NGHIÊN CỨU TÌNH HÌNH ĐÁI THÁO ĐƯỜNG THAI KỲ VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở THAI PHỤ TỪ 25 TUỔI TẠI BỆNH VIỆN QUỐC TẾ PHƯƠNG CHÂU CẦN THƠ

Abstract

Background: Gestational diabetes mellitus (GDM) is the most common metabolic disorder in pregnancy. Pregnant women aged 25 and over are at higher risk of gestational diabetes than younger women, so they have to be very careful. There are many risk factors for GDM including age, BMI, number of pregnancies, history of large babies, family history of diabetes, etc. Objectives: To determine the prevalence of gestational diabetes and some related factors in pregnant women aged 25 years and older at Phuong Chau International Hospital. Materials and methods: A cross-sectional study was conducted in 271 pregnant women aged 25 years and older who were examined at Phuong Chau International Hospital from July 2022 to May 2023 to use 75g oral glucose tolerance test at gestational age from 24 to 28 weeks. Results: The prevalence of GDM was 25.8% (70/271), relevant factors included: BMI before pregnancy ≥23 (OR = 3.49, 95% CI: 1.91-6.37, p<0.001), pregnant women ≥35 years old (OR = 1.91, 95% CI: 1.01-3.59, p=0.045) and living in urban areas had higher GDM than in rural areas (OR = 2, 25, CI: 1.21-4.19, p=0.011). Conclusion: It is necessary to have routine screening for gestational diabetes at health facilities for all pregnant women, especially pregnant women >25 years old, overweight and obese, BMI>23 and living in urban areas.