Gestational diabetes mellitus and its association with ABO blood group type among pregnant women with pregnancy-induced hypertension in Northwest Ethiopia: A comparative study

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
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Abstract

Background

Gestational diabetes mellitus (GDM), a form of diabetes occurring during pregnancy in non-diabetic women, can lead to complications such as preeclampsia, gestational hypertension, and cesarean section delivery. This study aimed to investigate the incidence of GDM and its association with blood group type among pregnant women with pregnancy-induced hypertension in Northwest Ethiopia.

Methods

A cross-sectional comparative study was conducted in Northwest Ethiopia from December 2021 to April 2022, involving 240 pregnant women. Convenience sampling was used to select 120 women diagnosed with pregnancy-induced hypertension (PIH) and 120 women without PIH. Data on demographics, dietary habits, and BMI were collected using a structured questionnaire, and blood samples were analyzed for glucose levels. Statistical analysis was performed with a 95 % confidence interval.

Results

Among the total of 240 pregnant women included in the study, 16.25 % (95 % CI: 18.3–34.6) were diagnosed with gestational diabetes mellitus. Of these, 12.9 % had pregnancy-induced hypertension, while 3.35 % did not have pregnancy-induced hypertension. Several risk factors were identified for the development of GDM, including a BMI greater than 25 kg/m2, rural residence, family history of diabetes, previous history of GDM, blood types AB and O, and Rh positive.

Conclusions

The study findings demonstrate a significantly higher incidence of gestational diabetes mellitus among pregnant women with pregnancy-induced hypertension (25.8 %) compared to those without pregnancy-induced hypertension (6.7 %). These results highlight the importance of considering blood group type and other identified risk factors in assessing the risk and management of GDM in pregnant women with pregnancy-induced hypertension.

埃塞俄比亚西北部妊娠高血压孕妇的妊娠糖尿病及其与 ABO 血型的关系:一项比较研究
背景妊娠期糖尿病(GDM)是非糖尿病妇女在妊娠期间发生的一种糖尿病,可导致子痫前期、妊娠高血压和剖宫产等并发症。本研究旨在调查埃塞俄比亚西北部妊娠高血压孕妇中 GDM 的发病率及其与血型的关系。方法 2021 年 12 月至 2022 年 4 月在埃塞俄比亚西北部进行了一项横断面比较研究,涉及 240 名孕妇。研究采用便利抽样法,选取了 120 名确诊为妊娠诱发高血压(PIH)的妇女和 120 名未确诊为妊娠诱发高血压的妇女。通过结构化问卷收集了有关人口统计学、饮食习惯和体重指数的数据,并对血样进行了葡萄糖水平分析。研究结果在纳入研究的 240 名孕妇中,16.25%(95% CI:18.3-34.6)被诊断为妊娠糖尿病。其中,12.9%的孕妇患有妊娠高血压,3.35%的孕妇没有妊娠高血压。研究结果表明,与没有妊娠高血压的孕妇(6.7%)相比,妊娠高血压孕妇(25.8%)的妊娠糖尿病发病率明显更高。这些结果突出表明,在评估妊娠高血压孕妇妊娠糖尿病的风险和管理时,考虑血型和其他已确定的风险因素非常重要。
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来源期刊
Clinical Epidemiology and Global Health
Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.60
自引率
7.70%
发文量
218
审稿时长
66 days
期刊介绍: Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.
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