EFFECTIVE FACTORS ASSOCIATED WITH BLOOD SUGAR AMONG GESTRATIONAL DIABETES MELLITUS AT MAHASARAKHAM HOSPITAL

Abstract

This cross section study aimed to determine factors influencing the occurrence of Gestational Diabetes Mellitus in pregnant women . The purposive sample consisted of 100 singleton pregnant women with gestational age more than 20 weeks , who attend at Antenatal care department at hospital of Mahasarakham ,Thailand. The data were collected from January 1, to December 31, 2021. Data collection instruments were the demographic characteristic questionnaire (Such as age , pararity ,urine sugar, family history and BMI ) and blood sugar record. Sample were collected by using stratified sampling techniques . Self-adminitrated questionnaires were used to collect data .Data were analyzed by descriptive statistics and binary logistic regression. The results to the study showed that the majority of the sample was the ages over 30 years (62.%), Multipara (67), No family history (51%) and body mass index (BMI) was BMI > 30 kg/m2 (69%). The result showed that age and pre-pregnancy body mass index could significantly factors correrated blood sugar control at the 0.05 level. Pregnant women who have age ≥ 30 years had 2.71 times higher risk of abnormal blood sugar than those who were younger than 30 years ( OR _adj = 2.71 , 95% CI = 1.19-6.17 ) . Pregnant women who pre-pregnancy body mass index over standard criteria had 0.54 times higher risk of abnormal blood sugar ( OR _adj = 0.54 , 95% CI = 0.29-0.99 ) . The results from the study supported the importance of the quality antenatal care policy through supports from every level. The results suggest nurses and straffs at ANC clinic should provide advice on diet to meet the standard criteria to prevent blood sugar level in pregnant women, who have over pre-pregnancy body mass index over ≥ 30 kg/m² , by managing thire good eating behaviors for those who aged ≥ 30 years old.