Abstract
Follow Up of Maternal and Fetal Complications in Gestational Diabetes Women in Western Algeria
Highlights
The most interval age affected by GDM was comprised between 30 and 34 years (15.04%) (Fig. 1), and almost a quarter of these GDM patients gave birth at least twice (24.2%) and were more frequently overweight (BMI> 25 kg/m2) (33.2%) compared to non-diabetic women (20.3%) (p< 0.001)
In the present study, the clinical data of 472 patients from Oran city, western Algeria region, were prospectively analyzed and the results indicated that the average age of pregnancy at the first medical examination at diabetology department was 10.31 ± 6.349 weeks of amenorrhea (WA)
Concerning the analysis of the maternal complications during the pregnancy, the results showed a high rate of hypertension and HELLP syndrome in the GDM group
Summary
The prevalence of GDM varies according to the Continents: 13.61% in Africa (Muche et al, 2019), 11.5% in Asia (Lee et al, 2018), 7.6% in America (Casagrande et al, 2018), 5.4% in Europe (Eades et al, 2017), and sometimes it varies even within the same country according to the ethnic origin of the inhabitants, the method of screening, the diagnostic criteria used and the prevalence of type 2 diabetes (T2DM) in each country (Choudhury & Devi Rajeswari, 2021). Fetal and maternal complications can be caused by a poor control or untreated GDM (American Diabetes Association, 2019). Pregnant women with GDM tend to have a high-risk of abortion, hypertension, preeclampsia (Huang et al, 2015), polyhydramnios, premature rupture of membranes and cesarean section (Choudhury & Devi Rajeswari, 2021; « Hyperglycemia and Adverse Pregnancy Outcomes », 2008; Najafi et al, 2019). Because of the high prevalence of GDM during these last decades, and its serious complications
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