Main Article Content
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.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
American Diabetes Association. (2016). Standards of medical care in diabetes-2016. Diabetes Care, 34 ( Suppl 1), 95-112.
American Diabetes Association. (2019). Classification and diagnosis of diabetes: standards of medical care in diabetes 2019. Retrieved March 17, 2022, from http://care.diabetesjournals.org/content/42/Supplement_1/S13. full-text.pdf
American Diabetes Association. (2020). American Diabetes Association. Diabetes Care, 39 (Suppl 1), 97-112.
Committee on Practice Bulletins Obstetrics. (2018). ACOG practice bulletin No.190: gestational diabetes mellitus. Obstetric Gynecol, 131 (2) , 49-64.
Division of Medical Record Siriraj Hospital, Faculty of Medicine Siriraj Hospital , Mahidol University. (2018). Statistical report 2018: Siriraj Hospital. Bangkok: Division of Medical Record Siriraj Hospital.
Jean, B.N. et al. (2022). Gestational Diabetes Melitus and Its Associated Risk Factor in Pregnancy Women at Selected Health Facilities in Kigali city . Journal of Diabetes Melitus, 12 (1), 43-52.
Lee, K.W. et al. (2018). Prevalence and risk factors of gestational diabetes mellitus in Asia:a systematic review and meta-analysis. BMC Pregnancy Childbirth, 18 (1) , 481-494.
Maxima, A. et al. (2017). To study the incidence of gestational diabetes mellitus and risk factors associated with GDM. International Journal of Advance in Medicine, 4 (1), 112-116.
Piyanun, L. et al. (2016). Factors influencing the occurrence of gestational diabetes mellitus in pregnant women with abnormal glucose challenge test. Journal Nursing Scince, 34 (2 ), 58-69.
Radarith, C. et al. (2019). Factors influencing self-management among women with gestational diabetes mellitus. The Journal of Faculty of Nursing Burapha University, 27 (1), 50-59.
Soheilykhah, S. et al. (2019). Incidence of gestational diabetes mellitus in pregnant women. Iran Journal Report Medical , 8 (1), 24-28.
Suwannarat, K. et al. (2019). Effects of a self-management support program on diabetes self -management behavior and blood sugar level in women with gestational diabetes mellitus. Journal of Phrapokklao Nursing College, 30 (2), 1-13.
Zhu Y.& Zhang C. (2016). Prevalenceof gestational diabetes and risk of progression to type 2 diabetes: a global perspective. Curr Diab Rep, 16 (1) , 1-7.