بررسی شیوع دیابت حاملگی در جامعه شهری شاهرود در سال 79-1378

Background and purpose : Gestational diabetes mellitus is referred to the intolerance of carbohydrates with different degrees in which its onset or primary diagnosis is in the gestational period and generally occurring in 1-14% of the pregnancies. Çonsidering the importance of prognosis, aim of this study was to identify the women facing gestational diabetes and to determine the prevalence which was not done previously in the city. Materials and methods : Ïn this study, the pregnant women referring to all of the obstetric and gynecologic clinics of fatemiyeh hospital, without considering the last meal and food regimen, were given 50 grams glucose orally as a screening method. Blood glucose level one hour after having 50mg of glucose was equal to, or more than 130 mg/dl (measuring) by glucose oxidase method. Ôral glucose tolerance test was repeated with 100 grams of glucose after 3 hours fasting. Ôn the basis of carpenter and causton diagnostic criteria gestational diabetes mellitus was diagnosed. Results : Within 17 months, 1310 pregnant women went under screening test, of which 63(4.8%) were diagnosed to have diabetes. The obtained results showed significant statistical difference between healthy and gestational diabetic patients having the frisk factors such as, age above 30 years, family of diabetes, obesity, giving macrosomal neonate birth, glucose uria (P<0.001) and unkown history of neonatal death (P<0.05). Çonclusion : Ït seems that, prevalence of gestational diabetes in our country having the same rate compare to the western countries,. There are controversial concepts regarding performing public or selective gestational diabetes screening tests. Ït was shown that 15.9%(10 patients) of gestational diabetes and 57.8%(791) healthy persons did not have any risk factor of gestational diabetes. Study on cost benefit of public sureening and also comparison of complications in the risk group and non risk group on the pregnant women having diabetes mellitus is necessary.