THE SOCIO-DEMOGRAPHY CHARACTERISTICS AND THE OUTCOMES OF GESTATIONAL DIABETES PATIENTS DAERAH HULU PERAK IN JANUARY – DECEMBER 2017
INTRODUCTION & OBJECTIVE
Gestational Diabetes is associated with risk to the woman and her foetus. The objectives of this study are to determine the percentage of antenatal mothers whom diagnosed with Gestational Diabetes Mellitus (GDM) in Daerah Hulu Perak who delivered in 2017, to describe the socio-demographic profile and the outcome of pregnancies of GDM mothers.
This is a retrospective study of mothers with GDM who has ended their pregnancies in 2017. The data was captured from patient’s ANC card. The study population is all antenatal mothers received treatment from all Klinik Kesihatan of PKD Hulu Perak.
The percentage of mothers diagnosed with GDM who ended their pregnancy in 2017 was 8.76% (136). Most of our GDM mothers were obese (55.1%), had positive family history (35.3%) and with advance age (30.1%). Mean gestational age at diagnosis was 20 weeks. Percentage of GDM mother who required insulin was 8.8%. About 14.7% of GDM mothers have pregnancy induced hypertension, 7.4% have macrosomic baby and 30.9% delivered by caesarean section.
Obesity is the main risk factor for GDM. The percentage of macrosomic babies are lower in Daerah Hulu Perak (7.4%) compared to national level (16%), while the percentage of GDM mothers are similar to the national level which were 8.66% (2011) and 8.83% (2012). However, the caesarean section was higher in Hulu Perak.