학술논문

The impact of risk factors for gestational diabetes mellitus on the outcomes of newborns in a Nigerian Teaching Hospital: a prospective open cohort study.
Document Type
Article
Source
Perinatal Journal. Aug2023, Vol. 31 Issue 2, p148-156. 9p.
Subject
*GESTATIONAL diabetes
*NEWBORN infants
*PREGNANT women
*WEIGHT gain
*GLUCOSE tolerance tests
Language
ISSN
1305-3124
Abstract
Objective: The screening for GDM is largely dependent on the presence of clinical risk factors. The aim is to determine the impact of risk factors for GDM on newborn anthropometric and clinical outcomes. Methods: This was a prospective study at the Lagos University Teaching Hospital, Nigeria. The pregnant women and their newborns were categorized into risk or control group. Glucose tolerance status of the pregnant women and anthropometric measurements of newborns were determined. Results: Presence of multiple risk factors in the mother was associated with more adverse fetal outcomes compared with the presence of single risk factor. Maternal clinical risk factors such as excessive maternal gestational weight gain showed significant positive relationship with adverse fetal outcomes (P<0.05). Conclusion: Maternal clinical risk factors for GDM have significant relationship with newborn outcomes in this study with gestational weight gain and presence of multiple risk factors having the strongest relationship with newborn outcomes. There is need to design a risk assessment model involving the use of multiple risk factors for GDM screening in our environment where universal screening may not be affordable. [ABSTRACT FROM AUTHOR]