Prevalence of gestational diabetes mellitus and its related risk factors among 34 637 pregnant women in Tongzhou district of Beijing from 2013 to 2017 / 中华疾病控制杂志

ABSTRACT

@# Objective The study aims to investigate the prevalence of gestational diabetes mellitus (GDM) among pregnant women in Tongzhou district of Beijing and its related risk factors. Methods Information of 34 637 singleton pregnancies delivered in a maternal and child health care hospital in Tongzhou district of Beijing were collected from January 1, 2013 to December 31, 2017. GDM prevalence of pregnant women were calculated. Multivariable logistic regression analysis was used to analyze the association between GDM and its related factors. Results The prevalence of GDM in 34 637 singleton pregnant women in Tongzhou district of Beijing was 23.2% (8 034/34 637). Multivariate analysis showed that advanced maternal age(aOR=1.87, 95% CI 1.71-2.05), high level of education(aOR=1.19-1.23), delivering during 2016-2017(aOR=1.46, 95% CI 1.38-1.55), macrosomia(aOR=1.27, 95% CI 1.02-1.59), history of cesarean section(aOR=1.18, 95% CI 1.08-1.30), history of spontaneous abortion(aOR=1.23, 95% CI1.10-1.37), history of induced abortion(aOR=1.08, 95% CI1.01-1.14), family history of diabetes(aOR=1.51, 95% CI1.26-1.83), multipara(aOR=1.24, 95% CI1.15-1.34), pre-pregnancy overweight(aOR=2.02, 95% CI1.89-2.15), pre-pregnancy obesity(aOR=3.11, 95% CI2.81-3.43)and conceived by assisted reproductive technology(aOR=1.47, 95% CI1.03-2.10)were the independent risk factors for GDM. Conclusions Prevalence of GDM is high in pregnant women in Tongzhou district of Beijing. Health education before and during pregnancy should be carried out to monitor and prevent the occurrence of GDM in time to ensure maternal and child health.