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Pregnancy Outcome in Women with Gestational Diabetes Mellitus: Age and Pre-pregnancy BMI-Matched Prospective Cohort Study in Ulaanbaatar of Mongolia
Зохиогч
Он
2024 оны зургаадугаар сарын 30
Төрөл
journal article
Хэвлэгч
Mongolian National University of Medical Sciences
Journal
Central Asian Journal of Medical Sciences
Volume
10
Issue
2
Start Page
38
End Page
46
ISSN
2413-8681
2414-9772
Хураангуй
Objective: This study aimed to assess maternal outcomes in women with Gestational Diabetes Mellitus. Method: A multicenter, age, and pre-pregnancy body mass index-matched prospective cohort study was conducted in five maternity hospitals across Ulaanbaatar, Mongolia, between February and April 2022. All participants (24-28 weeks pregnant) underwent an oral glucose tolerance test (OGTT; 75 g, oral glucose, capillary), and the results were considered as GDM (ADA, 2022). The GDM and non-GDM groups were followed from pregnancy to delivery. Maternal and neonatal delivery outcome data were extracted from the clinical records of five maternity hospitals. Results: The mean age and pre-pregnancy BMI were 35.05±3.8 years and 26.21±3.7 kg/m2, respectively. According to the univariate analysis, women with gestational diabetes had higher rates of pregnancy-induced hypertension, cesarean delivery, and labor induction than the non-GDM group. On the multivariate analysis, the risk of undergoing cesarean delivery and developing pregnancy-induced hypertension were 2.8 (aOR=2.83 CI=1.07-7.47) and 6.9 (aOR=6.91 CI=1.35-35.23) times higher, respectively, in the case group compared to the non-GDM group. Conclusion: Women with GDM had more complications during pregnancy and delivery than those without.