Kayseri şehir hastanesinde gestasyonel diabetes mellitus prevalansının değerlendirilmesi: Kesitsel bir çalışma

Yıl 2019, , 715 - 717, 01.10.2019

Mefkure Eraslan Şahin , İlknur Çöl Madendağ

https://doi.org/10.28982/josam.623768

Öz

Amaç: Gestasyonel diyabet (GDM) dünya genelinde önemli bir sağlık problem olup obezitenin ve maternal yaşın artmasıyla sıklığı giderek artmaktadır. Bu çalışmada, Kayseri'deki tek bir merkezden veri kullanarak International Association of Diabetes and Pregnancy Study Group (IADPSG) kriterlerine göre GDM prevalansını araştırmayı amaçladık.

Yöntemler: Ocak 2018 ile Ocak 2019 arasında, 18-45 yaş arası, 24-28. gebelik haftaları arasında, Kayseri Şehir Hastanesi Kadın Hastalıkları ve Doğum Kliniğinde rutin gebelik takibi için başvuran tüm gebeler retrospektif olarak bilgisayar hastane sistemi kayıtları ile incelendi. Hastalar tek aşamalı 75 g oral glikoz tolerans testi (OGTT) ile tarandı ve tanı için IADPSG kriterleri kullanıldı. 

Bulgular: Çalışmaya toplam 2652 gebe dahil edildi ve tek adımlı 75 g OGTT ile GDM taraması yapıldı. Tüm gebelerin yaş ortalaması 26,42 (22-31) idi. Ortalama gravid değeri 3 (1-5 arasında), ortalama parite 3 (1-4 arasında) ve test sırasındaki ortalama gebelik haftası 26 idi (24-28 aralığı). GDM 2652 hastanın 424'ünde tespit edildi. GDM prevalansı %16 olarak bulundu (424/2652).

Sonuç: Kliniğimize başvuran gebelerde, tek adımlı 75 g OGTT ile IADPSG kriterlerine göre GDM prevalansı %16 olarak bulundu.

Anahtar Kelimeler

Gestasyonel diabetes mellitus, Prevalans, Kayseri

Evaluation of the prevalence of gestational diabetes mellitus in Kayseri city hospital: A cross-sectional study

Öz

Aim: Gestational diabetes mellitus (GDM) is an important disease worldwide and its incidence is rising with increasing maternal age and obesity. The aim of this study is to investigate the prevalence of GDM in accordance with International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria by obtaining data from a single center in Kayseri.

Methods: All pregnant women between the ages of 18 and 45 who were referred to the clinic for routine pregnancy follow-up visits between January 2018-2019 at Kayseri City Hospital’s Gynecology and Obstetrics Department were included in this study. Their records were obtained from the hospital registry and retrospectively examined. A single stage 75g oral glucose tolerance test (OGTT) was performed to all patients and IADPSG criteria were used for diagnosis. 

Results: 2652 pregnant women were included in this study and screened for GDM with a single-step 75-g OGTT. The mean age of all pregnant women was 26.42 (22-31) years. The mean gravid, parity and gestational weeks at the time of testing were 3 (range 1-5), 3 (range 1-4), 26 (range 24-28), respectively. The prevalence of GDM, detected in 424 of 2652 patients, was 16% (424/2652).

Conclusion: The prevalence of GDM among pregnant women who were referred to our clinic for routine pregnancy follow-up was 16% according to the IADPSG criteria, as determined with a single-step 75-g OGTT.

Anahtar Kelimeler

Gestational diabetes mellitus, Prevalence, Kayseri

Kaynakça

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