Gestational diabetes in urban Guinea: Results of a systematic screening

Abstract

The prevalence of type 2 diabetes and moderate fasting hyperglycemia is high in Guinea, while data on gestational diabetes are scarce. Objective: To determine the prevalence of Gestational Diabetes among women admitted for prenatal consultation, identify their socio-epidemiological characteristics and any associated risk factors. Patients and Methods: Prospective study conducted in pregnant women who came for prenatal follow-up in two urban health centers in the prefecture of Kindia, Guinea during the period from January 1 to June 30, 2018, screened according to the recommendations of International Association of Diabetes and Pregnancy Study Group (IADPSG). A single abnormal value is sufficient to make the diagnosis of GDM. All pregnant women between 24 and 28 SA were included. Women with multiple pregnancies and/or preexisting diabetes or refusal to participate in the study were excluded. The variables analyzed: maternal age, gestational age, parity and exposure or not to risk factors. The data were analyzed by specific statistical tests with a probability p<0.05. Results: Seven hundred and forty-two (742) pregnant women were screened with 103 cases of GDM diagnosed, representing a prevalence of 13.8%. The epidemiological profile of women with GDM was dominated by the average maternal age which was 28.7 ± 6.5 years, housewives 57.28% (59/103), no level of education 53.39% (55/ 103), married 67.96% (70/103) with an average parity of 2.11± 1.9. The average gestational age was 27.1 ± 5.6 SA. The risk factors were dominated by advanced maternal age, with a proportion of 70.27% and 13.41% of patients without risk factors, screening for GDM was positive (P < 0.000001). Conclusion:The GDM is frequent among the women followed at the prenatal consultation in Kindia. Systematic screening integrated with prenatal care remains the best means of prevention.

Reproductive health issues of concern among Nigerians: an online survey

“…Women more commonly cited contraception and the need for greater involvement of men as issues of concern, and this is not surprising as they are the main consumers of contraceptive services and as previously reported, their uptake of these services is greater when they have the support of their husbands/male partners. [10][11][12] The need for greater involvement of men was also mentioned by a greater proportion of those who had a previous termination of pregnancy for non-medical reasons and this is further indication of the need for their husbands/male partners support by women during reproductive health services. Sexual health was also more commonly mentioned by older persons as a reproductive health issue of concern and this is in keeping with previous reports that indicate a greater prevalence of sexual health challenges among older persons.…”

“…The use of contraception, in particular, is more likely to occur when there is support from the husband/male partner. [10][11][12] Other factors that prevent the uptake of contraception include fear of side effects, religious beliefs/misconceptions, lack of access to services, and the belief among older women who are close to menopause, that they are no longer fertile. 10,11,13,14 On the other hand, women are usually concerned about all aspects of reproductive health and have high unmet needs for reproductive health services especially among young people, and those who are of lower educational and socioeconomic status.…”

“…[10][11][12] Other factors that prevent the uptake of contraception include fear of side effects, religious beliefs/misconceptions, lack of access to services, and the belief among older women who are close to menopause, that they are no longer fertile. 10,11,13,14 On the other hand, women are usually concerned about all aspects of reproductive health and have high unmet needs for reproductive health services especially among young people, and those who are of lower educational and socioeconomic status. 2,10,12 This may be due to greater awareness of reproductive health issues that affect women because most interventions focus on these issues, especially those that are associated with mortality.…”

“…10,11,13,14 On the other hand, women are usually concerned about all aspects of reproductive health and have high unmet needs for reproductive health services especially among young people, and those who are of lower educational and socioeconomic status. 2,10,12 This may be due to greater awareness of reproductive health issues that affect women because most interventions focus on these issues, especially those that are associated with mortality.…”