Prevalence and Risk Factors of Gestational Diabetes Mellitus in Malaysian Antenatal Mothers in North-East Peninsular Malaysia : A Retrospective, Cross-Sectional Study

Authors

  • Duangta Shet Nursing Department, Faculty of Medicine Universiti Kuala Lumpur, Royal College of Medicine Perak, 30450 Ipoh, Perak, Malaysia
  • Ming Fong Ong School of Health Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Norhasmah Mohd Zain School of Health Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia
  • Lean Keng Soon School of Health Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia

DOI:

https://doi.org/10.31674/mjn.2023.v14i04.012

Abstract

Background: Gestational diabetes mellitus (GDM) has a negative impact on prenatal and neonatal outcomes and is a public health concern. The study aims to determine the prevalence of gestational diabetes in Malaysian antenatal mothers and identify risk factors associated with its incidence at one tertiary teaching hospital in Kelantan, Malaysia. Methods: A retrospective cross-sectional study collected data from antenatal mothers between 24 and 28 weeks of gestation diagnosed with GDM based on the International Association of Diabetes and Pregnancy Study Groups criteria between January and February 2021. Eighty-nine antenatal mothers were screened. Results: The mean age of the participants was 32 years (SD = 5.8). GDM prevalence was 33.7%, and having a history of GDM was significantly associated with prevalence (p = 0.016). Chi-square analysis revealed that Kelantanese prenatal mothers with risk factors, particularly those who had previously had GDM, had a significant prevalence of GDM. Conclusion: Hence, population health programs and strategies are required are urgently required to reduce risk and improve the health of future antenatal mothers.

Keywords:

Gestational Diabetes Mellitus, Antenatal Mothers, Prevalence, Risk Factors, Kelantan

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References

Abualhamael, S., Mosli, H., Baig, M., Noor, A. M., & Alshehri, F. M. (2019). Prevalence And Associated Risk Factors of Gestational Diabetes Mellitus at a University Hospital in Saudi Arabia. Pakistan Journal of Medical Sciences, 35(2), 325. https://doi.org/10.12669/pjms.35.2.498

Adams, S., & Rheeder, P. (2017). Screening for Gestational Diabetes Mellitus in a South African Population: Prevalence, Comparison of Diagnostic Criteria And The Role Of Risk Factors. South African Medical Journal, 107(6), 523-527. https://doi.org/10.7196/SAMJ.2017.v107i6.12043

Ali, A. D., Mehrass, A. A. K. O., Al-Adhroey, A. H., Al-Shammakh, A. A., & Amran, A. A. (2016). Prevalence And Risk Factors of Gestational Diabetes Mellitus in Yemen. International Journal of Women's Health, 35-41. https://doi.org/10.2147/IJWH.S97502

Bouthoorn, S. H., Silva, L. M., Murray, S. E., Steegers, E. A., Jaddoe, V. W., Moll, H., ... & Raat, H. (2015). Low-Educated Women Have an Increased Risk of Gestational Diabetes Mellitus: The Generation R Study. Acta Diabetologica, 52, 445-452. https://doi.org/10.1007/S00592-014-0668-X

Debnath, J., Talukder, S., Islam, M. S., Khan, M. S. I., Sabuj, S. S., & Jhorna, D. E. (2018). Prevalence Of Gestational Diabetes and Associated Risk Factors. Asian Journal of Medical and Biological Research, 4(3), 274-278. https://doi.org/10.3329/Ajmbr.V4i3.38466

Defronzo, R. A., Ferrannini, E., Zimmet, P., & Alberti, G. (Eds.). (2015). International Textbook of Diabetes Mellitus. United States: John Wiley & Sons.

Egbe, T. O., Tsaku, E. S., Tchounzou, R., & Ngowe, M. N. (2018). Prevalence and Risk Factors of Gestational Diabetes Mellitus in a Population of Pregnant Women Attending Three Health Facilities in Limbe, Cameroon: A Cross-Sectional Study. Pan African Medical Journal, 31(1). https://doi.org/10.11604/pamj.2018.31.195.17177

Erem, C., Kuzu, U. B., Deger, O., & Can, G. (2015). Prevalence of Gestational Diabetes Mellitus and Associated Risk Factors in Turkish Women: The Trabzon GDM Study. Archives of Medical Science, 11(4), 724-735. https://doi.org/10.5114/aoms.2015.53291

Fatima, S. S., Rehman, R., Alam, F., Madhani, S., Chaudhry, B., & Khan, T. A. (2017). Gestational Diabetes Mellitus and the Predisposing Factors. Journal of Pakistan Medical Association, 67(2), 261-265.

