Authors : Ibrahimi Halima; Aslaou Fatima; Chbabe Milouda

Volume/Issue : Volume 9 - 2024, Issue 10 - October

Google Scholar : https://tinyurl.com/4zjzmp2p

Scribd : https://tinyurl.com/4h99z6zz

DOI : https://doi.org/10.38124/ijisrt/IJISRT24OCT175

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Abstract : By way of introduction, the prevalence of gestational diabetes varies between 1% and 14%, in Morocco, a single study conducted in Dakhla in southern Morocco in 2019, estimates that the prevalence of GD is 7.7% in accordance with the recommendations of the American Diabetes Association, hence the need to explore the epidemiological profile in southern Morocco.  Methodology:- A cross-sectional descriptive analytical correlational epidemiological survey of 202 pregnant women during the period 2021-2022, conducted at the Dakhla regional hospital centre, which attempts to describe the individual, biological and gynecological-obstetric risk factors in pregnant women with gestational diabetes. As well as maternal and neonatal complications. The study also analyses the effect of hospital performance on the management of parturients.  Results:- The prevalence of GD is high in the age group [35,41] and over 42 years, mainly among illiterate. Several risk factors have been identified for GD : age, high preconceptional BMI, low level of education, polycystic syndrome, history of urinary infection, positive vaginal swab for Streptococcus B, and complications for mothers and newborns revolving around Dystocic delivery, macrosomia and hypoglycaemia in newborns. There is also retinopathy in premature babies due to candida albicans and early bacterial infection due to GSB in full- term newborns.

References :

