Obstetrics and Gynecology

doi: 10.25005/2074-0581-2019-21-2-206-213
PREVALENCE AND MEDICO-SOCIAL CHARACTERISTICS OF PREGNANT WOMEN WITH GESTATIONAL DIABETES MELLITUS IN COMBINATION WITH ANEMIA

D.A. Pirmatova, M.F. Dodkhoeva

Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: To determine the frequency and medical and social aspects of gestational diabetes mellitus (GDM) in combination with anemia in pregnant women.

Methods: 1661 pregnant women were examined in conditions of Reproductive Health Centers in Dushanbe. In order to detect GDM, a one-step oral glucose tolerance test (OGTT) was carried out using 75 g of anhydrous glucose dissolved in 250-300 ml of boiled water. Diagnostic threshold values of plasma glucose concentration were: fasting ≥5.1 mmol/l; after 1 hour of glucose load ≥10.0 mmol/l; after 2 hours of glucose load ≥8.5-11.0 mmol/l. The severity of anemia was determined by the results of hemoglobin in the blood and clinical signs

Results: After OGTT, GDM was found in 36.5% of pregnant women, including 15.9% of women with anemia and without it, 20.6%. Pregnant women with the presence of GDM were older (25.4±5.2 years) compared with pregnant women without GDM (24.9±5.0 years). The combination of GDM with anemia in the studied population most often occurred in the examined women aged 25-29 years (31.5%), in multiparous (21.7%) and in obese patients (8.0%).

Conclusions: The frequency and medical and social characteristics of gestational diabetes mellitus in combination with anemia are associated with age, parity, the socio-economic status of women, body mass index.

Keywords: Gestational diabetes mellitus, anemia, pregnancy, age, parity, body mass index.

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Authors informations:

Pirmatova Dilnoza Alikhonovna , Postgraduate Student of the Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Medical University ORCID ID 0000-0002-7057-8540

Dodkhoeva Munavvara Fayzulloevna , Academician of the Academy of Medical Sciences of the Republic of Tajikistan, Doctor of Medical Sciences, Full Professor, Professor of the Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Medical University ORCID ID 0000-0001-9373-4318

Address for correspondence:

Dodkhoeva Munavvara Fayzulloevna
Academician of the Academy of Medical Sciences of the Republic of Tajikistan, Doctor of Medical Sciences, Full Professor, Professor of the Department of Obstetrics and Gynecology № 1, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (918) 612606

E-mail: dodkho2008@mail.ru

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