Ganeshan, M., Soelar, S. A., Stat, B. I., Karalasingam, S. D., O & G, M. M. E. D., Bujang, M. A., ... & Suharjono, H. (2017). Effectiveness Of Selective Risk Based Screening for Gestational Diabetes (GDM) in Malaysia: A Retrospective Cohort Study Based on the National Obstetric Registry (NOR) Of Malaysia. Medical Journal of Malaysia, 72(1), 46-9.

Gracelyn, L. J., & Saranya, N. (2016). Prevalence Of Gestational Diabetes Mellitus in Antenatal Women and its Associated Risk Factors. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(2), 285-292. http://dx.doi.org/10.18203/2320-1770.ijrcog20160081

Hassan, F., Ching, S. M., Ling, P. C., Jaffar, N., & Lee, K. W. (2019). A Clinical Audit of the Process of Care for Women with Gestational Diabetes Mellitus in a Malaysian Public Polyclinic. Malaysian Journal of Medicine and Health Sciences, 15, 69-76.

Krishnan, K. K. H., Karalasingam, S. D., Jeganathan, R., & Sa'at, N. (2016, June). Small-for-gestational-age babies from Malaysian tertiary hospitals: A 5-year cohort study from the National Obstetric Registry, Malaysia. In Bjog-An International Journal of Obstetrics and Gynaecology (Vol. 123, pp. 90-91). 111 River St, Hoboken 07030-5774, NJ USA: Wiley-Blackwell.

Larrabure-Torrealva, G. T., Martinez, S., Luque-Fernandez, M. A., Sanchez, S. E., Mascaro, P. A., Ingar, H., ... & Williams, M. A. (2018). Prevalence and Risk Factors of Gestational Diabetes Mellitus: Findings from a Universal Screening Feasibility Program in Lima, Peru. BMC Pregnancy and Childbirth, 18, 1-9. https://doi.org/10.1186/s12884-018-1904-0

Lee, K. W., Ching, S. M., Ramachandran, V., Yee, A., Hoo, F. K., Chia, Y. C., ... & Veettil, S. K. (2018). Prevalence and Risk Factors of Gestational Diabetes Mellitus in Asia: A Systematic Review and Meta-Analysis. BMC Pregnancy and Childbirth, 18, 1-20. https://doi.org/10.1186/s12884-018-2131-4

Logakodie, S., Azahadi, O., Fuziah, P., Norizzati, B. I. B., Tan, S. F., Zienna, Z. Z. R., ... & Mimi, O. (2017). Gestational Diabetes Mellitus: The Prevalence, Associated Factors and Foeto-Maternal Outcome of Women Attending Antenatal Care. Malaysian Family Physician: The Official Journal of the Academy of Family Physicians of Malaysia, 12(2), 9.

Malaysia Health Technology Assessment Section (MaHTAS). (2017). Management of Diabetes in Pregnancy. International Network of Agencies for Health Technology Assessment. Ministry of Health Malaysia. Putrajaya, Malaysia. https://www.moh.gov.my/moh/resources/Penerbitan/CPG/Endocrine/1a.pdf

Meharry, P. M., Tengera, O., Rulisa, S., Byambu, A. K., Nietert, P. J., Byiringiro, S., ... & King, L. R. (2019). Prevalence of Gestational Diabetes Mellitus Among Women Attending Antenatal Care at Public Health Centers in Rwanda. Diabetes Research and Clinical Practice, 151, 252-259. https://doi.org/10.1016/j.diabres.2019.03.035

Mensah, G. P., Ten Ham‐Baloyi, W., Van Rooyen, D., & Jardien‐Baboo, S. (2020). Guidelines for the Nursing Management of Gestational Diabetes Mellitus: An Integrative Literature Review. Nursing Open, 7(1), 78-90. Https://Doi.Org/10.1002/Nop2.324

Ministry of Economy.(15July,2021). Current Population Estimates, Malaysia 2021. Department of Statistics Malaysia. https://www.dosm.gov.my/portal-main/release-content/current-population-estimates-malaysia-2021

Muche, A. A., Olayemi, O. O., & Gete, Y. K. (2019). Prevalence of Gestational Diabetes Mellitus and Associated Factors Among Women Attending Antenatal Care at Gondar Town Public Health Facilities, Northwest Ethiopia. BMC Pregnancy and Childbirth, 19, 1-13. https://doi.org/10.1186/s12884-019-2492-3

