Prevalence and risk factors of gestational diabetes mellitus among pregnant women in northern Vietnam: a cross-sectional study
Abstract
ABSTRACT Background Gestational diabetes mellitus (GDM) increases adverse neonatal and maternal outcomes. Understanding the prevalence and risk factors of GDM is necessary to plan health care interventions and policy. Objective To determine the prevalence and risk factors of GDM in Thai Binh, Vietnam. Methods A cross-sectional study was conducted in two health facilities in Thai Binh, Vietnam, with the participation of 1,106 pregnant women. Women were recruited at their first antenatal care visit where face-to-face interviews about socioeconomic and reproductive factors were performed. A 2-hour 75 g oral glucose tolerance test was conducted at 24–28 weeks of gestation. GDM was diagnosed according to the World Health Organization 2013 criteria. Logistic regression analyses were used to assess the factors associated with GDM. Results The prevalence rate of GDM was 27.1%. Multivariate logistic regression analysis showed maternal age from 25 to 34 (adjusted OR 2.0; 95%CI 1.3–2.9), maternal age ≥ 35 (adjusted OR 3.0; 95%CI 1.7–5.4), pregestational body mass index ≥ 23 (adjusted OR 1.6; 95%CI 1.1–2.3), family history of diabetes (adjusted OR 1.9; 95%CI 1.3–2.9), fertility treatment (adjusted OR 2.3; 95%CI 1.3–3.8), and previous GDM (adjusted OR 3.1; 95%CI 1.4–6.9) were associated with increased odds of GDM. Conclusions More than one-fourth of pregnant women in Thai Binh, Vietnam, may have GDM. Advanced maternal age, high pregestational body mass index, family history of diabetes,…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 1,106 participants or records.
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