Factors associated with gestational diabetes among women registered at secondary hospitals in Karachi, Pakistan

Date of Award

2016

Document Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

Department

School of Nursing and Midwifery, Pakistan

Abstract

The aim of this study was to identify the modifiable associated factors of Gestational Diabetes Mellitus among women with 32 to 40 weeks of gestation. Methodology: A case-control study design was conducted at Secondary Hospitals for women and children (Garden, Karimabad), Karachi, Pakistan. The data were collected from 100 cases and same number of controls, through a structured questionnaire. The data was analyzed by means of descriptive and inferential statistics, with the help of Stata version 12.0. Results: The majority of the study participants had a past history of GDM and had a EMI greater than 25kg/m2. Most of the participants were graduates or postgraduates. The results of the study identified that the modifiable factors which were significantly associated with GDM included exerting household physical activities, transportation related physical activities, recreational activities i.e., walking, number of stairs climbed daily, use of fruits, and eggs, and night time sleep duration. Only 12% of the participants reported that they spent greater than or equal to six hours in recreational physical activities. The 35% of the participants reported a night time sleep duration of more than six hours. Conclusion: The present study identified the association of some modifiable factors with GDM. There is a dire need to develop preventive strategies that can promote a healthy lifestyle among pregnant women. Attention should be given to increasing physical activity, promoting a healthy diet and having proper sleep. In the light of the current study findings, a study with a large sample size, including multi-center settings, is needed.

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