational diabetes is prevalent in this population, with significant risk factors identified.
- Specific demographic groups, particularly Arab women, may experience more severe forms of GDM.
- Early screening and risk factor identification are vital for managing GDM.
Abstract:
This study was undertaken to determine the incidence and severity of gestational diabetes in our hospital population which is predominantly Arab; 455 consecutive patients were screened by a 3-hour glucose tolerance test in the third trimester of pregnancy. The overall incidence of gestational diabetes was found to be 11% and the incidence increased with increasing maternal age, parity and weight. A high prevalence of more severe degrees of gestational diabetes was noted among the Arabs. Glucose intolerance was observed in 2 patients in the absence of any risk factor. The most common high risk factor in patients found to have gestational diabetes was maternal age of 30 years or more.
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