Prevalence and predictors of gestational diabetes mellitus among pregnant women attending antenatal clinic in Dodoma region, Tanzania: an analytical cross-sectional study

Mdoe, Mwajuma Bakari; Kibusi, Stephen Matthew; Munyogwa, Mariam John; Ernest, Alex Ibolinga

dc.creator	Mdoe, Mwajuma Bakari
dc.creator	Kibusi, Stephen Matthew
dc.creator	Munyogwa, Mariam John
dc.creator	Ernest, Alex Ibolinga
dc.date	2021-08-31T08:57:27Z
dc.date	2021-08-31T08:57:27Z
dc.date	2021
dc.date.accessioned	2022-10-20T14:01:49Z
dc.date.available	2022-10-20T14:01:49Z
dc.identifier	Mdoe, M. B., Kibusi, S. M, Munyogwa, M. J., Ernest, A. I. Prevalence and predictors of gestational diabetes mellitus among pregnant women attending antenatal clinic in Dodoma region, Tanzania: an analytical cross-sectional study. BMJ Nutrition, Prevention & Health 2021; bmjnph-2020-000149.
dc.identifier	DOI:10.1136/bmjnph-2020-000149
dc.identifier	http://hdl.handle.net/20.500.12661/3308
dc.identifier.uri	http://hdl.handle.net/20.500.12661/3308
dc.description	Full text article. Also available at https://doi.org/10.1136/bmjnph-2020-000149
dc.description	Gestational diabetes mellitus (GDM) is rapidly increasing worldwide. Globally, 18.4 million pregnancies are complicated by GDM. Despite its known effect, GDM screening is not part of routine antenatal services in Tanzania. There is paucity of data on the magnitude and risk factors for GDM. Therefore, this study sought to determine prevalence and predictors of GDM among pregnant women in Dodoma region, Tanzania from March to August 2018. A cross-sectional study was carried out in Dodoma region, Tanzania between April and August of 2018. A total of 582 pregnant women were recruited from four local health facilities, where purposive sampling procedure was used to select the region, districts and health facilities. Simple random sampling was used to select study participants. Screening and diagnosis of GDM were performed using the 2013 WHO criteria. Descriptive and inferential analyses were performed using SPSS V.23 to determine prevalence and independent predictors of GDM. Among 582 participants, 160 (27.5%) participants were diagnosed with GDM. GDM was more prevalent in urban areas than rural areas, among overweight participants, among participants with a history of a large for gestational age baby, among participants with a history of caesarean section, and among participants with college or university education. Multiple logistic regression analysis showed that maternal age above 35 years (adjusted OR (AOR) 3.115 (95% CI: 1.165 to 8.359)), pre-eclampsia (AOR 3.684 (95% CI: 1.202 to 5.293)), low physical activity level (AOR 4.758 (95% CI: 2.232 to 10.143)), lack of awareness of GDM (AOR 6.371 (95% CI: 1.944 to 13.919)), alcohol use (AOR 4.477 (95% CI: 1.642 to 12.202)) and family history of diabetes (AOR 2.344 (95% CI: 1.239 to 4.434)) were significantly associated with GDM. Prevalence of GDM is relatively high in Dodoma region. Most pregnant women are unaware of the condition such that it leads to a high-risk lifestyle. Besides, GDM significantly contributes to the number of high-risk pregnancies that go undetected and suboptimally managed. The antenatal care centres offer an optimum
dc.language	en
dc.publisher	BMJ Publishing Group Limited
dc.subject	Gestational diabetes mellitus
dc.subject	GDM
dc.subject	Diabetes mellitus
dc.subject	Antenatal clinic
dc.subject	Dodoma
dc.subject	Pre-eclampsia
dc.subject	Antenatal services
dc.subject	Hyperglycaemia
dc.subject	Pregnant women
dc.title	Prevalence and predictors of gestational diabetes mellitus among pregnant women attending antenatal clinic in Dodoma region, Tanzania: an analytical cross-sectional study
dc.type	Article