Vol. 1, Issue 1 (2015)
The prevalence of gestational diabetes among antenatal attendees in a tertiary hospital in south –south Nigeria
Author(s): Wilson E Ugege, Aniekan M Abasiattai, Aniefiok J Umoiyoho, Ntiense M Utuk
Abstract: Objective: To determine the prevalence of, and assess methods of identifying women with gestational diabetes mellitus among antenatal clinic attendees at a University Teaching Hospital. Materials and Methods: A cross-sectional descriptive study of one hundred and eighty two women receiving antenatal care at the University of Uyo Teaching Hospital. Socio-demographic and clinical data were collected using interviewer administered questionnaires. The WHO diagnostic criteria were used to identify pregnant women with Gestational Diabetes Mellitus. Data was analysed using SPSS 20 Statistical software for windows. Results: The prevalence of gestational diabetes was 3.3%. The predictors of Gestational diabetes mellitus were weight, a history of foetal macrosomia, maternal weight greater than 74.20kg and fasting dipstick glucosuria greater than or equal to 8.3mmol/l. The Sensitivity Of Fasting plasma glucose in diagnosis of GDM was 33.33%, Specificity of 99.43%. Conclusion: Pregnant women who weigh more than 74.20kg between 24 to 28 weeks gestation, those with fasting dipstick glucosuria ≥ 8.3mmol/l or have a history of foetal macrosomia in previous deliveries should be tested with an OGTT using the WHO criteria.