Risk factors for gestational diabetes in an obstetric population in three institutions in Medellín, Colombia: a case-control study
DOI:
https://doi.org/10.18597/rcog.187Keywords:
Gestational diabetes, risk factors, macrosomy, obesityAbstract
Objective: Evaluating risk factors (FR) for gestational diabetes mellitus (GDM) in an obstetric population in Colombia.
Materials and methods: This was a retrospective case-control study. The population consisted of pregnant females being seen at three private high-complexity clinics, attending the contributory regimen population in the city of Medellín from June 2005 to May 2007. Patients suffering pregestational diabetes were excluded. A case was defined as being a pregnant patient or female in the immediate postpartum period diagnosed with GDM. Controls consisted of patients in the postpartum with no GDM.
Results: Data regarding 244 cases (36.6%) and 423 controls (63.4%) were included. Statistical association was found with personal background of GDM (OR = 16.6; 4.9-55.7 95% CI), a background of macrosomy (OR = 7.3; 3.6-15.1 95% CI), being aged ≥ 25 years (OR = 5.5: 3.61-8.5 95% CI), multiparity (OR = 2.6; 1.8-3.8 95% CI), ≥ 25 kg/m² BMI prior to gestation (OR = 3.1; 2.2-4.4 95% CI) ≥ 25 kg/m² BMI at the start of the second trimester (OR 3.5; 2.1-5.7 95% CI).
Conclusion: As well as the risk factors reported in the literature, macrosomy, multiparity, pregestational and gestational obesity were also found to be independent factors for GDM.
Author Biographies
María Nazareth Campo-Campo
Guadalupe Posada-Estrada
Laura Catalina Betancur-Bermúdez
Diana Milena Jaramillo-Quiceno
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