36. Gestational Diabetes and the Preterm Births in Obese Women in Low Socioeconomic Group
Aisha Khatoon1, Shabnam Nadeem2, Muhammad Saad Usmani3 and Alvia Saad2
ABSTRACT
Objective: To determine Gestational Diabetes and the Preterm births in obese women in low socioeconomic group.
Study Design: Prospective case control study.
Place and Duration of Study: This study was conducted in Obstetrics and Gynecology Department Unit III at Abbasi Shaheed hospital from January 2018 to December 2018.
Materials and Methods: Total 182 patients were included in study. The inclusion criteria involved women of reproductive age group i-e; 16- 45years, pregnant obese and non-obese females visiting outpatient department and also admitting in inpatient department due to complications, belonging to lower socioeconomic class. Pregnant females with comorbid like previously diagnosed diabetes mellitus, hypertension, end stage renal disease, bleeding disorders were not included in study.
Results: Out of 182 patients enrolled in the study the mean age of the patients was 32.7± 3.76 yrs. Most of the patients belong to age group 31-35yrs, n=84(46.2%). There were 91 women in both obese and non-obese groups. The average BMI of patients was 33.04mg/kg body weight. Out of 91 obese women, mostly women were in the range of mild obesity i.e.; n=64(35.2%) while 27(14.8%) were with moderate obesity. There was total n= 138 preterm births seen among women enrolled. The mean preterm births took place at 34weeks ±3.1 weeks. The preterm births when compared between obese and non-obese, increased number of preterm births were found with statistical correlation found. (p value-0.000). The mean of random blood sugars of patients was 279.4mg/dl± 37.02 mg/dl.
Conclusion: The obese women with gestational diabetes are at increased risk of preterm births. The increased incidence was seen among women of low socioeconomic class with non-adherence towards treatment due to unawareness, financial issues and casual attitude towards gestational diabetes. Key Words: Preterm births, gestational diabetes
Citation of article: Khatoon A, Nadeem S, Usmani MS, Saad A. Gestational Diabetes and the Preterm Births in Obese Women in Low Socioeconomic Group. Med Forum 2021;32(2):152-155.