Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes

Cheong, Lieng Teng and Foo, Ken Yong and Ka, Mun Lum and Shen, Yung Toh and Chan, Xuan Hii and Sivalingam Nalliah, (2021) Gestational diabetes in Malaysia : a systematic review of prevalence, risk factors and outcomes. Sains Malaysiana, 50 (8). pp. 2367-2377. ISSN 0126-6039

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Official URL: https://www.ukm.my/jsm/malay_journals/jilid50bil8_...

Abstract

Gestational diabetes mellitus (GDM) is glucose intolerance first diagnosed during pregnancy. In Malaysia, the prevalence, risk factors, and maternal/foetal outcomes vary somewhat among the local studies. In this systematic review of Malaysian studies, we synthesise relevant data from 13 journal articles (including 10,285 women with gestational diabetes). A meta-analysis of twelve datasets showed a prevalence of 21.5% (95% CI 17.3 to 25.9%, random effect model). Clinical factors in the mother found to increase her risk of GDM were consistent with international data. A meta-analysis of complications showed statistically significant increase for macrosomia (OR 3.08, 95% CI 1.77 to 5.36) but not for pre-eclampsia (OR 1.44, 95% CI 0.52 to 4.00) and caesarean delivery (OR 1.31, 95% CI 0.98 to 1.75). The high prevalence of gestational diabetes mellitus and documented adverse consequences support the need for universal screening of this condition in all pregnant women in Malaysia.

Item Type:Article
Keywords:Gestational diabetes; Malaysia; Pregnancy; Prevalence; Risk factors
Journal:Sains Malaysiana
ID Code:17592
Deposited By: ms aida -
Deposited On:15 Nov 2021 02:40
Last Modified:19 Nov 2021 01:58

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