Abstract：
Gestational diabetes mellitus is a type of glucose intolerance that first manifests itself during pregnancy. A pregnant woman and her unborn child are at an increased risk of pregnancy complications and poor neonatal outcomes. Pregnancy diabetes affects one out of every 200 women. Therefore, this study aims to identify the determinants of gestational diabetes mellitus among pregnant women attending an antenatal care service in Gedeo Zone, Ethiopia.
A facility-based case-control study design was employed from 25 January 2020 through 25 April 2020. The study included 80 cases and 240 control groups of pregnant women. Face-to-face interviews with structured questionnaires were used to collect data. For analyses, data was entered into Epidata version 3.1 and exported to the Statistical Package for the Social Sciences (SPSS) version 23.0. Variables with p .25 or lower in bivariate analysis were fitted to multivariable analysis. A multivariable logistic regression model with a 95% confidence interval and a p-Value of .05 was used.
Family history of diabetes mellitus [AOR 1.837; 95% CI (1.06-3.18)], history of spontaneous abortion [AOR 2.39; 95% CI 1.33-4.31), history of still birth [AOR 2.240 (1.222-4.105)], and history of delivery of a macrocosmic baby in the previous pregnancy [AOR 1.99 (1.157-3.43)] were found to be predictors of GDM.
Previous adverse pregnancy outcomes were found to be the main predictors of GDM. Women with gestational diabetes mellitus should be followed after delivery in order to monitor hyper-glycemic status.
A facility-based case-control study design was employed from 25 January 2020 through 25 April 2020. The study included 80 cases and 240 control groups of pregnant women. Face-to-face interviews with structured questionnaires were used to collect data. For analyses, data was entered into Epidata version 3.1 and exported to the Statistical Package for the Social Sciences (SPSS) version 23.0. Variables with p .25 or lower in bivariate analysis were fitted to multivariable analysis. A multivariable logistic regression model with a 95% confidence interval and a p-Value of .05 was used.
Family history of diabetes mellitus [AOR 1.837; 95% CI (1.06-3.18)], history of spontaneous abortion [AOR 2.39; 95% CI 1.33-4.31), history of still birth [AOR 2.240 (1.222-4.105)], and history of delivery of a macrocosmic baby in the previous pregnancy [AOR 1.99 (1.157-3.43)] were found to be predictors of GDM.
Previous adverse pregnancy outcomes were found to be the main predictors of GDM. Women with gestational diabetes mellitus should be followed after delivery in order to monitor hyper-glycemic status.
摘要：
妊娠期糖尿病是一种葡萄糖耐受不良，在怀孕期间首先表现出来。孕妇及其未出生的孩子患妊娠并发症和新生儿结局差的风险增加。妊娠糖尿病影响每200名女性中就有一名。因此,这项研究旨在确定在Gedeo区参加产前护理服务的孕妇中妊娠糖尿病的决定因素，埃塞俄比亚。
从2020年1月25日至2020年4月25日采用基于设施的病例对照研究设计。该研究包括80例孕妇和240例对照组。使用结构化问卷进行面对面访谈来收集数据。对于分析，数据输入Epidata3.1版,并输出至社会科学统计软件包(SPSS)23.0版.双变量分析中p.25或更低的变量适用于多变量分析。使用95%置信区间和p值为0.05的多变量逻辑回归模型。
糖尿病家族史[AOR1.837;95%CI(1.06-3.18)]，自然流产史[AOR2.39;95%CI1.33-4.31)，静止出生的历史[AOR2.240（1.222-4.105）]，发现前一次怀孕的宏观婴儿分娩史[AOR1.99（1.157-3.43）]是GDM的预测因素。
既往不良妊娠结局是GDM的主要预测因素。妊娠糖尿病妇女应在分娩后随访，以监测高血糖状态。
从2020年1月25日至2020年4月25日采用基于设施的病例对照研究设计。该研究包括80例孕妇和240例对照组。使用结构化问卷进行面对面访谈来收集数据。对于分析，数据输入Epidata3.1版,并输出至社会科学统计软件包(SPSS)23.0版.双变量分析中p.25或更低的变量适用于多变量分析。使用95%置信区间和p值为0.05的多变量逻辑回归模型。
糖尿病家族史[AOR1.837;95%CI(1.06-3.18)]，自然流产史[AOR2.39;95%CI1.33-4.31)，静止出生的历史[AOR2.240（1.222-4.105）]，发现前一次怀孕的宏观婴儿分娩史[AOR1.99（1.157-3.43）]是GDM的预测因素。
既往不良妊娠结局是GDM的主要预测因素。妊娠糖尿病妇女应在分娩后随访，以监测高血糖状态。
