Frequency of factors leading to gestational diabetes

Aim: to determine the frequency of factors leading to gestational diabetes in patients visiting central park teaching hospital,lahore. study design: cross sectional study place and duration of study: obstetrics and gynae unit,central park teaching hospital,lahore 1st april 2014-30th sep 2015. methodology: all women of reproductive age who had greater than 28 weeks of gestation with gestational diabetes diagnosed by glucose tolerance test according to who criteria fasting plasma glucose >7mmol/l,2hr glucose >7.8mmol/l. ninety pregnant women fulfilling the inclusion criteria admitted in gynecology ward through emergency and outdoor were taken. after taking informed consent their demographic profile age,parity was taken. factors like age,family history of diabetes mellitus were noted and bmi were calculated. the data was analyzed through spss version 10. variables like family history of diabetes mellitus,maternal age >30 years (yes,no),obesity (yes,no) were presented in the form of frequency and percentage. results: in this study,a total of 90 patients were recruited after fulfilling the inclusion/exclusion criteria to determine the frequency of factors leading to gestational diabetes in patients visiting central park teaching hospital,lahore. age distribution of the patients shows majority of the patients between 31-35 years i.e.,37(41.11%),22(24.44%) were found to be>35 years of age,and 18(20%) were between 26-30 years and 13(14.45%) between 20-25years. mean and s.d was recorded as 34.21+/-6.24. gestational age shows 32(35.55%) between 38-42 weeks,23(25.56%) between 34-38,21(23.33%) between 30-34and 14(15.56%) between 26-30 weeks of gestation. distribution of frequency of risk factors show 4(4.44%) with no risk factor,38(42.22%) with one risk factor,27(30%) with two risk factors and 21(23.34%) with all three risk factors. conclusion: we concluded that advanced maternal age,obesity and family history of diabetes are the leading risk factors of gestational diabetes mellitus and the general population may seek an early antenatal care in the presence of these factors for the avoidance of maternal and fetal outcome.