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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 24 |
July - September 2008 |
Number 4 |
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Gestational diabetes and its association with
unpleasant outcomes of pregnancy
Mohammadbeigi Abolfazl1, Tabatabaee Seyed
Hamidreza2,
Mohammadsalehi Narges3, Yazdani Maryam4
ABSTRACT
Background: Diabetes Mellitus account for over 8% of all pregnancies and is associated with increased risk of complications of pregnancy, and prenatal mortality. This study was conducted to determine the disadvantages of gestational diabetes on mother and her baby, in order to prevent neonatal and marital unpleasant outcomes.
Methodology: The present historical cohort study includes 420 mothers referred to Shiraz hospitals in 2006. Seventy cases with diabetes and 350 were controls. Data was collected by questionnaire and analyzed by t-test and fisher exact tests in SPSS v.13 software.
Results: The recurrence rate of gestational diabetes was 72.4%. There was a significant difference between the two groups in still birth (RR= 8.87), macrosommia (RR= 7.38), respiratory distress (RR= 5.16), hypoglycemia (RR= 13.38), neonatal jaundice (RR= 3.28), need for respiratory support (RR= 3.17), congenital anomalies (RR= 7.28) and cesarean delivery (RR= 1.96) (p<0.05). However it did not show any significant difference in intra uterine growth retardation (IUGR), shoulder dystocia, breech labor, need for insulin, meconium problems, induction of labor, episiotomy and placenta disorders (P>0.05).
Conclusion: Stillbirth, macrosomia, respiratory distress, hypoglycemia and neonatal jaundice are more common in women with gestational diabetes. Hence in view of the unfavourable outcome, preventive measures and control of diabetes are essential.
KEY WORDS: Unpleasant outcomes, Pregnancy, Gestational diabetes.
Pak J Med Sci July - September 2008 Vol. 24 No. 4 566-570
How to cite this article:
Abolfazl M, Hamidreza TS, Narges M, Maryam Y. Gestational diabetes and its association with unpleasant outcomes of pregnancy. Pak J Med Sci 2008;24(4):566-70.
1. Mohammadbeigi Abolfazl,
Instructor, M.S of Epidemiology, Paramedical Faculty,
Arak University of Medical Sciences, Iran
2. Tabatabaee Seyed Hamidreza,
Assistant Professor, M.S of Epidemiology,
Epidemiology and Biostatistics, Dept. of Health faculty,
3. Mohammadsalehi Narges,
M.S of Epidemiology,
Arak University of Medical Sciences, Iran.
4. Yazdani Maryam,
Professor, Department of Ob & Gyn, Medical Faculty,
2,4: Shiraz University of Medical Sciences, Iran.
Correspondence
Mohammadbeigi Abolfazl,
Paramedical Faculty, Post Box: 6941-384817,
Sardasht- Arak, Iran.
Email: amohamadbeigi@yahoo.com
* Received for Publication: January 14, 2008
* Accepted: June 5, 2008
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