Pregnancy Outcome in Women with Gestational Diabetes Mellitus: Age and Pre-pregnancy BMI-Matched Prospective Cohort Study in Ulaanbaatar of Mongolia

Authors

  • Nomin-Erdene Minjuurdorj Department of Endocrinology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
  • Altaisaikhan Khasag Department of Endocrinology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
  • Chuluunbileg Batbold Department of Internal Medicine, Third State Central Hospital, Ulaanbaatar, Mongolia
  • Enkhtsetseg Jamsranjav Department of Obstetrics and Gynecology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia https://orcid.org/0000-0001-6343-8200

DOI:

https://doi.org/10.24079/cajms.2024.02.001

Keywords:

Diabetes, Gestational, Cesarean Section, Pregnancy Outcome, Glucose Tolerance Test

Abstract

Objective: This study aimed to assess maternal outcomes in women with Gestational Diabetes Mellitus. Method: A multicenter, age, and pre-pregnancy body mass index-matched prospective cohort study was conducted in five maternity hospitals across Ulaanbaatar, Mongolia, between February and April 2022. All participants (24-28 weeks pregnant) underwent an oral glucose tolerance test (OGTT; 75 g, oral glucose, capillary), and the results were considered as GDM (ADA, 2022). The GDM and non-GDM groups were followed from pregnancy to delivery. 
Maternal and neonatal delivery outcome data were extracted from the clinical records of five maternity hospitals. Results: The mean age and pre-pregnancy BMI were 35.05±3.8 years and 26.21±3.7 kg/m2, respectively. According to the univariate analysis, women with gestational diabetes had higher rates of pregnancy-induced hypertension, cesarean delivery, and labor induction than the non-GDM group. On the multivariate analysis, the risk of undergoing cesarean delivery and developing pregnancy-induced hypertension were 2.8 (aOR=2.83 CI=1.07-7.47) and 6.9 (aOR=6.91 CI=1.35-35.23) times higher, respectively, in the case group compared to the non-GDM group. Conclusion: Women with GDM had more complications during pregnancy and delivery than those without.

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Author Biography

Nomin-Erdene Minjuurdorj, Department of Endocrinology, School of Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia

Center of Nephrology, Dialysis and Endocrinology, Third State Central Hospital, Ulaanbaatar, Mongolia

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Published

2024-06-30

How to Cite

Minjuurdorj, N.-E., Khasag, A., Batbold, C., & Jamsranjav, E. (2024). Pregnancy Outcome in Women with Gestational Diabetes Mellitus: Age and Pre-pregnancy BMI-Matched Prospective Cohort Study in Ulaanbaatar of Mongolia. Central Asian Journal of Medical Sciences, 10(2), 38–46. https://doi.org/10.24079/cajms.2024.02.001

Issue

Vol. 10 No. 2 (2024)

Section

Articles

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