Nguyen, C. L., Pham, N. M., Binns, C. W., Duong, D. V., & Lee, A. H. (2018). Prevalence Of Gestational Diabetes Mellitus In Eastern And Southeastern Asia: A Systematic Review And Meta-Analysis. Journal of Diabetes Research, 2018. https://doi.org/10.1155/2018/6536974

Onyenekwe, B. M., Young, E. E., Nwatu, C. B., Okafor, C. I., Ugwueze, C. V., & Chukwu, S. N. (2019). Prevalence Of Gestational Diabetes In South East Nigeria Using The Updated Diagnostic Guidelines. Dubai Diabetes and Endocrinology Journal, 25(1-2), 26-32. https://doi.org/10.1159/000500089

Padayachee, C., & Coombes, J. S. (2015). Exercise Guidelines for Gestational Diabetes Mellitus. World Journal of Diabetes, 6(8), 1033. https://doi.org/10.4239/wjd.v6.i8.1033

Parhofer, K. G., Hasbargen, U., Ulugberdiyewa, A., Abdullayewa, M., Melebayewa, B., Annamuhammedov, A., ... & Flemmer, A. W. (2014). Gestational Diabetes in Turkmenistan: Implementation of a Screening Program and First Results. Archives of Gynecology and Obstetrics, 289, 293-298. https://doi.org/10.1007/s00404-013-2961-2

Price, L. A., Lock, L. J., Archer, L. E., & Ahmed, Z. (2017). Awareness of Gestational Diabetes and its Risk Factors Among Pregnant Women In Samoa. Hawai'i Journal of Medicine & Public Health, 76(2), 48.

Saei, M. H., Valadi, S., Karimi, K., & Khammarnia, M. (2021). The Role of Mass Media Communication in Public Health: The Impact of Islamic Republic of Iran Broadcasting Health Channel on Health Literacy and Health Behaviors. Medical Journal of the Islamic Republic of Iran, 35, 54. https://doi.org/10.47176/mjiri.35.54

Santos, P. A. D., Madi, J. M., Silva, E. R. D., Vergani, D. D. O. P., Araújo, B. F. D., & Garcia, R. M. R. (2020). Gestational Diabetes in the Population Served by Brazilian Public Health Care. Prevalence and Risk Factors. Revista Brasileira De Ginecologia E Obstetrícia, 42, 12-18. https://doi.org/10.1055/s-0039-1700797

Sharma, N. K., Mahto, S. K., Sharma, R., Sheoran, A., Suman, S. K., Gupta, P. K., ... & Dey, R. (2019). Prevalence of Gestational Diabetes Mellitus and its Relationship with Various Risk Factors in a Tertiary Care Hospital in West Bengal with Special Reference to Tribal Population, India. International Journal of Research In Medical Sciences, 7(4), 1098. https://dx.doi.org/10.18203/2320-6012.ijrms20191306

Versteegen, M., Bozlak, C. T., Larkin, H., & Appleton, A. A. (2021). Maternal Depression, Adverse Childhood Experiences, and Social Support in Relation to Gestational Diabetes Risk: Results from the Albany Infant and Mother Study (AIMS). BMC Pregnancy and Childbirth, 21(1), 335. https://doi.org/10.1186/s12884-021-03814-5

Wang, J. W., Wang, Q., Wang, X. Q., Wang, M., Cao, S. S., & Wang, J. N. (2021). Association Between Maternal Education Level and Gestational Diabetes Mellitus: A Meta-Analysis. The Journal of Maternal-Fetal & Neonatal Medicine, 34(4), 580-587. https://doi.org/10.1080/14767058.2019.1611773

Zhang, C., Tobias, D. K., Chavarro, J. E., Bao, W., Wang, D., Ley, S. H., & Hu, F. B. (2014). Adherence to Healthy Lifestyle and Risk of Gestational Diabetes Mellitus: Prospective Cohort Study. BMJ, 349. https://doi.org/10.1136/bmj.g5450

Zhu, Y., & Zhang, C. (2016). Prevalence of Gestational Diabetes And Risk of Progression To Type 2 Diabetes: A Global Perspective. Current Diabetes Reports, 16, 1-11. https://doi.org/10.1007/s11892-015-0699-x

Published

30-04-2023

How to Cite

Shet, D., Ong, M. F. ., Mohd Zain, N. ., & Soon, L. K. . (2023). Prevalence and Risk Factors of Gestational Diabetes Mellitus in Malaysian Antenatal Mothers in North-East Peninsular Malaysia : A Retrospective, Cross-Sectional Study. The Malaysian Journal of Nursing (MJN), 14(4), 110-118. https://doi.org/10.31674/mjn.2023.v14i04.012

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