The Fetal and Maternal Complications of Reproductive Age Women with History of Gestational Diabetes Mellitus Including Different Risk Factors in Thi-Qar

Noor Farhan Gafel, Majid Abdulwahab Maatook, Mahmood Thamer Altemimi

Abstract: Background: Diabetes is a chronic illness that arises when the body either produces insufficient amounts of insulin or is unable to use it effectively. In the second half of pregnancy, glucose intolerance is a defining feature of gestational diabetes mellitus (GDM), a subtype of diabetes mellitus (DM). It is estimated that one in seven pregnant women worldwide has GDM. This study aimed to determine the prevalence of maternal and fetal outcomes in GDM as well as to assess the main risk factors which predict these complications among Thi-Qar's reproductive-aged women. Methodology: A cross-sectional observational study was done on 1504 married women of reproductive age who were enrolled in an endocrine center. All patient information was gathered through direct interviews and the tertiary center's digital records, which were accessed via an internal network system and Microsoft Access. Demographic details, GDM clinical history, macrosomia history, and family history of diabetes were recorded. Results: The mean age of women with GDM was 36 .9±6.8 years old, mean weight 82 ±13 kg, BMI was 32.7±5.3 (Kg/m2), and waist circumference was 101.1±11.2 centimeters. Pregnancy, lipid disorder, kidney disease, heart disease, PCOS, Previous history of GDM, chronic hypertension, macrosomia, and physical activity were significantly association between GDM and DM complications (p-value = 0.001, 0.001, 0.002, 0.001, 0.001, 0.001, 0.001, 0.001, and 0.044, respectively). The correlation between GDM and different risk factors. Residency, age, number of abortions, number of stillbirths, and number of live children, weight, BMI, waist circumference, e.GFR, and RBS were significantly higher among women with GDM. Conclusion: GDM is considered an additive risk factor for the prediction of chronic DM and later complications. Most of the risk factors, like lipid disorder, kidney disease, heart disease, GDM, PCOS, hypertension, macrosomia, physical activity, abortion, number of live births, and number of dead births, are considered dependent risk factors for the prediction of DM complications. 

Keywords: Fetal, Maternal, Complications, Age, Women, Gestational Diabetes Mellitus, Risk Factors.

Title: The Fetal and Maternal Complications of Reproductive Age Women with History of Gestational Diabetes Mellitus Including Different Risk Factors in Thi-Qar

Author: Noor Farhan Gafel, Majid Abdulwahab Maatook, Mahmood Thamer Altemimi

International Journal of Healthcare Sciences

ISSN 2348-5728 (Online)

Vol. 13, Issue 1, April 2025 - September 2025

Page No: 109-121

Research Publish Journals

Website: www.researchpublish.com

Published Date: 27-May-2025

DOI: https://doi.org/10.5281/zenodo.15525229

Vol. 13, Issue 1, April 2025 - September 2025

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The Fetal and Maternal Complications of Reproductive Age Women with History of Gestational Diabetes Mellitus Including Different Risk Factors in Thi-Qar by Noor Farhan Gafel, Majid Abdulwahab Maatook, Mahmood Thamer Altemimi