DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190852

Prevalence of gestational diabetes mellitus among pregnant women attending antenatal care services in Diette Koki memorial hospital, Opolo Bayelsa state, Nigeria

Otovwe Agofure, Stella Odjimogho, Oghenenioborue R. A. Okandeji-Barry, Imomotimi Glasgow

Abstract


Background: Gestational diabetes mellitus is a condition in which women without previously diagnosed diabetes exhibit high blood glucose levels during pregnancy. Gestational diabetes which prevalence is on the increase in Nigeria may have negative consequences on the health of the foetus or mother. This study was designed to determine the prevalence of gestational diabetes mellitus and its complications among pregnant women attending antenatal services in Diette Koki memorial hospital Opolo Bayelsa State from 2014-2016.

Methods: This was a retrospective study carried out at the Diette Koki Memorial Hospital Opolo in Bayelsa State. The study population comprised pregnant women that attended antenatal care services within the period of January 2014-December 2016. A designed proforma was used to collect the data from the hospital record department.

Results: The results of the study showed that the prevalence of gestational diabetes in the year 2014 was 0.023% or 2.33 per 10,000 pregnancies while the prevalence for 2015 was 0.026% or 2.59% per 10000 pregnancies. Furthermore, other complications recorded were hypertension, pre-eclampsia and eclampsia. Similarly, there was a significant correlation between prevalence of gestational diabetes and other complications (r=0.898, p=0.022).

Conclusions: In conclusion, prevalence of gestational diabetes was recorded among pregnant women of Diette Koki memorial hospital Opobo Bayelsa State. Therefore, prompt screening and preventive measures should be enforced by health care professionals to prevent maternal and foetal morbidity and mortality.


Keywords


Eclampsia, Gestational diabetes, Hypertension, Prevalence, Pre-eclampsia

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References


American Diabetes Association. Gestational Diabetes Mellitus, Diab Care. 1990;13(1):5-6.

Ewenighi CO, Nwanjo HU, Dimkpa U, Onyeanusi JC, Nnatuanya IN, Onoh LUM, et al. Prevalence Of Gestational Diabetes Mellitus Prevalence Of Gestational Diabetes Mellitus; Risk Factors Among Pregnant Women (In Abakaliki Metropolis, Ebonyi State Nigeria). NJIRM. 2013; 4(1):56-61.

Coustan DR, Carpenter MW, O’ Sullivan PS, Carr SR. Gestational Diabetes: Prediction of subsequent disordered glucose metabolism. Am J Obstet Gynaecol. 1993;168(4):1139-45.

Harris MI. Gestational diabetes may represent discovery of pre-existing glucose intolerance. Diab Care. 1988;11(5):402-11.

Kashgari A. Towards a national programmme for the prevention of diabetes in Saudi Arabia. Diabetes International. 2000; 10:11-13.

International Diabetes Federation. World diabetes day 2017: Available at : https://www.idf.org/our-activities/world-diabetes-day/ wdd-2017.html.

Schneider S, Bock C, Wetzel M, Maul H, Loerbroks A. The prevalence of gestational diabetes in advanced economies. J Perinat Med. 2012; 40(5):511-20.

Fawole AO, Ezeasor C, Bello FA, Roberts A, Awoyinka BS, Tongo O, Adeleye J. O, Ipadeola A. Effectiveness of a structured checklist of risk factors in identifying pregnant women at risk of gestational diabetes mellitus: A cross-sectional study. Nigerian J Clinic Prac. 2014;17(4):495-501.

Askariju I. 2015. An assessment of the prevalence of gestational diabetes in Nigeria: A study of pregnant women in Maiduguri Metropolis. A Thesis submitted to the Department of Economics, Bayero University Kano.

Fasanmade OA, Dagogo-Jack S. Diabetes care in Nigeria. Ann Glob Health. 2015; 81(6):821-9.

Agofure O, Oyewole OE, Igumbor EO and Nwose EU. Diabetes care in delta state of Nigeria: An expository review. Diab Update. 2018;1(1):1-8.

Wokoma FA, John CT, Enyindah CE. Gestational diabetes mellitus in a Nigeria antenatal population. Trop J Obstet Gynaecol. 2001;18(2):56-60.

Osungbade KO, Ayinde OO. Birth outcomes among booked and unbooked women at a secondary health facility in South-West Nigeria. Journal of Child Health Care. 2011;15(4):320-8.

Pokharel HP, Lama GJ, Banerjee B, Paudel LS, Pokharel PK. Maternal and perinatal outcome among the booked and unbooked pregnancies from catchments area of BP Koirala Institute of Health Sciences, Nepal. Kathmandu Univ Med J. 2007; 5(2):173-6.

Fawcus SR, Crowther CA, Van Baelen P, Marumahoko J. Booked and unbooked mothers delivering at Harare Maternity Hospital, Zimbabwe: a comparison of maternal characteristics and foetal outcome. Central Af J Med. 1992; 38(10):402-8.

Chigbu B, Onwere S, Kamanu CI, Aluka C, Okoro O, Adibe E. Pregnancy outcome in booked and unbooked mothers in South Eastern Nigeria. East African Medical J. 86(6):267-71.

Priyanka K, Chetan PK, Hilda VS. Prevalence of gestational diabetes mellitus and its outcome in western Rajasthan. Indian J Endocrinol Metabol. 2013;17(4):677.

Anzaku AS, Musa J. Prevalence and associated risk factors for gestational diabetes in Jos, North-central, Nigeria. Arch Gynecol Obstet. 2013;287(5):859-63.

Swati A, Susheela K, Kumar J, Rajendra A. Predicting adverse maternal and perinatal outcome after threatened miscarriage. Open J Obstet Gynecol. 2014; 4(1):1-7.