1. HAPO Study Cooperative Research Group. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, Hadden DR, McCance DR, Hod M, McIntyre HD, Oats JJ, Persson B, Rogers MS, Sacks DA. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med.2008 ;358:1991–2002
2. Ben-Haroush A, Yogev Y, Hod M. Epidemiology of gestational diabetes mellitus and its association with Type 2 diabetes. Diabet Med. 2004;21:103-113.  [PubMed] [DOI] [Cited in This Article: 1]   
3. Kampmann U, Madsen LR, Skajaa GO, Iversen DS, Moeller N, Ovesen P. Gestational diabetes: A clinical update. World J Diabetes 2015; 6(8) : 1065-1072 [PMID: 26240703 DOI: 10.4239/wjd. v6. i8.1065]
4. R, Fontanie M, Zaharia R, Altman JJ. Postpartum diabetes consultation after gestational diabetes: an example of Ducloux practice improvement. Diabetes Metab 2013;39(Special issue 1) : A34 [abstract P1008].
5. Catalano PM, Ehrenberg HM. The short- and long-term implications of maternal obesity on the mother and her offspring. BJOG. 2006;113:1126-1133.  [PubMed] [DOI] [Cited in This Article : 1] 
6. Kampmann U, Madsen LR, Skajaa GO, Iversen DS, Moeller N, Ovesen P. Gestational diabetes : A clinical update. World J Diabetes 2015 ; 6(8): 1065-1072 [PMID: 26240703 DOI: 10.4239/wjd.v6.i8.1065]
7. Ferrara A. Increasing prevalence of gestational diabetes mellitus : a public health perspective. Diabetes Care. 2007;30 Suppl 2:S141-S146.  [PubMed] [DOI] [Cited in This Article : 1]  [Cited by in Crossref : 738]  [Cited by in F6Publishing: 787]  [Article Influence: 46.3]  [Reference Citation Analysis (0)] 5.
8. Jiwani A, Marseille E, Lohse N, Damm P, Hod M, Kahn JG. Gestational diabetes mellitus : results from a survey of country prevalence and practices. J Matern Fetal Neonatal Med. 2012 ;25:600-610.  [PubMed] [DOI] [Cited in This Article : 1]  [Cited by in Crossref: 196]  [Cited by in F6Publishing: 193]  [Article Influence: 14.8]
9. Macaulay S, Dunger DB, Norris SA. Gestational diabetes mellitus in Africa : a systematic review. PLoS One. 2014 ;9: e97871.  [PubMed] [DOI] [Cited in This Article : 3] [Cited by in Crossref : 80]  [Cited by in F6Publishing: 98]  [Article Influence: 9.8]  [Reference Citation Analysis (0)] 7.  Diabetes Atlas International Diabetes
10. Federation. 6th Available from : http://www.idf.org/diabetesatlas.  [Cited in This Article : 1] 8.  American Diabetes Association. Standards of medical care in diabetes--2014. Diabetes Care. 2014 ;37 Suppl 1: S14-S80.  
11. Kampmann U, Madsen LR, Skajaa GO, Iversen DS, Moeller N, Ovesen P. Gestational diabetes : A clinical update. World J Diabetes 2015 ; 6(8): 1065-1072 [PMID: 26240703 DOI: 10.4239/wjd.v6.i8.1065]
12. Metzger BE, Lowe LP, Dyer AR, Trimble ER, Chaovarindr U, Coustan DR, Hadden DR, McCance DR, Hod M, McIntyre HD. Hyperglycemia and adverse pregnancy outcomes. N Engl J Med. 2008;358:1991-2002.  [PubMed]  [DOI]  [Cited in This Article: 4]  [Cited by in Crossref: 3783]  [Cited by in F6Publishing: 3485]  [Article Influence: 217.8]  [Reference Citation Analysis (0)] 12.
13. Pettitt DJ, Knowler WC, Baird HR, Bennett PH. Gestational diabetes: infant and maternal complications of pregnancy in relation to third-trimester glucose tolerance in the Pima Indians. Diabetes Care. 1980;3:458-464.  [PubMed]  [DOI]  [Cited in This Article: 1]  [Cited by in Crossref: 195]  [Cited by in F6Publishing: 173]  [Article Influence: 3.9]  [Reference Citation Analysis (0)] 13.
14. Jensen DM, Korsholm L, Ovesen P, Beck-Nielsen H, Mølsted-Pedersen L, Damm P. Adverse pregnancy outcome in women with mild glucose intolerance : is there a clinically meaningful threshold value for glucose? Acta Obstet Gynecol Scand. 2008;87:59-62.  [PubMed] [DOI]  [Cited in This Article: 1]  [Cited by in Crossref: 52]  [Cited by in F6Publishing: 48]  [Article Influence: 3.0]  [Reference Citation Analysis (0)]
15. Sermer M, Naylor CD, Gare DJ, Kenshole AB, Ritchie JW, Farine D, Cohen HR, McArthur K, Holzapfel S, Biringer A. Impact of increasing carbohydrate intolerance on maternal-fetal outcomes in 3637 women without gestational diabetes. The Toronto Tri-Hospital Gestational Diabetes Project. Am J Obstet Gynecol. 1995;173:146-156.  [PubMed] [DOI] [Cited in This Article : 1] [Cited by in Crossref: 342]  [Cited by in F6Publishing: 363]  [Article Influence: 12.5]  [Reference Citation Analysis (0)]
16. Metzger BE, Gabbe SG, Persson B, Buchanan TA, Catalano PA, Damm P, Dyer AR, Leiva Ad, Hod M, Kitzmiler JL. International association of diabetes and pregnancy study groups recommendations on the diagnosis and classification of hyperglycemia in pregnancy. Diabetes Care. 2010 ;33:676-682.  [PubMed] [DOI] [Cited in This Article : 3]  [Cited by in Crossref: 2777]  [Cited by in F6Publishing: 2903]  [Article Influence: 207.4]  [Reference Citation Analysis (1)]
17. Kampmann U, Madsen LR, Skajaa GO, Iversen DS, Moeller N, Ovesen P. Gestational diabetes: A clinical update. World J Diabetes 2015; 6(8): 1065-1072 [PMID: 26240703 DOI: 10.4239/wjd.v6.i8.1065]