Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman
Objectives: In 2013, the World Health Organization (WHO) recommended new criteria for diagnosing gestational diabetes mellitus (GDM). Our study aimed to compare the incidence of GDM and its complications among Omani pregnant women using the new diagnostic criteria compared to previous criteria publi...
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2021-01-01
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| Series: | Oman Medical Journal |
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| Online Access: | http://omjournal.org/articleDetails.aspx?coType=1&aId=2825 |
| _version_ | 1819296881854906368 |
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| author | Saada K. Al Subhi Rahma M. Al Kindi Abdul Hakim Al Rawahi Iman S. Al Seyabi Ameena Al Mukhaini |
| author_facet | Saada K. Al Subhi Rahma M. Al Kindi Abdul Hakim Al Rawahi Iman S. Al Seyabi Ameena Al Mukhaini |
| author_sort | Saada K. Al Subhi |
| collection | DOAJ |
| description | Objectives: In 2013, the World Health Organization (WHO) recommended new criteria for diagnosing gestational diabetes mellitus (GDM). Our study aimed to compare the incidence of GDM and its complications among Omani pregnant women using the new diagnostic criteria compared to previous criteria published in 1999. Methods: This retrospective cohort study was conducted between January and December 2016 at the Bawshar Specialized Polyclinic in Muscat, Oman. A total of 613 Omani women were included in the study. Baseline maternal characteristics such as age, body mass index, parity, and socioeconomic status were recorded in addition to maternal and neonatal outcomes. Results: Based on the current diagnostic criteria, the incidence of GDM was 48.5% (n = 297); however, this dropped to 26.4% (n = 162) when applying the old criteria. Moreover, rates of maternal complications including polyhydramnios (5.6% vs. 4.6%), pregnancy-induced hypertension (3.2% vs. 1.5%), and preterm delivery (3.2% vs. 1.5%) were slightly higher among women with GDM diagnosed using the latest criteria. However, these differences were not statistically significant. Neonatal complications were also slightly more frequent among the first group, without any significant differences. Conclusions: The incidence of GDM among Omani women rose dramatically when utilizing the latest WHO diagnostic criteria, owing to a lower fasting blood glucose cut-off value. In addition, a comparison of the frequencies of maternal and neonatal complications supports the validity of the new criteria. These findings should be taken into consideration by decision-makers in Oman when planning antenatal and postnatal services. |
| first_indexed | 2024-12-24T05:05:10Z |
| format | Article |
| id | doaj.art-7104fa9cba204057849ecf8a7995ba27 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-12-24T05:05:10Z |
| publishDate | 2021-01-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-7104fa9cba204057849ecf8a7995ba272022-12-21T17:13:51ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042021-01-01361e215e21510.5001/omj.2021.08Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, OmanSaada K. Al Subhi0Rahma M. Al Kindi1Abdul Hakim Al Rawahi2Iman S. Al Seyabi3Ameena Al Mukhaini4Department of Obstetrics and Gynecology, Directorate General of Health Services, Bawshar Specialized Polyclinic, Muscat, OmanDepartment of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Research, Oman Medical Specialty Board, Muscat, OmanDepartment of Obstetrics and Gynecology, Directorate General of Health Services, Bawshar Specialized Polyclinic, Muscat, OmanFamily Medicine Residency Training Program, Oman Medical Specialty Board, Muscat, OmanObjectives: In 2013, the World Health Organization (WHO) recommended new criteria for diagnosing gestational diabetes mellitus (GDM). Our study aimed to compare the incidence of GDM and its complications among Omani pregnant women using the new diagnostic criteria compared to previous criteria published in 1999. Methods: This retrospective cohort study was conducted between January and December 2016 at the Bawshar Specialized Polyclinic in Muscat, Oman. A total of 613 Omani women were included in the study. Baseline maternal characteristics such as age, body mass index, parity, and socioeconomic status were recorded in addition to maternal and neonatal outcomes. Results: Based on the current diagnostic criteria, the incidence of GDM was 48.5% (n = 297); however, this dropped to 26.4% (n = 162) when applying the old criteria. Moreover, rates of maternal complications including polyhydramnios (5.6% vs. 4.6%), pregnancy-induced hypertension (3.2% vs. 1.5%), and preterm delivery (3.2% vs. 1.5%) were slightly higher among women with GDM diagnosed using the latest criteria. However, these differences were not statistically significant. Neonatal complications were also slightly more frequent among the first group, without any significant differences. Conclusions: The incidence of GDM among Omani women rose dramatically when utilizing the latest WHO diagnostic criteria, owing to a lower fasting blood glucose cut-off value. In addition, a comparison of the frequencies of maternal and neonatal complications supports the validity of the new criteria. These findings should be taken into consideration by decision-makers in Oman when planning antenatal and postnatal services.http://omjournal.org/articleDetails.aspx?coType=1&aId=2825diabetesgestationalincidenceworld health organizationoman |
| spellingShingle | Saada K. Al Subhi Rahma M. Al Kindi Abdul Hakim Al Rawahi Iman S. Al Seyabi Ameena Al Mukhaini Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman Oman Medical Journal diabetes gestational incidence world health organization oman |
| title | Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman |
| title_full | Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman |
| title_fullStr | Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman |
| title_full_unstemmed | Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman |
| title_short | Prevalence of Gestational Diabetes Mellitus Using the Latest World Health Organization Diagnostic Criteria among Omani Women in Muscat, Oman |
| title_sort | prevalence of gestational diabetes mellitus using the latest world health organization diagnostic criteria among omani women in muscat oman |
| topic | diabetes gestational incidence world health organization oman |
| url | http://omjournal.org/articleDetails.aspx?coType=1&aId=2825 |
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