Prevalence of gestational diabetes mellitus and associated factors among pregnant women following antenatal care at public health facilities in Bule Hora town, Oromia, Southern Ethiopia.

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Date

2021-10

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Addis Abeba University

Abstract

Background: Globally, the gestational diabetes mellitus prevalence is increasing. However, it is an overlooked health problem that highly endangers both women and their children in countries of resource-constrained. Little is known about its burden in Ethiopia, particularly there is no study on gestational diabetes in the area of present study. Objective: To assess the Prevalence of gestational diabetes mellitus and associated factors among pregnant mothers following antenatal care at public health facilities in Bule Hora town, Oromia, Southern Ethiopia, 2021. Methods: A health facilities based cross-sectional study was conducted from February to April, 2021. 190 pregnant mothers at 24-32 weeks of gestational age were selected by the convenient sampling technique. Measurement of fasting blood glucose level was performed to diagnose gestational diabetes mellitus. Gestational diabetes mellitus was diagnosed using updated 2013 World Health Organization diagnostic criteria. Analyses of bivariate and multivariate were done by using SPSS version 25.0 to recognize factors linked with gestational diabetes mellitus. Results: The overall prevalence of gestational diabetes mellitus was found to be 7.4%. Family history of diabetes mellitus (AOR = 5.7; 95% CI: 1.28-25.27), Triglycerides (AOR =5.6; 95% CI: 1.258-25.46), History of having macrocosmic baby (AOR =6.8; 95% CI: 1.56-29.59) and History of abortion (AOR = 4.4; 95% CI: 1.09-18.39) were found to be significantly associated with gestational diabetes mellitus. Conclusion: The overall prevalence of gestational diabetes mellitus was 7.4%. History of abortion, History of having macrocosmic baby, Family history of diabetes and elevated serum triglycerides were independently linked with gestational diabetes mellitus. Universal screening and early diagnosis of gestational diabetes mellitus are strongly recommended.

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Keywords

Gestational diabetes mellitus, Prevalence, Lipid profiles, Fasting blood sugar, Bule Hora, West Guji

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