Objective To investigate the effective
administration model for
gestational diabetes mellitus (GDM) in the
community.
Methods In a
prospective study, the 75 g
oral glucose tolerance test (
OGTT) was performed in 4 713 resident
pregnant women over 20 years old
who received
antenatal care in a
general hospital or a
special hospital from Sep. 2011 to Aug. 2012. Five hundred and thirty-three
pregnant women were diagnosed as GDM, 198
patients who labored in a
general hospital were enrolled in thegroup A , and the
rest who labored in a
special hospital were enrolled in the group B. 198 cases with non-GDM were enrolled in the group C. Results The
incidence of GDM during this study period was 11.3%. The
maternal age , gestationl weeks and
OGTT results of
patients in the three groups were significantly different (P 0.05). However, significant differences were found in the
incidence of
postpartum hemorrhage and
cesarean section. The
incidence of
postpartum hemorrhage increased significantly in the
patients of group B (χ2= 7.156, v = 2, P = 0.028). The
incidence of
cesarean section increased significantly in the
patients of group A (χ2= 63.592, v = 2, P = 0.000). Conclusion Establishing an effective
administration model for
gestational diabetes mellitus in the
community could control the
incidence of GDM associated
complications.